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Neuropsychological Rehabilitation

Natalie Gilmore, Erin L Meier, Jeffrey P Johnson, Swathi Kiran
This study investigated the effects of typicality-based semantic feature analysis (SFA) treatment on generalisation across three levels: untrained related items, semantic/phonological processing tasks, and measures of global language function. Using a single-subject design with group-level analyses, 27 persons with aphasia (PWA) received typicality-based SFA to improve their naming of atypical and/or typical exemplars. Progress on trained, untrained, and monitored items was measured weekly. Pre- and post-treatment assessments were administered to evaluate semantic/phonological processing and overall language ability...
July 20, 2018: Neuropsychological Rehabilitation
Wendy L Magee
Using music with people with prolonged disorders of consciousness (PDOC) has progressed considerably in recent years. Using both imaging and behavioural measures has revealed music's potential for enhancing arousal and awareness, boosting cognition and improving behavioural outcomes when compared to non-music conditions. Furthermore, music may have prognostic potential with this population. Explanations for these effects draw on music's potential to simultaneously excite the networks implicated in internal self-referential awareness and external awareness...
July 16, 2018: Neuropsychological Rehabilitation
Nooshin Looeiyan, Faranak Kianfar, Leila Ghasisin
Mirror neurons that have properties of audio/visual-acuity play a key role in imitation of movement performance. Since speech is a collection of coordinated movements in the producing organs, observing and imitation of speech movements can stimulate these neurons. In addition, observing hand movements trigger some actions related to the verbal cortex in the network of mirror neurons [Small, S. L., Buccino, G., & Solodkin, A. (2013). Brain repair after stroke-a novel neurological model. Nature Reviews Neurology, 9(12), 698-707...
July 13, 2018: Neuropsychological Rehabilitation
Robyn L Tate, Donna Wakim, Linda Sigmundsdottir, Wendy Longley
Severe traumatic brain injury (sTBI) often results in significant morbidity, with fewer than 50% returning to work and only a minority resuming leisure and social activity. Yet few effective interventions are available for non-vocational activity. The aim of the study was to develop a new goal-directed intervention, the Programme for Engagement, Participation and Activities (PEPA), and evaluate its effect. The research design was a multiple-baseline design across behaviours, with direct inter-subject and systematic replications...
July 9, 2018: Neuropsychological Rehabilitation
Elizabeth S Gromisch, Joanna M Fiszdon, Matthew M Kurtz
Cognitive impairment affects more than half of persons with multiple sclerosis (PwMS), and it is associated with difficulties in multiple aspects of daily functioning. There is a growing body of literature that has explored the use of cognitive-focused interventions in PwMS, which aim to improve cognition-related function through drill and practice exercises, training in compensatory strategies, or a combination of the two. The current study aimed to expand upon previously published meta-analyses in this area, exploring the effects of cognitive-focused interventions on objective and subjective functioning in PwMS, as well as determining demographic and treatment-related factors that may influence intervention efficacy...
July 5, 2018: Neuropsychological Rehabilitation
Daniel Fellman, Juha Salmi, Liisa Ritakallio, Ulla Ellfolk, Juha O Rinne, Matti Laine
Frontostriatal dysfunction in Parkinson's disease (PD) increases the risk for working memory (WM) impairment and depression, calling for counteractive measures. Computerised cognitive rehabilitation is a promising option, but targeted training protocols are lacking and lab-based training can be demanding due to the repeated visits. This study tested the feasibility and efficacy of home-based computerised training targeting mainly WM updating in PD. Fifty-two cognitively well-preserved PD patients were randomised to a WM training group and an active control group for five weeks of training (three 30-min sessions per week)...
July 3, 2018: Neuropsychological Rehabilitation
Anne-Claire M C Schrijnemaekers, Ieke Winkens, Sascha M C Rasquin, Annette Verhaeg, Rudolf W H M Ponds, Caroline M van Heugten
OBJECTIVE: To investigate the effectiveness and feasibility of a Socratic feedback programme to improve awareness of deficits in patients with acquired brain injury (ABI). SETTING: Rehabilitation centre. PARTICIPANTS: Four patients with ABI with awareness problems. DESIGN: A series of single-case experimental design studies with random intervention starting points (A-B + maintenance design). MAIN MEASURES: Rate of trainer-feedback and self-control behaviour on everyday tasks, patient competency rating scale (PCRS), self-regulating skills interview (SRSI), hospital anxiety and depression scale...
June 29, 2018: Neuropsychological Rehabilitation
Sarah Gunn, Katie Schouwenaars, Derar Badwan
The misdiagnosis rate of prolonged disorders of consciousness remains at approximately 40%, owing to overlap between diagnostic criteria and inconsistencies in patient responses. Improved accuracy is essential for the appropriate provision of treatment and rehabilitation. Neuroimaging may provide additional diagnostic information to standard neurobehavioural assessment, enabling identification of higher levels of awareness. In this study, the Sensory Tool to Assess Responsiveness (STAR) neurobehavioural assessment was used to assess the level of awareness of 19 patients with prolonged disorders of consciousness...
June 27, 2018: Neuropsychological Rehabilitation
Gabriela Markovic, Aniko Bartfai, Jan Ekholm, Charlotte Nilsson, Marie-Louise Schult, Monika Löfgren
The evaluation of intensive cognitive training is usually based on neuropsychological tests and questionnaires. A study of the subjective experience of cognitive training would provide another type of valuable information concerning the effects of rehabilitation. We used grounded theory methods to explore the experience and management of attention dysfunction in daily life two-four years after brain injury. Data were collected by in-depth interviews of 14 adults with moderate-to-mild attention dysfunction after stroke or traumatic brain injury, and working part time or full time at the time of the interviews...
June 27, 2018: Neuropsychological Rehabilitation
Marie Holland, Christine Norman
This research explored staff perceptions of risk assessment and management of inappropriate sexual behaviour (ISB) displayed in patients following a Traumatic Brain Injury (TBI). The primary focus was to determine differences in perceptions between qualified (N = 40) and direct care staff (N = 47). Vignettes depicting ISB displayed by a male following a TBI were rated. The vignettes varied in behaviour (intimate versus non-contact) and age of the victim (child versus adult). Ratings for causal explanations (poor management, attention seeking, negative emotion and education), attributions (need for action and increase awareness) and emotions were analysed alongside risk assessment and management variables...
June 25, 2018: Neuropsychological Rehabilitation
Alessio Facchin, Janet H Bultitude, Giulia Mornati, Milena Peverelli, Roberta Daini
Prism adaptation (PA) is a technique that induces a temporary change of the alignment between different reference frames. This technique has been shown to reduce many signs of unilateral spatial neglect (USN). Two procedures of prism adaptation have been used. In concurrent exposure participants can see their arm and hand during the movement trajectory, and during terminal exposure, participants can see only the most distal few centimetres. Because the two exposures elicit different proportions of visual and proprioceptive realignment, they could present different rehabilitation efficacies...
June 18, 2018: Neuropsychological Rehabilitation
Toni D Withiel, Vanessa L Sharp, Dana Wong, Jennie L Ponsford, Narelle Warren, Renerus J Stolwyk
Memory impairment is common following stroke. Memory skills groups (MSGs) utilising compensatory strategies and computerised cognitive training (CCT) are two rehabilitation approaches available to improve memory function; however, there is no consensus as to which is more effective following stroke. This study aimed to explore and contrast the qualitative experiences of 20 stroke survivors (Mage  = 61.90, SD = 10.48, range: 34-77 years) who received six weeks' training in MSG (manualised memory skills group, n = 10) or individual-CCT (LumosityTM , n = 10)...
June 11, 2018: Neuropsychological Rehabilitation
Glenn Kelly, Suzanne Brown, Grahame K Simpson
People with acquired brain injury (ABI) are overrepresented in prison populations across many countries. An effective service response to reduce this trend requires collaboration between the ABI and criminal justice (CJ) sectors. The Building Bridges project piloted a novel professional development model designed to increase cross-sectoral knowledge and collaboration between the ABI and CJ sectors. A total of 178 service providers from Victoria, Australia, participated in six professional development forums that included content about ABI, policing, disability and legal supports, and correctional/post-release services...
June 8, 2018: Neuropsychological Rehabilitation
Jaime B Lee, McKay Moore Sohlberg, Beth Harn, Robert Horner, Leora R Cherney
People with aphasia frequently present with nonlinguistic deficits, in addition to their compromised language abilities, which may contribute to their problems with reading comprehension. Treatment of attention, working memory and executive control may improve reading comprehension in individuals with aphasia, particularly those with mild reading problems. This single-case experimental design study evaluated the efficacy of Attention Process Training-3, an intervention combining direct attention training and metacognitive facilitation, for improving reading comprehension in individuals with mild aphasia...
June 4, 2018: Neuropsychological Rehabilitation
Maria Gutierrez-Herrera, Simone Eger, Ingo Keller, Joachim Hermsdörfer, Styrmir Saevarsson
Among the different interventions to alleviate the symptoms of unilateral neglect, prism adaptation (PA) appears especially promising. To elucidate the contribution of some neuroanatomical and behavioural factors to PA's effectiveness, we conducted a study combining neuropsychological and lesion mapping methods on a group of 19 neglect patients who underwent two sessions of PA during one week and assessed their improvement relative to the baseline until the following week (7-8 days later). Correlation analyses revealed a significant positive relationship between the magnitude of the proprioceptive after-effect and the improvement at the follow-up session in two perceptual tasks requiring motor responses...
June 3, 2018: Neuropsychological Rehabilitation
Adam McKay, Jasmine Love, Jessica Trevena-Peters, Jacinta Gracey, Jennie Ponsford
Agitation is common during the post-traumatic amnesia (PTA) period after traumatic brain injury (TBI), although our knowledge of what causes or predicts agitation is limited. The current study aimed to examine the association of agitation in PTA with the concurrent impairments in orientation and memory while controlling for covariates of agitation. Participants were 125 patients in PTA following moderate to extremely severe TBI recruited from an inpatient brain injury rehabilitation service who were assessed throughout PTA on the Agitated Behavior Scale (ABS) and the Westmead PTA Scale (WPTAS)...
June 3, 2018: Neuropsychological Rehabilitation
Nick Corriveau Lecavalier, Émilie Ouellet, Benjamin Boller, Sylvie Belleville
Virtual reality (VR) allows for the creation of ecological environments that could be used for cognitive assessment and intervention. This study comprises two parts that describe and assess an immersive VR task, the Virtual Shop, which can be used to measure episodic memory. Part 1 addresses its applicability in healthy older adults by measuring presence, motivation, and cybersickness symptoms. Part 2 addresses its construct validity by investigating correlations between performance in the VR task and on a traditional experimental memory task, and by measuring whether the VR task is sensitive to age-related memory differences...
May 29, 2018: Neuropsychological Rehabilitation
Aris R Terzopoulos, Georgia Z Niolaki, Jackie Masterson
An intervention study was carried out with two nine-year-old Greek-speaking dyslexic children. Both children were slow in reading single words and text and had difficulty in spelling irregularly spelled words. One child was also poor in non-word reading. Intervention focused on spelling in a whole-word training using a flashcard technique that had previously been found to be effective with English-speaking children. Post-intervention assessments conducted immediately at the end of the intervention, one month later and then five months later showed a significant improvement in spelling of treated words that was sustained over time...
May 14, 2018: Neuropsychological Rehabilitation
Sophie A Perry, Rudi Coetzer, Christopher W N Saville
Alongside the obvious health benefits, physical exercise has been shown to have a modest anti-depressant effect for people in the general population. To the authors' knowledge, there are no current literature reviews or meta-analyses available exploring this effect for people with a traumatic brain injury (TBI). A systematic review of intervention studies utilising physical exercise and mood outcome measures for a TBI population was performed in November 2016. Baseline and outcome data were extracted for the nine studies which met the inclusion criteria...
May 13, 2018: Neuropsychological Rehabilitation
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May 11, 2018: Neuropsychological Rehabilitation
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