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Cognitive Retraining in Traumatic Brain Injury: Experience from Tertiary Care Center in Southern India

Objective  Traumatic brain injury (TBI) is a leading cause of mortality and chronic disability across the globe. This study aimed to understand the effects of cognitive retraining (CR) intervention on neuropsychological functions, symptom reporting, and quality of life in patients with moderate to s...

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Autores principales: Afsar, Mohammed, Shukla, Dhaval, Bhaskarapillai, Binukumar, Rajeswaran, Jamuna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical and Scientific Publishers Pvt. Ltd. 2021
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8064862/
https://www.ncbi.nlm.nih.gov/pubmed/33927520
http://dx.doi.org/10.1055/s-0041-1722817
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author Afsar, Mohammed
Shukla, Dhaval
Bhaskarapillai, Binukumar
Rajeswaran, Jamuna
author_facet Afsar, Mohammed
Shukla, Dhaval
Bhaskarapillai, Binukumar
Rajeswaran, Jamuna
author_sort Afsar, Mohammed
collection PubMed
description Objective  Traumatic brain injury (TBI) is a leading cause of mortality and chronic disability across the globe. This study aimed to understand the effects of cognitive retraining (CR) intervention on neuropsychological functions, symptom reporting, and quality of life in patients with moderate to severe TBI. Materials and Methods  The present single-group intervention study with a pre–post design included 12 patients diagnosed with moderate to severe TBI within 3–24 months post injury. Outcome measures included National Institute of Mental Health and Neuro Sciences (NIMHANS) Neuropsychology Battery, Perceived Stress Scale, Rivermead Post-Concussion Symptom Questionnaire, World Health Organization Quality of Life Scale—Brief, and Visual Analogue Scale. All patients underwent a total of 20 sessions of hospital-based CR, spanning over a period of 2 months. The CR included tasks targeting to enhance processing speed, attention, executive function, learning, and memory. Outcome assessments were conducted at baseline and immediately at post intervention. Statistical Analysis  Mean, standard deviation, frequency, and percentage were used as measures of descriptive statistics. Pre- and post-intervention scores were compared using Wilcoxon signed-rank test. Results  The results showed that at post intervention, significant improvements were found in processing speed, working memory, planning, visuo-spatial construction, visual memory, and verbal encoding. Subjective symptom reporting, perceived stress, and quality of life in psychological domain also improved. Conclusion  CR can be helpful in improving not only cognition but also symptom reporting and quality of life in moderate to severe TBI.
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spelling pubmed-80648622021-04-28 Cognitive Retraining in Traumatic Brain Injury: Experience from Tertiary Care Center in Southern India Afsar, Mohammed Shukla, Dhaval Bhaskarapillai, Binukumar Rajeswaran, Jamuna J Neurosci Rural Pract Objective  Traumatic brain injury (TBI) is a leading cause of mortality and chronic disability across the globe. This study aimed to understand the effects of cognitive retraining (CR) intervention on neuropsychological functions, symptom reporting, and quality of life in patients with moderate to severe TBI. Materials and Methods  The present single-group intervention study with a pre–post design included 12 patients diagnosed with moderate to severe TBI within 3–24 months post injury. Outcome measures included National Institute of Mental Health and Neuro Sciences (NIMHANS) Neuropsychology Battery, Perceived Stress Scale, Rivermead Post-Concussion Symptom Questionnaire, World Health Organization Quality of Life Scale—Brief, and Visual Analogue Scale. All patients underwent a total of 20 sessions of hospital-based CR, spanning over a period of 2 months. The CR included tasks targeting to enhance processing speed, attention, executive function, learning, and memory. Outcome assessments were conducted at baseline and immediately at post intervention. Statistical Analysis  Mean, standard deviation, frequency, and percentage were used as measures of descriptive statistics. Pre- and post-intervention scores were compared using Wilcoxon signed-rank test. Results  The results showed that at post intervention, significant improvements were found in processing speed, working memory, planning, visuo-spatial construction, visual memory, and verbal encoding. Subjective symptom reporting, perceived stress, and quality of life in psychological domain also improved. Conclusion  CR can be helpful in improving not only cognition but also symptom reporting and quality of life in moderate to severe TBI. Thieme Medical and Scientific Publishers Pvt. Ltd. 2021-04 2021-04-13 /pmc/articles/PMC8064862/ /pubmed/33927520 http://dx.doi.org/10.1055/s-0041-1722817 Text en Association for Helping Neurosurgical Sick People. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/). https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Afsar, Mohammed
Shukla, Dhaval
Bhaskarapillai, Binukumar
Rajeswaran, Jamuna
Cognitive Retraining in Traumatic Brain Injury: Experience from Tertiary Care Center in Southern India
title Cognitive Retraining in Traumatic Brain Injury: Experience from Tertiary Care Center in Southern India
title_full Cognitive Retraining in Traumatic Brain Injury: Experience from Tertiary Care Center in Southern India
title_fullStr Cognitive Retraining in Traumatic Brain Injury: Experience from Tertiary Care Center in Southern India
title_full_unstemmed Cognitive Retraining in Traumatic Brain Injury: Experience from Tertiary Care Center in Southern India
title_short Cognitive Retraining in Traumatic Brain Injury: Experience from Tertiary Care Center in Southern India
title_sort cognitive retraining in traumatic brain injury: experience from tertiary care center in southern india
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8064862/
https://www.ncbi.nlm.nih.gov/pubmed/33927520
http://dx.doi.org/10.1055/s-0041-1722817
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