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Measuring Clinical Change in Cognitive Rehabilitation of Patients with Brain Damage: Two Cases, Traumatic Brain Injury and Cerebral Vascular Accident
Published in Jerry A. Johnson, Laura H. Krefting, Occupational Therapy Approaches to Traumatic Brain Injury, 2013
Noomi Katz, Dorit Hefner, Rachel Reuben
The cognitive rehabilitation evaluation and intervention approach of occupational therapy at Loewenstein Rehabilitation Hospital (LRH) combines sensory motor, functional and cognitive retraining approaches (Siev, Freishtat & Zoltan, 1986; Zoltan & Ryckman, 1985), with differential emphasis depending on the individual patient's deficits and stage of illness. Treatment focuses generally on direct remediation of the specific cognitive impairments at the acute stage—phase one. While in phase two, when the patient is stabilized, work centers on compensation techniques in functional tasks. In both phases major emphasis is given to cognitive rehabilitation therapy in restoring function with direct retraining and/or compensating for impaired functions (Ylvisaker & Gobble, 1987). As Ylvisaker and Gobble state, cognitive rehabilitation has become the keystone of many rehabilitation programs.
Prefronto-thalamic tract injury and cognitive outcome according to external ventricular drainage location in stroke patients
Published in International Journal of Neuroscience, 2021
Sung Ho Jang, Jong Hoon Kim, Hyeok Gyu Kwon, Min Son Kim
Among 1,118 stroke patients admitted to the rehabilitation department of a university hospital over a five year period, forty-five consecutive patients were recruited based on the following inclusion criteria: (1) history of EVD by a frontal approach, (2) age at the time of EVD: 18–75 years, (3) DTI scanning performed after EVD, (4) Mini-Mental State Examination (MMSE, full score: 30 points) [14] less than five points, and (4) no previous history of head trauma or neurologic or psychiatric disease. Patients who underwent other neurosurgical procedures such as shunt placement were excluded. MMSE scores were used to evaluate the cognitive function of the patients at the start of rehabilitation (average 2.27 ± 3.01 months from onset) and follow-up MMSE scores were obtained to assess changes in cognitive function at the time of discharge from the rehabilitation department (average 4.19 ± 3.67 months from onset). Patients received cognitive rehabilitation therapy at an individual level to improve problems with memory, attention, perception, learning, planning and judgment. If the patient is accompanied by aphasia, speech and language therapy was also performed.
Prospective memory intervention using visual imagery in individuals with brain injury
Published in Neuropsychological Rehabilitation, 2019
Sarah A. Raskin, Michael P. Smith, Ginger Mills, Consuelo Pedro, Marta Zamroziewicz
Cognitive rehabilitation approaches traditionally group cognitive rehabilitation therapy (CRT) into interventions that are considered compensatory and those that are considered restorative (Sohlberg, 2006). It could be argued that metacognition or self-regulation interventions constitute a third category (Kennedy et al., 2008). An example of a metacognitive approach would be training people in the use of strategies or systems that facilitate self-monitoring during PM task completion (Levine et al., 1998). All three of these rehabilitation approaches have been evaluated for their potential to address deficits in PM functioning.