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Neuropsychological Rehabilitation

Abhishek Jaywant, Jennifer Barredo, David C Ahern, Linda Resnik
The Trail Making Test (TMT) and written version of the Symbol Digit Modalities Test (SDMT) assess attention, processing speed, and executive functions but their utility is limited in populations with upper limb dysfunction. Oral versions of the TMT and SDMT exist, but a systematic review of their psychometric properties and clinical utility has not been conducted, which was the goal of this study. Searches were conducted in PubMed and PsycINFO, test manuals, and the reference lists of included articles. Four measures were identified: the SDMT-oral, oral TMT-A, oral TMT-B, and the Mental Alternation Test (MAT)...
October 18, 2016: Neuropsychological Rehabilitation
Stephanie A Kolakowsky-Hayner, Kimberly Bellon, Ketra Toda, Tamara Bushnik, Jerry Wright, Linda Isaac, Jeffrey Englander
Fatigue is one of the most commonly reported sequelae after traumatic brain injury (TBI). This study evaluated the impact of a graduated physical activity programme on fatigue after TBI. Using a prospective randomised single-blind crossover design, 123 individuals with TBI, over the age of 18, were enrolled. Interventions included a home-based walking programme utilising a pedometer to track daily number of steps at increasing increments accompanied by tapered coaching calls over a 12-week period. Nutritional counselling with the same schedule of coaching calls served as the control condition...
October 13, 2016: Neuropsychological Rehabilitation
Alexandra Ernst, Marion Sourty, Daniel Roquet, Vincent Noblet, Daniel Gounot, Frédéric Blanc, Jérôme de Seze, Liliann Manning
While the efficacy of mental visual imagery (MVI) to alleviate autobiographical memory (AM) impairment in multiple sclerosis (MS) patients has been documented, nothing is known about the brain changes sustaining that improvement. To explore this issue, 20 relapsing-remitting MS patients showing AM impairment were randomly assigned to two groups, experimental (n = 10), who underwent the MVI programme, and control (n = 10), who followed a sham verbal programme. Besides the stringent AM assessment, the patients underwent structural and functional MRI sessions, consisting in retrieving personal memories, within a pre-/post-facilitation study design...
October 9, 2016: Neuropsychological Rehabilitation
Margherita Bechi, Marta Bosia, Marco Spangaro, Alessandro Pigoni, Mariachiara Buonocore, Diego Scrofani, Federica Cocchi, Laura Bianchi, Carmelo Guglielmino, Enrico Smeraldi, Roberto Cavallaro
Deficits in emotion processing (EP) represent a target of rehabilitation in schizophrenia, as they have been related to poor personal and social functioning. To date neither the relationship between these deficits and the generalised cognitive impairment, nor the involvement of specific mechanisms of perception (visual or auditory) are fully comprehended. We developed two treatments targeting EP, through visual or auditory channels, with the aim of disentangling possible differences and/or interactions between the two modalities in schizophrenia-related impairments, also taking into account the role of cognition and social functioning...
October 6, 2016: Neuropsychological Rehabilitation
Marika Pers Faytell, Katie Doyle, Sylvie Naar-King, Angulique Outlaw, Sharon Nichols, Elizabeth Twamley, Steven Paul Woods
Individuals with HIV disease often evidence deficits in prospective memory (PM), which interfere with daily functioning and increase the risk of suboptimal health behaviours. This study examined the benefits of simple encoding and cueing supports on naturalistic time-based PM in 47 HIV-positive young adults. All participants completed a naturalistic time-based PM task in which they were instructed to text the examiner once per day for seven days at a specified time. Participants were randomised into (1) a Calendaring condition in which they created a calendar event in their mobile telephone for the specified texting time; (2) an Alarm condition in which they programmed an alarm into their mobile telephone for the specified texting time; (3) a Combined calendaring and alarm condition; and (4) a Control condition...
September 30, 2016: Neuropsychological Rehabilitation
Marina Downing, Jennie Ponsford
Whilst previous research has detailed the impact of TBI on an individual's sexuality, few studies have investigated couples' sexuality where one partner has sustained a TBI. The study assessed sexual function in individuals with TBI and their partners. Fifty five individuals who had sustained TBI and their partners completed the Derogatis Interview for Sexual Function-Self Report (DISF-SR). All participants scored below the 50th percentile in relation to norms. Whilst participants with TBI obtained lower T-scores than partners on all subscales (except for sexual behaviour/experiences where scores were equivalent), as well as the total score, none of these differences was significant...
September 28, 2016: Neuropsychological Rehabilitation
Aida Suárez-González, Sharon A Savage, Diana Caine
Patients with semantic dementia (SD) can rapidly and successfully re-learn word labels during cognitive intervention. This new learning, however, usually remains rigid and context-dependent. Conceptual enrichment (COEN) training is a therapy approach aimed to produce more flexible and generalisable learning in SD. In this study we compare generalisation and maintenance of learning after COEN with performance achieved using a classical naming therapy (NT). The study recruited a 62-year-old woman with SD. An AB1ACAB2 experimental design was implemented, with naming performance assessed at baseline, post- intervention, 3 and 6 weeks after the end of each treatment phase...
September 28, 2016: Neuropsychological Rehabilitation
Anthony H Lequerica, Amanda L Botticello, Jean Lengenfelder, Nancy Chiaravalloti, Tamara Bushnik, Marcel P Dijkers, Flora M Hammond, Stephanie A Kolakowsky-Hayner, Joseph Rosenthal
Post-traumatic brain injury fatigue (PTBIF) is a major problem in the years after traumatic brain injury (TBI), yet little is known about its persistence and resolution. The objective of the study was to identify factors related to PTBIF remission and resolution. TBI Model System registrants at five centres participated in interviews at either one and two years post-injury (Y1-2 Cohort), or two and five years post-injury (Y2-5 Cohort). Characteristics of participants with PTBIF remission were compared to those with PTBIF persistence...
September 16, 2016: Neuropsychological Rehabilitation
Peter Bright, Emily Hale, Vikki Jayne Gooch, Thomas Myhill, Ian van der Linde
Since publication in 1982, the 50-item National Adult Reading Test (NART; Nelson, 1982 ; NART-R; Nelson & Willison, 1991 ) has remained a widely adopted method for estimating premorbid intelligence both for clinical and research purposes. However, the NART has not been standardised against the most recent revisions of the Wechsler Adult Intelligence Scale (WAIS-III; Wechsler, 1997 , and WAIS-IV; Wechsler, 2008 ). Our objective, therefore, was to produce reliable standardised estimates of WAIS-IV IQ from the NART...
September 14, 2016: Neuropsychological Rehabilitation
Anne Adelt, Sandra Hanne, Nicole Stadie
Exploring generalisation following treatment of language deficits in aphasia can provide insights into the functional relation of the cognitive processing systems involved. In the present study, we first review treatment outcomes of interventions targeting sentence processing deficits and, second report a treatment study examining the occurrence of practice effects and generalisation in sentence comprehension and production. In order to explore the potential linkage between processing systems involved in comprehending and producing sentences, we investigated whether improvements generalise within (i...
September 9, 2016: Neuropsychological Rehabilitation
Michael Perdices
The Alice in Wonderland Syndrome (AWS) was first described more than 60 years ago by Lippman. It refers to episodes during which an individual may variously experience (as did Alice during her time in Wonderland) somatic, visuo-perceptual and/or visuo-spatial hallucinations, as well as feelings of depersonalisation, derealisation and distorted sense of time. Although the prevalence of AWS is unknown, indirect evidence from both retrospective and prospective studies suggests that it is a rare disorder. This paper describes the case of Zoe, a right-handed, native English speaker who was age 45 years when she experienced an episode of AWS...
September 5, 2016: Neuropsychological Rehabilitation
J L Mathias, A J Osborn
Although a known risk factor for traumatic brain injury (TBI), alcohol has been found to both promote and protect against secondary brain damage. However, it is presently unclear whether the cognitive, psychological and medical/functional outcomes of adults who have consumed alcohol prior to sustaining a TBI differ from those who have not. This meta-analysis examined the outcomes of groups that differed in terms of their day-of-injury (DOI) blood alcohol levels (BALs) by comparing positive with zero BAL (BAL(+)/BAL(-)) and high with low BAL (BAL(high)/BAL(low)) samples...
September 1, 2016: Neuropsychological Rehabilitation
Catherine Longworth, Joseph Deakins, David Rose, Fergus Gracey
Acquired brain injury (ABI) has a negative impact on self-esteem, which is in turn associated with mood disorders, maladaptive coping and reduced community participation. The aim of the current research was to explore self-esteem as a multi-dimensional construct and identify which factors are associated with symptoms of anxiety or depression. Eighty adults with ABI aged 17-56 years completed the Robson Self-Esteem Scale (RSES), of whom 65 also completed the Hospital Anxiety and Depression Scale; 57.5% of the sample had clinically low self-esteem...
August 31, 2016: Neuropsychological Rehabilitation
Barbara A Wilson, Faraneh Vargha-Khadem, Gerhard Florschutz
We describe the rare condition known as Alexander's disease or Alexander's leukodystrophy, which is essentially a childhood dementia. We then present the case of Louise Davies (we are using Louise's real name with the permission and special request of her mother), a woman who was diagnosed with this disease at the age of 5 years and is still alive at the age of 38, making her the longest known survivor of this condition. Although now severely impaired, both physically and mentally, and able to do very little, she has lived far longer than expected...
August 31, 2016: Neuropsychological Rehabilitation
Dawn M Schiehser, Lisa Delano-Wood, Amy J Jak, Karen L Hanson, Scott F Sorg, Henry Orff, Alexandra L Clark
Post-traumatic fatigue (PTF) is a common, disabling, and often chronic symptom following traumatic brain injury (TBI). Yet, the impact of chronic cognitive and physical fatigue and their associations with psychiatric, sleep, cognitive, and psychosocial sequelae in mild-moderate TBI remain poorly understood. Sixty Veterans with a history of mild-moderate TBI and 40 Veteran controls (VC) were administered the Modified Fatigue Impact Scale, a validated measure of TBI-related cognitive and physical fatigue as well as measures of neuropsychiatric, psychosocial, sleep, and objective cognitive functioning...
August 18, 2016: Neuropsychological Rehabilitation
Robyn L Tate, Michael Perdices, Ulrike Rosenkoetter, William Shadish, Sunita Vohra, David H Barlow, Robert Horner, Alan Kazdin, Thomas Kratochwill, Skye McDonald, Margaret Sampson, Larissa Shamseer, Leanne Togher, Richard Albin, Catherine Backman, Jacinta Douglas, Jonathan J Evans, David Gast, Rumen Manolov, Geoffrey Mitchell, Lyndsey Nickels, Jane Nikles, Tamara Ownsworth, Miranda Rose, Christopher H Schmid, Barbara Wilson
We developed a reporting guideline to provide authors with guidance about what should be reported when writing a paper for publication in a scientific journal using a particular type of research design: the single-case experimental design. This report describes the methods used to develop the Single-Case Reporting guideline In BEhavioural interventions (SCRIBE) 2016. As a result of 2 online surveys and a 2-day meeting of experts, the SCRIBE 2016 checklist was developed, which is a set of 26 items that authors need to address when writing about single-case research...
August 8, 2016: Neuropsychological Rehabilitation
Judith L Roberts, Nicole D Anderson, Emma Guild, Andrée-Ann Cyr, Robert S P Jones, Linda Clare
The aim of this study was to explore whether errorless learning leads to better outcomes than errorful learning in people with amnestic mild cognitive impairment (MCI), and to examine whether accuracy in error recognition relates to any observed benefit of errorless over errorful learning. Nineteen participants with a clinical diagnosis of amnestic MCI were recruited. A word-list learning task was used and learning was assessed by free recall, cued recall and recognition tasks. Errorless learning was significantly superior to errorful learning for both free recall and cued recall...
August 8, 2016: Neuropsychological Rehabilitation
Verity Stokes, Sarah Gunn, Katie Schouwenaars, Derar Badwan
The Sensory Tool to Assess Responsiveness (STAR) is an interdisciplinary neurobehavioural diagnostic tool for individuals with prolonged disorders of consciousness. It utilises current diagnostic criteria and is intended to improve upon the high misdiagnosis rate in this population. This study assesses the inter-rater reliability of the STAR and its diagnostic validity in comparison with the Coma Recovery Scale-Revised (CRS-R) and the Wessex Head Injury Matrix (WHIM). Participants were patients with severe acquired brain injury resulting in a disorder of consciousness, who were admitted to the Royal Leamington Spa Rehabilitation Hospital between 1999 and 2009...
August 5, 2016: Neuropsychological Rehabilitation
Meike Holleman, Martie Vink, Rinske Nijland, Ben Schmand
The objective of the study was to examine the effects of a comprehensive neuropsychological rehabilitation programme (Intensive NeuroRehabilitation, INR) on the emotional and behavioural consequences of acquired brain injury (ABI). The participants were 75 adult patients suffering from ABI (33 traumatic brain injury, 14 stroke, 10 tumour, 6 hypoxia, 12 other), all of whom were admitted to the INR treatment programme. The main outcome measures were: general psychological well-being (Symptom-Checklist-90), depression and anxiety (Beck Depression Inventory-II, Hospital Anxiety and Depression Scale, State Trait Anxiety Inventory), and quality of life (Quality of Life in Brain Injury)...
August 3, 2016: Neuropsychological Rehabilitation
Rosaria De Luca, Rocco Salvatore Calabrò, Placido Bramanti
Severe acquired brain injury (SABI) is damage to the brain, occurring after birth from traumatic or non-traumatic causes, and often resulting in deterioration of physical, cognitive, and emotional functions. Cognitive rehabilitation (CR) is aimed to help brain-injured or otherwise cognitively impaired individuals to restore normal functioning, or to compensate for cognitive deficits. Over the last years, the development of new technologies in the field of CR has led to a growing use of computer-based cognitive tools in patients with SABI...
July 25, 2016: Neuropsychological Rehabilitation
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