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Neuropsychological Rehabilitation

Rael T Lange, Sara M Lippa, Louis M French, Jason M Ballie, Rachel L Gartner, Angela E Driscoll, Megan M Wright, Jamie K Sullivan, Nicole V Varbedian, Elizabeth A Barnhart, Jayne B Holzinger, Ashley L Schaper, Maryetta A Reese, Brian J Brandler, Vanessa Camelo-Lopez, Tracey A Brickell
The purpose of this study was to examine long-term neurobehavioural symptom reporting following mild, moderate, severe, or penetrating TBI in U.S. military service members and veterans (SMV). Participants were 445 SMVs divided into four groups: 158 uncomplicated mild TBI ("unMTBI" group), 105 penetrating, severe, moderate, or complicated mild TBI ("smcTBI" group), 101 injured controls (IC), and 81 non-injured controls (NIC). Two independent cohorts were examined that included participants 5-years or 10-year post-injury...
April 19, 2019: Neuropsychological Rehabilitation
Leah Zelencich, Nikolaos Kazantzis, Dana Wong, Dean McKenzie, Marina Downing, Jennie Ponsford
Cognitive Behaviour Therapy (CBT) has the strongest preliminary support for treatment of depression and anxiety following traumatic brain injury (TBI). TBI associated cognitive impairments may pose an obstacle to development of a strong working alliance, on which therapeutic gains depend. The current study examined the association of demographic (i.e., gender, age at study entry, years of education and premorbid IQ) and injury-related (i.e., years since injury, post-trauma amnesia duration, memory and executive functioning test performance) variables with alliance in CBT adapted for TBI (CBT-ABI)...
April 16, 2019: Neuropsychological Rehabilitation
L Spitzer, F Binkofski, K Willmes, S Bruehl
Besides language deficits, persons with aphasia can present with impairments in executive functions such as cognitive flexibility. Since these impairments can restrict communicative abilities, diagnostics for aphasia should include their assessment. However, tests of executive functions, including symptoms expressed in everyday communication, are lacking for aphasia. Thus, our aim was to fill this gap and study the basic psychometric properties of the novel Cognitive Flexibility in Aphasia Screening. For a pilot evaluation, 26 German patients were examined with tests for language and cognitive flexibility as well as the novel screening...
April 15, 2019: Neuropsychological Rehabilitation
Laura J E Brown, Daniel Blake, Katherine Berry, Russell Sheldrick
Dementia care mapping for neurorehabilitation (DCM-NR) is a tool designed to increase person-centred care (PCC) in neurorehabilitation settings. This paper reports pilot and feasibility testing of a cluster-randomized controlled trial assessing the effectiveness of DCM-NR at increasing PCC. Forty-one staff members, from four neurorehabilitation wards, were cluster-randomized to receive DCM-NR (experimental group) or care as usual (control). Measures of PCC, attitudes to people with brain injury, and PCC self-efficacy were taken at baseline and follow-up...
April 8, 2019: Neuropsychological Rehabilitation
Caroline van Heugten, Stephanie Caldenhove, Joke Crutsen, Ieke Winkens
Outcome measurement is the cornerstone of evidence-based health care including neuropsychological rehabilitation. A complicating factor for outcome measurement in neuropsychological rehabilitation is the enormous number of measures available and the lack of a standard set of outcome measures. As a first step towards such a set, we reviewed intervention evaluation studies of the last 20 years to get an overview of instruments used for measuring outcome. The instruments were divided into two main categories: neuropsychological tests (International Classification of Functioning (ICF) level of functions) and other instruments (all other ICF domains)...
April 2, 2019: Neuropsychological Rehabilitation
Rebecca Large, Victoria Samuel, Reg Morris
Copious research on the utility of Acceptance and Commitment Therapy (ACT) in long-term conditions has demonstrated promising results. However, little research has been conducted on ACT within stroke, particularly studies that are qualitative in nature. The aim of this paper was to gain insight into stroke survivors' experiences of ACT and to explore what processes help facilitate adjustment in living with residual disability. Interviews with thirteen stroke survivors following their attendance at a stroke-adapted ACT group were analysed using a grounded theory approach...
March 29, 2019: Neuropsychological Rehabilitation
Staci Martin, Marie Claire Roderick, Cristina Abel, Pamela Wolters, Mary Anne Toledo-Tamula, Courtney Fitzhugh, Matthew Hsieh, John Tisdale
Children and adults with sickle cell disease (SCD) are at risk for neuropsychological deficits; however, the neurocognitive functioning of adults with SCD and related comorbidities has not been widely reported in the literature. We examined specific cognitive domains in symptomatic adults with SCD and compared them with their unaffected siblings. We also examined relationships between cognitive scores, patient-reported outcomes (PROs), and medical/laboratory values. Thirty patient-sibling pairs (M patient age = 32...
March 29, 2019: Neuropsychological Rehabilitation
Davide Crivelli, Irene Venturella, Marina Fossati, Francesca Fiorillo, Michela Balconi
Covert measures of information-processing are valuable tools to support assessment of patients' disorders of consciousness because of their potential in revealing what seem to be hidden. Those measures allow to overcome some limitations of traditional behavioural methods, which are often biased by difficulties in detecting reliable patients' responses. Therefore, we aimed at exploring patterns of psychophysiological responses (electroencephalography - EEG, skin conductance level - SCL, skin conductance response - SCR, heart rate - HR) marking potentially-preserved processing of personally-relevant stimuli in a sample of VS patients...
March 27, 2019: Neuropsychological Rehabilitation
Louise C Keegan, Macy Murdock, Caitlin Suger, Leanne Togher
This pilot study investigates the outcomes of a group treatment approach for communication difficulties after Traumatic Brain Injury (TBI). This programme, entitled INSIGHT, focuses on group interactions and is designed to manage the various behaviours and impulses that may manifest with this injury. Additionally, INSIGHT promotes natural and authentic communication, encourages flexibility in interaction, and is client-centred. While group treatment services were provided through an outpatient University clinic, treatment occurred in authentic, contextualized everyday community environments...
March 24, 2019: Neuropsychological Rehabilitation
Rannveig Aarnes, Jan Stubberud, Anners Lerdal
OBJECTIVE: Post-stroke fatigue (PSF) is a common and often disabling consequence of stroke, considered to be a complex multidimensional phenomenon. The present review sought to identify studies examining associations between PSF and at least one factor, with the objective of identifying factors that should be investigated in patients with PSF. METHOD: A search for research investigating PSF was conducted through PubMed, CINAHL and Psychinfo databases (19 October 2017), and included studies in English published during the last 15 years, with more than 10 stroke participants (>18 years old), fatigue assessed with quantitative measurements, and reported relationship with one or more associated factor/-s...
March 24, 2019: Neuropsychological Rehabilitation
Carlo Fabricatore, Darinka Radovic, Ximena Lopez, Aitana Grasso-Cladera, Christian E Salas
Clinicians and researchers have become increasingly interested in the potential of technology in assisting persons with dementia (PwD). However, several issues have emerged in relation to how studies have conceptualized who the main technology user is (PwD/carer), how technology is used (as compensatory, environment modification, monitoring or retraining tool), why it is used (i.e., what impairments and/or disabilities are supported) and what variables have been considered as relevant to support engagement with technology...
March 21, 2019: Neuropsychological Rehabilitation
Kate V Cameron, Jennie L Ponsford, Renerus J Stolwyk
This study aimed to examine discrepancies in the reporting of post-stroke functioning between stroke survivors and their clinicians across various disability domains and across current and predicted functioning. Fifty sub-acute stroke survivors (Age M = 70.30 SD = 15.80, 56% female) and their occupational therapist independently completed three measures assessing activity limitations (cognitive, physical, instrumental) and participation restrictions. Assessments were made of current functioning and predicted functioning at three months' post-discharge...
March 15, 2019: Neuropsychological Rehabilitation
Tessa Hart, Monica Vaccaro, George Collier, Inna Chervoneva, Jesse R Fann
We compared two treatments for depression and/ or anxiety in chronic moderate to severe traumatic brain injury (TBI) ( NCT02061553). Fifty-nine participants were randomized 2:1 to a single session of Behavioural Activation followed by 8 weeks of daily SMS (text) messages in the form of implementation intentions supporting individualized goals for increased rewarding/ meaningful activities (INT), or a single (attention control) session focused on the importance of motivation followed by 8 weeks of motivational SMS messages (MOT)...
March 14, 2019: Neuropsychological Rehabilitation
Carey Wexler Sherman, Ravi Iyer, Victor Abler, Alexandria Antonelli, Noelle E Carlozzi
Chorea, a hallmark symptom of Huntington's disease (HD), is characterized by jerky involuntary movements affecting the whole body that can interfere with daily functioning and impact health-related quality of life (HRQOL). To characterize chorea's impact on everyday functioning and HRQOL and identify patterns of perception and experiences of chorea among patients, caregivers, and providers. Data from focus groups of individuals with manifest HD (n = 8 early-stage HD; n = 16 late-stage HD), individuals at-risk or prodromal HD (n = 16), family HD caregivers (n = 17), and HD clinicians (n = 25)...
March 8, 2019: Neuropsychological Rehabilitation
Nick Alderman, Aimee E Pink, Claire Williams, Sara da Silva Ramos, Michael Oddy, Caroline Knight, Keith G Jenkins, Michael P Barnes, Chloë Hayward
To evaluate the efficacy of neurobehavioural rehabilitation (NbR) programmes, services should employ valid, reliable assessment tools; the ability to detect change on repeated assessment is a particular requirement. The United Kingdom Rehabilitation Outcomes Collaborative (UKROC) requires neurorehabilitation services to collect data using a standardized basket of measures, but the responsiveness and usefulness of using these in the context of NbR remains unknown. Anonymous data collected at two assessments for 123 people were examined using multiple methods to determine responsiveness of four outcome measures routinely used in NbR (HoNOS-ABI, FIM + FAM UK, MPAI-4, SASNOS)...
March 7, 2019: Neuropsychological Rehabilitation
Kate D'Cruz, Jacinta Douglas, Tanya Serry
As part of a larger study exploring narrative storytelling, this paper focuses upon the experiences of eight adults with ABI who had participated in storytelling workshops facilitated by an advocacy organization. Following participation in the storytelling workshops, each storyteller was interviewed twice, with three shorter interviews conducted with one participant with significant communication challenges. In total, 25 interview transcripts (17 interviews plus eight transcripts of produced personal narratives) were analysed using constructivist grounded theory methods...
March 1, 2019: Neuropsychological Rehabilitation
Yael Goverover, Joan Toglia, John DeLuca
Deficits in executive functioning are detrimental to employment, daily functioning and quality of life, however their precise nature in multiple sclerosis (MS) remains underspecified. The aims of this study were to: (1) describe the executive processes affected in MS, using a top-down (Weekly Calendar Planning Activity; WCPA) and bottom-up (Delis-Kaplan Executive Function System; DKEFS) assessment tools; (2) explore relationships between performance on the WCPA and DKEFS with a test of everyday functional performance, Actual RealityTM (AR)...
February 27, 2019: Neuropsychological Rehabilitation
Diane Whiting, Frank Deane, Hamish McLeod, Joseph Ciarrochi, Grahame Simpson
This study i⁠nvestigated if an Acceptance and Commitment Therapy (ACT) intervention (ACT-Adjust) can facilitate psychological adjustment and reduce psychological distress following severe traumatic brain injury (TBI). The study design comprised a single centre, two-armed, Phase II pilot randomized controlled trial. Nineteen individuals with severe TBI (PTA ≥7 days) who met a clinical threshold for psychological distress (Depression Anxiety Stress Scales-21; DASS > 9) were randomly allocated to either ACT-Adjust (n = 10) or an active control, Befriending Therapy (n = 9), in conjunction with a holistic rehabilitation programme...
February 21, 2019: Neuropsychological Rehabilitation
Kristen Silveira, Colette M Smart
Yoga is a holistic practice that - when incorporated effectively into neurorehabilitation - has potential to meet the complex needs of persons with acquired brain injury (ABI). This systematic review, conducted in accordance with PRISMA guidelines, investigated cognitive, physical, and psychological outcomes following controlled trials of yoga for ABI. The search returned six eligible studies, four of which focused specifically on stroke rehabilitation. For persons with ABI broadly, within-group improvements were found after yoga for psychological and physical adjustment, quality of life, and respiratory functioning...
February 21, 2019: Neuropsychological Rehabilitation
Heather G Belanger, Rodney D Vanderploeg, Glenn Curtiss, Patrick Armistead-Jehle, Jan E Kennedy, David F Tate, Blessen C Eapen, Amy O Bowles, Douglas B Cooper
This study examined whether self-efficacy differentiated treatment responders from non-responders in a trial of cognitive rehabilitation (CR) for postconcussive symptoms. 126 service members with mild TBI seen on average 9.5 months since injury completed one of four cognitive rehabilitation treatments for 6 weeks. The four treatment arms were: (1) Psychoeducation control, (2) Self-administered computerized CR, (3) Interdisciplinary CR, and (4) Interdisciplinary CR integrated with CBT. Outcome was assessed across time (baseline, and 6, 12, and 18 weeks post-treatment) for three domains: psychological (Symptom Checklist-90-Revised; SCL-90-R), cognitive (Paced Auditory Serial Addition Test; PASAT), and functional/behavioural (Key Behaviors Change Inventory; KBCI)...
February 15, 2019: Neuropsychological Rehabilitation
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