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Cognitive and behavioural post-traumatic impairments: What is the specificity of a brain injury ? A study within the ESPARR cohort / S. NASH in Annals of physical and rehabilitation medicine, Vol. 57, n°9-10 (Décembre 2014)
[article]
Titre : Cognitive and behavioural post-traumatic impairments: What is the specificity of a brain injury ? A study within the ESPARR cohort Titre original : Troubles cognitifs et comportementaux post-traumatiques : quelle est la spécificité du traumatisme crânien ? Étude au sein de la cohorte ESPARR Type de document : texte imprimé Auteurs : S. NASH, Auteur ; Jacques Luauté, Auteur Année de publication : 2014 Article en page(s) : p.600-617 Langues : Français (fre) Mots-clés : Traumatic brain injury ESPARR Neurobehavioral Rating Scale Revised Outcome Motor vehicle accident Traumatisme crânien Devenir Accident de la voie publique Résumé : Objective
The variety and extent of impairments occurring after traumatic brain injury vary according to the nature and severity of the lesions. In order to better understand their interactions and long-term outcome, we have studied and compared the cognitive and neurobehavioral profile one year post onset of patients with and without traumatic brain injury in a cohort of motor vehicle accident victims.
Method
The study population is composed of 207 seriously injured persons from the ESPARR cohort. This cohort, which has been followed up in time, consists in 1168 motor vehicle accident victims (aged 16 years or more) with injuries with all degrees of severity. Inclusion criteria were: living in Rhone county, victim of a traffic accident having involved at least one wheel-conducted vehicle and having occurred in Rhone county, alive at the time of arrival in hospital and having presented in one of the different ER facilities of the county. The cohort's representativeness regarding social and geographic criteria and the specificities of the accidents were ensured by the specific targeting of recruitment. Deficits and impairments were assessed one year after the accident using the Neurobehavioral Rating Scale - Revised and the Trail-Making Test. Within our seriously injured group, based on the Glasgow Score, the presence of neurological deficits, aggravation of neurological condition in the first 72hours and/or abnormal cerebral imaging, we identified three categories: (i) moderate/severe traumatic brain injury (n=48), (ii) mild traumatic brain injury (n=89), and (iii) severely injured but without traumatic brain injury (n=70).
Results
The most frequently observed symptoms were anxiety, irritability, memory and attention impairments, depressive mood and emotional lability. While depressive mood and irritability were observed with similar frequency in all three groups, memory and attention impairments, anxiety and reduced initiative were more specific to traumatic brain injury whereas executive disorders were associated with moderate/severe traumatic brain injury.
Discussion-Conclusion
The presence and the initial severity of a traumatic brain injury condition the nature and frequency of residual effects after one year. Some impairments such as irritability, which is generally associated with traumatic brain injury, do not appear to be specific to this population, nor does depressive mood. Substantial interactions between cognitive, affective and neurobehavioral disorders have been highlighted.
Objectif
La diversité et l’étendue des déficits observés après un traumatisme crânien varient suivant la nature des lésions et leur gravité. Afin de mieux en comprendre les interactions et leurs conséquences à long terme, nous avons étudié et comparé le profil cognitif et neuro-comportemental d’une cohorte de victimes d’accidents de la voie publique avec et sans traumatisme crânien, un an après l’accident.
Méthode
La population d’étude est constituée de 207 blessés graves de la cohorte ESPARR. Cette cohorte, qui a été suivie dans le temps, est composée de 1168 accidentés de la route dans le Rhône âgés de 16ans et plus et de toutes gravités, inclus selon certains critères : résidant dans le Rhône, victime d’un accident de la circulation impliquant au moins un véhicule à roues, ayant eu lieu dans le Rhône, vivant au moment de son arrivée à l’hôpital, et se présentant dans l’un des différents services d’urgences du Rhône. La représentativité de cette cohorte en termes de critères sociogéographiques et de caractéristiques de l’accident a été assurée par la nature spécifique du recrutement. Les plaintes et déficiences cognitivo-comportementales ont été évaluées un an après l’accident avec la Neurobehavioral Rating Scale-Revised et le Trail Making Test. Nous avons distingué, dans notre population d’étude de blessés graves, trois catégories de patients : les traumatisés crâniens modérés/graves (n=48), les traumatisés crâniens légers (n=89) et les blessés graves sans traumatisme crânien (n=70), basées sur le score de Glasgow, la présence de déficits neurologiques, d’une aggravation de l’état neurologique dans les 72heures et/ou d’une imagerie cérébrale anormale.
Résultats
Les symptômes les plus fréquemment observés étaient l’anxiété, l’irritabilité, les troubles mnésiques et attentionnels, la dépression et la labilité de l’humeur. L’humeur dépressive et l’irritabilité sont relevées aussi fréquemment dans les trois groupes. Les troubles de mémoire, d’attention, l’anxiété et la diminution des initiatives sont plus spécifiques au traumatisme crânien et les troubles exécutifs sont typiques d’un traumatisme crânien modéré/grave.
Discussion-Conclusion
La présence et la sévérité initiale du TC conditionnent la nature et la fréquence des séquelles à un an d’évolution. Certains troubles comme l’irritabilité, habituellement associée à un traumatisme crânien, n’apparaissent pas comme spécifiques à cette population, tout comme l’humeur dépressive. Ainsi, les interactions entre troubles cognitifs, émotivo-affectifs et neuro-comportementaux sont mises en avant.Permalink : ./index.php?lvl=notice_display&id=34544
in Annals of physical and rehabilitation medicine > Vol. 57, n°9-10 (Décembre 2014) . - p.600-617[article] Cognitive and behavioural post-traumatic impairments: What is the specificity of a brain injury ? A study within the ESPARR cohort = Troubles cognitifs et comportementaux post-traumatiques : quelle est la spécificité du traumatisme crânien ? Étude au sein de la cohorte ESPARR [texte imprimé] / S. NASH, Auteur ; Jacques Luauté, Auteur . - 2014 . - p.600-617.
Langues : Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 57, n°9-10 (Décembre 2014) . - p.600-617
Mots-clés : Traumatic brain injury ESPARR Neurobehavioral Rating Scale Revised Outcome Motor vehicle accident Traumatisme crânien Devenir Accident de la voie publique Résumé : Objective
The variety and extent of impairments occurring after traumatic brain injury vary according to the nature and severity of the lesions. In order to better understand their interactions and long-term outcome, we have studied and compared the cognitive and neurobehavioral profile one year post onset of patients with and without traumatic brain injury in a cohort of motor vehicle accident victims.
Method
The study population is composed of 207 seriously injured persons from the ESPARR cohort. This cohort, which has been followed up in time, consists in 1168 motor vehicle accident victims (aged 16 years or more) with injuries with all degrees of severity. Inclusion criteria were: living in Rhone county, victim of a traffic accident having involved at least one wheel-conducted vehicle and having occurred in Rhone county, alive at the time of arrival in hospital and having presented in one of the different ER facilities of the county. The cohort's representativeness regarding social and geographic criteria and the specificities of the accidents were ensured by the specific targeting of recruitment. Deficits and impairments were assessed one year after the accident using the Neurobehavioral Rating Scale - Revised and the Trail-Making Test. Within our seriously injured group, based on the Glasgow Score, the presence of neurological deficits, aggravation of neurological condition in the first 72hours and/or abnormal cerebral imaging, we identified three categories: (i) moderate/severe traumatic brain injury (n=48), (ii) mild traumatic brain injury (n=89), and (iii) severely injured but without traumatic brain injury (n=70).
Results
The most frequently observed symptoms were anxiety, irritability, memory and attention impairments, depressive mood and emotional lability. While depressive mood and irritability were observed with similar frequency in all three groups, memory and attention impairments, anxiety and reduced initiative were more specific to traumatic brain injury whereas executive disorders were associated with moderate/severe traumatic brain injury.
Discussion-Conclusion
The presence and the initial severity of a traumatic brain injury condition the nature and frequency of residual effects after one year. Some impairments such as irritability, which is generally associated with traumatic brain injury, do not appear to be specific to this population, nor does depressive mood. Substantial interactions between cognitive, affective and neurobehavioral disorders have been highlighted.
Objectif
La diversité et l’étendue des déficits observés après un traumatisme crânien varient suivant la nature des lésions et leur gravité. Afin de mieux en comprendre les interactions et leurs conséquences à long terme, nous avons étudié et comparé le profil cognitif et neuro-comportemental d’une cohorte de victimes d’accidents de la voie publique avec et sans traumatisme crânien, un an après l’accident.
Méthode
La population d’étude est constituée de 207 blessés graves de la cohorte ESPARR. Cette cohorte, qui a été suivie dans le temps, est composée de 1168 accidentés de la route dans le Rhône âgés de 16ans et plus et de toutes gravités, inclus selon certains critères : résidant dans le Rhône, victime d’un accident de la circulation impliquant au moins un véhicule à roues, ayant eu lieu dans le Rhône, vivant au moment de son arrivée à l’hôpital, et se présentant dans l’un des différents services d’urgences du Rhône. La représentativité de cette cohorte en termes de critères sociogéographiques et de caractéristiques de l’accident a été assurée par la nature spécifique du recrutement. Les plaintes et déficiences cognitivo-comportementales ont été évaluées un an après l’accident avec la Neurobehavioral Rating Scale-Revised et le Trail Making Test. Nous avons distingué, dans notre population d’étude de blessés graves, trois catégories de patients : les traumatisés crâniens modérés/graves (n=48), les traumatisés crâniens légers (n=89) et les blessés graves sans traumatisme crânien (n=70), basées sur le score de Glasgow, la présence de déficits neurologiques, d’une aggravation de l’état neurologique dans les 72heures et/ou d’une imagerie cérébrale anormale.
Résultats
Les symptômes les plus fréquemment observés étaient l’anxiété, l’irritabilité, les troubles mnésiques et attentionnels, la dépression et la labilité de l’humeur. L’humeur dépressive et l’irritabilité sont relevées aussi fréquemment dans les trois groupes. Les troubles de mémoire, d’attention, l’anxiété et la diminution des initiatives sont plus spécifiques au traumatisme crânien et les troubles exécutifs sont typiques d’un traumatisme crânien modéré/grave.
Discussion-Conclusion
La présence et la sévérité initiale du TC conditionnent la nature et la fréquence des séquelles à un an d’évolution. Certains troubles comme l’irritabilité, habituellement associée à un traumatisme crânien, n’apparaissent pas comme spécifiques à cette population, tout comme l’humeur dépressive. Ainsi, les interactions entre troubles cognitifs, émotivo-affectifs et neuro-comportementaux sont mises en avant.Permalink : ./index.php?lvl=notice_display&id=34544 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêtCommunication disorders and executive function impairment after severe traumatic brain injury: An exploratory study using the GALI (a grid for linguistic analysis of free conversational interchange) / C. SAINSON in Annals of physical and rehabilitation medicine, Vol. 57, n°9-10 (Décembre 2014)
[article]
Titre : Communication disorders and executive function impairment after severe traumatic brain injury: An exploratory study using the GALI (a grid for linguistic analysis of free conversational interchange) Titre original : Communication et dysfonctionnement exécutif post-traumatique : étude exploratoire au moyen de la GALI (grille d’analyse linguistique d’interaction libre) Type de document : texte imprimé Auteurs : C. SAINSON, Auteur ; BARAT M., Auteur Année de publication : 2014 Article en page(s) : p.664-683 Langues : Français (fre) Mots-clés : Traumatic brain injury Communication Gesture Executive function impairment Interlocutor Traumatisme crânien Gestualité Syndrome dysexécutif Pragmatique Conversation Résumé : Following severe traumatic brain injury (TBI), failure to adjust language to communication abilities has been described and attributed by many authors to executive function impairment. Interactional dysfunctions may damage family-based, social and vocational equilibrium, and they are of key importance in prognosis of rehabilitation outcome. In conversation, frequently occurring inappropriate formulations connote difficulties in discursive organization and are likely to include numerous digressions, if not confabulations.
Objective
The main objective of this study was to improve assessment of the non-verbal as well as the verbal aspects of the communication disorders observed in TBI subjects. We have developed and are proposing the grid for linguistic analysis (GALI) of free conversational interchange that constitutes an original French-language tool. We wish to demonstrate its validity as a means of measuring interactive skills in a given population.
Method
We assessed 17 severely brain injured patients presenting executive dysfunction, who were compared with 34 matched and healthy individuals. Fifty-one 10-minute sequences of free conversation between study participants and therapists were filmed and analyzed by applying the GALI. Three independent raters coded the conversations. Inter-rater reproducibility was considered statistically satisfactory.
Results
The results successfully distinguished TBI patients from healthy subjects and thereby underscored the discriminatory value of the tool. A significant correlation was found between the patients’ performances in executive tests and in the GALI.
Conclusions
In severe TBI a social handicap results from several associated cognitive disorders. Interactive discourse analysis combining non-verbal with verbal aspects confirms the existence of difficulties in communication that are usually underestimated in classic formal language testing methods. The GALI is likely to meet speech therapists’ need for reliable assessment of their patients’ interactional difficulties and their consequences in social life.
Objectifs
Suite à un traumatisme crânien grave, d’importantes perturbations de l’utilisation du langage en contexte sont observées et attribuées par de nombreux auteurs au déficit exécutif. Ces dysfonctionnements interactionnels bouleversent de façon durable l’équilibre social et professionnel et tiennent une part importante dans le pronostic de réinsertion. L’objectif général de cette étude est l’amélioration de l’évaluation des troubles de la communication par l’élaboration d’un outil standardisé, en considérant un aspect systématiquement négligé qui est celui du domaine de la communication non verbale.
Méthode
Notre étude a porté sur la réalisation puis la validation d’une grille d’analyse linguistique d’interaction libre (GALI) auprès d’un corpus de 17 sujets traumatisés crâniens graves comparés à 34 sujets témoins appariés.
Résultats
Les résultats de cette étude ont permis de valider partiellement cette grille et notamment de vérifier ses qualités discriminantes. Cet outil d’évaluation a mis en évidence la présence constante, à des degrés variables, de déficits communicationnels verbaux et non verbaux. Par ailleurs, une corrélation significative a été retrouvée entre les performances des sujets aux tests exécutifs et à la GALI.
Conclusion
Chez les traumatisés crâniens graves, le handicap social est la résultante de désordres cognitifs intriqués. À ce titre, l’analyse du discours conversationnel dans ses composantes verbales et non verbales confirme les difficultés de communication sous estimées ou négligées par les tests de langage classiques qui n’ont pas été conçus dans un objectif d’analyse fonctionnelle de la communication. La GALI a été élaborée afin de répondre à un besoin orthophonique d’évaluation de ces perturbations conversationnelles et de leurs retentissements.Permalink : ./index.php?lvl=notice_display&id=34549
in Annals of physical and rehabilitation medicine > Vol. 57, n°9-10 (Décembre 2014) . - p.664-683[article] Communication disorders and executive function impairment after severe traumatic brain injury: An exploratory study using the GALI (a grid for linguistic analysis of free conversational interchange) = Communication et dysfonctionnement exécutif post-traumatique : étude exploratoire au moyen de la GALI (grille d’analyse linguistique d’interaction libre) [texte imprimé] / C. SAINSON, Auteur ; BARAT M., Auteur . - 2014 . - p.664-683.
Langues : Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 57, n°9-10 (Décembre 2014) . - p.664-683
Mots-clés : Traumatic brain injury Communication Gesture Executive function impairment Interlocutor Traumatisme crânien Gestualité Syndrome dysexécutif Pragmatique Conversation Résumé : Following severe traumatic brain injury (TBI), failure to adjust language to communication abilities has been described and attributed by many authors to executive function impairment. Interactional dysfunctions may damage family-based, social and vocational equilibrium, and they are of key importance in prognosis of rehabilitation outcome. In conversation, frequently occurring inappropriate formulations connote difficulties in discursive organization and are likely to include numerous digressions, if not confabulations.
Objective
The main objective of this study was to improve assessment of the non-verbal as well as the verbal aspects of the communication disorders observed in TBI subjects. We have developed and are proposing the grid for linguistic analysis (GALI) of free conversational interchange that constitutes an original French-language tool. We wish to demonstrate its validity as a means of measuring interactive skills in a given population.
Method
We assessed 17 severely brain injured patients presenting executive dysfunction, who were compared with 34 matched and healthy individuals. Fifty-one 10-minute sequences of free conversation between study participants and therapists were filmed and analyzed by applying the GALI. Three independent raters coded the conversations. Inter-rater reproducibility was considered statistically satisfactory.
Results
The results successfully distinguished TBI patients from healthy subjects and thereby underscored the discriminatory value of the tool. A significant correlation was found between the patients’ performances in executive tests and in the GALI.
Conclusions
In severe TBI a social handicap results from several associated cognitive disorders. Interactive discourse analysis combining non-verbal with verbal aspects confirms the existence of difficulties in communication that are usually underestimated in classic formal language testing methods. The GALI is likely to meet speech therapists’ need for reliable assessment of their patients’ interactional difficulties and their consequences in social life.
Objectifs
Suite à un traumatisme crânien grave, d’importantes perturbations de l’utilisation du langage en contexte sont observées et attribuées par de nombreux auteurs au déficit exécutif. Ces dysfonctionnements interactionnels bouleversent de façon durable l’équilibre social et professionnel et tiennent une part importante dans le pronostic de réinsertion. L’objectif général de cette étude est l’amélioration de l’évaluation des troubles de la communication par l’élaboration d’un outil standardisé, en considérant un aspect systématiquement négligé qui est celui du domaine de la communication non verbale.
Méthode
Notre étude a porté sur la réalisation puis la validation d’une grille d’analyse linguistique d’interaction libre (GALI) auprès d’un corpus de 17 sujets traumatisés crâniens graves comparés à 34 sujets témoins appariés.
Résultats
Les résultats de cette étude ont permis de valider partiellement cette grille et notamment de vérifier ses qualités discriminantes. Cet outil d’évaluation a mis en évidence la présence constante, à des degrés variables, de déficits communicationnels verbaux et non verbaux. Par ailleurs, une corrélation significative a été retrouvée entre les performances des sujets aux tests exécutifs et à la GALI.
Conclusion
Chez les traumatisés crâniens graves, le handicap social est la résultante de désordres cognitifs intriqués. À ce titre, l’analyse du discours conversationnel dans ses composantes verbales et non verbales confirme les difficultés de communication sous estimées ou négligées par les tests de langage classiques qui n’ont pas été conçus dans un objectif d’analyse fonctionnelle de la communication. La GALI a été élaborée afin de répondre à un besoin orthophonique d’évaluation de ces perturbations conversationnelles et de leurs retentissements.Permalink : ./index.php?lvl=notice_display&id=34549 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêtIndicators of long-term return to work after severe traumatic brain injury: A cohort study / V. Wang in Annals of physical and rehabilitation medicine, Vol. 62, n°1 (Janvier 2019)
[article]
Titre : Indicators of long-term return to work after severe traumatic brain injury: A cohort study Type de document : texte imprimé Auteurs : V. Wang ; E. Fort ; M. Beaudoin-Gobert ; et al. Année de publication : 2019 Article en page(s) : p. 28-34 Note générale : Doi : 10.1016/j.rehab.2018.08.003 Langues : Anglais (eng) Mots-clés : Return to work Traumatic brain injury Occupational outcome Job stability Vocational rehabilitation Résumé : Background
Return to work (RTW) is a major objective in the rehabilitation of individuals with severe traumatic brain injury (TBI). Implications for long-term occupational integration (beyond 5 years) have rarely been studied.
Objective
The objective was to assess long-term RTW and the associated factors after severe TBI.
Material and methods
Retrospective analysis of a cohort of individuals 16 to 60 years old admitted to hospital after severe TBI from 2005 to 2009 and followed prospectively. Medical and occupational data were collected from medical files and by systematic telephone interview to assess outcome at a minimum of 6 years post-trauma. Factors associated with RTW were investigated by multivariable regression analysis, estimating prevalence ratios (PRs) and 95% confidence intervals (CIs). A proportional hazards model was used to study RTW delay, estimating hazard ratios (HRs).
Results
Among the 91 individuals included (mean [SD] age 28.5 [11.3] years; 79% male), 63.7% returned to work after a mean of about 20 months, and 57.1% were still working at the time of the survey. Factors significantly associated with RTW on multivariable analysis were higher educational level (adjusted PR, 1.53; 95% CI, 1.15 to 2.03), absence of motor disability (adjusted PR, 1.82; 1.12 to 2.95) and behavioural disorder (adjusted PR, 1.26; 1.01 to 1.60), as well as disabled worker status (adjusted PR, 1.26; 1.01 to 1.60) (likelihood of the multivariate analysis model 53.1). Delayed RTW was associated with health insurance payments (adjusted HR, 0.40; 95% CI, 0.22 to 0.71), motor disability (adjusted HR, 0.34; 0.15 to 0.76), low educational level (adjusted HR, 2.20; 1.06 to 4.56) and moderate disability on the Extended Glasgow Outcome Scale (adjusted HR, 0.49; 0.27 to 0.91) (likelihood of the multivariate analysis model 335.5).
Conclusion
Individuals with the most severe TBI are able to RTW and remain in work. This study highlights the multiple determinants involved in RTW and the role of socioenvironmental factors.Permalink : ./index.php?lvl=notice_display&id=82636
in Annals of physical and rehabilitation medicine > Vol. 62, n°1 (Janvier 2019) . - p. 28-34[article] Indicators of long-term return to work after severe traumatic brain injury: A cohort study [texte imprimé] / V. Wang ; E. Fort ; M. Beaudoin-Gobert ; et al. . - 2019 . - p. 28-34.
Doi : 10.1016/j.rehab.2018.08.003
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 62, n°1 (Janvier 2019) . - p. 28-34
Mots-clés : Return to work Traumatic brain injury Occupational outcome Job stability Vocational rehabilitation Résumé : Background
Return to work (RTW) is a major objective in the rehabilitation of individuals with severe traumatic brain injury (TBI). Implications for long-term occupational integration (beyond 5 years) have rarely been studied.
Objective
The objective was to assess long-term RTW and the associated factors after severe TBI.
Material and methods
Retrospective analysis of a cohort of individuals 16 to 60 years old admitted to hospital after severe TBI from 2005 to 2009 and followed prospectively. Medical and occupational data were collected from medical files and by systematic telephone interview to assess outcome at a minimum of 6 years post-trauma. Factors associated with RTW were investigated by multivariable regression analysis, estimating prevalence ratios (PRs) and 95% confidence intervals (CIs). A proportional hazards model was used to study RTW delay, estimating hazard ratios (HRs).
Results
Among the 91 individuals included (mean [SD] age 28.5 [11.3] years; 79% male), 63.7% returned to work after a mean of about 20 months, and 57.1% were still working at the time of the survey. Factors significantly associated with RTW on multivariable analysis were higher educational level (adjusted PR, 1.53; 95% CI, 1.15 to 2.03), absence of motor disability (adjusted PR, 1.82; 1.12 to 2.95) and behavioural disorder (adjusted PR, 1.26; 1.01 to 1.60), as well as disabled worker status (adjusted PR, 1.26; 1.01 to 1.60) (likelihood of the multivariate analysis model 53.1). Delayed RTW was associated with health insurance payments (adjusted HR, 0.40; 95% CI, 0.22 to 0.71), motor disability (adjusted HR, 0.34; 0.15 to 0.76), low educational level (adjusted HR, 2.20; 1.06 to 4.56) and moderate disability on the Extended Glasgow Outcome Scale (adjusted HR, 0.49; 0.27 to 0.91) (likelihood of the multivariate analysis model 335.5).
Conclusion
Individuals with the most severe TBI are able to RTW and remain in work. This study highlights the multiple determinants involved in RTW and the role of socioenvironmental factors.Permalink : ./index.php?lvl=notice_display&id=82636 Exemplaires (1)
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Exclu du prêtReady! Set? Let's Train!: Feasibility of an intensive attention training program and its beneficial effect after childhood traumatic brain injury / Marilou Séguin in Annals of physical and rehabilitation medicine, Vol. 61, n°4 (Juillet 2018)
[article]
Titre : Ready! Set? Let's Train!: Feasibility of an intensive attention training program and its beneficial effect after childhood traumatic brain injury Type de document : texte imprimé Auteurs : Marilou Séguin ; Annie Lahaie ; Célia Matte-Gagné ; Miriam H. Beauchamp Année de publication : 2018 Article en page(s) : p. 189-196 Note générale : Doi : 10.1016/j.rehab.2017.05.001 Langues : Anglais (eng) Mots-clés : Cognitive rehabilitation program Traumatic brain injury Children Attention Executive functions Résumé : Background
Attention deficits are common after pediatric Traumatic Brain Injury (TBI); they complicate return to activities of daily living and disrupt socioacademic reintegration. Yet, clinicians in rehabilitation settings have limited access to cognitive remediation protocols for which feasibility has been demonstrated.
Objective
The aim of this study was to evaluate the feasibility of intensive attention process training program Ready! Set? Let's Train! (RST), based on an adaptation of the Attention Process Training-I program.
Materials and methods
In a randomized controlled trial, participants with attention deficits were assigned to receive the attention process training intervention (RST) or Homework Assistance (HWA). Pre- and post-intervention assessments consisted of standardized attentional and executive tests and a behavior checklist.
Results
Analyses conducted for 17 participants (RST, n=8; HWA, n=9; mean age 14.70±2.17 years, 11 males) indicated the study was successful in that it showed improvements in working memory (F(14)=5.44, P=0.04; η2=0.19), inhibition (F(14)=10.18, P=0.007; η2=0.75) and cognitive flexibility (F(14)=5.36, P=0.04; η2=0.57).
Conclusions
These findings indicate positive support for combined process-specific and metacognitive strategy training for attention and executive functions.Permalink : ./index.php?lvl=notice_display&id=80590
in Annals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) . - p. 189-196[article] Ready! Set? Let's Train!: Feasibility of an intensive attention training program and its beneficial effect after childhood traumatic brain injury [texte imprimé] / Marilou Séguin ; Annie Lahaie ; Célia Matte-Gagné ; Miriam H. Beauchamp . - 2018 . - p. 189-196.
Doi : 10.1016/j.rehab.2017.05.001
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) . - p. 189-196
Mots-clés : Cognitive rehabilitation program Traumatic brain injury Children Attention Executive functions Résumé : Background
Attention deficits are common after pediatric Traumatic Brain Injury (TBI); they complicate return to activities of daily living and disrupt socioacademic reintegration. Yet, clinicians in rehabilitation settings have limited access to cognitive remediation protocols for which feasibility has been demonstrated.
Objective
The aim of this study was to evaluate the feasibility of intensive attention process training program Ready! Set? Let's Train! (RST), based on an adaptation of the Attention Process Training-I program.
Materials and methods
In a randomized controlled trial, participants with attention deficits were assigned to receive the attention process training intervention (RST) or Homework Assistance (HWA). Pre- and post-intervention assessments consisted of standardized attentional and executive tests and a behavior checklist.
Results
Analyses conducted for 17 participants (RST, n=8; HWA, n=9; mean age 14.70±2.17 years, 11 males) indicated the study was successful in that it showed improvements in working memory (F(14)=5.44, P=0.04; η2=0.19), inhibition (F(14)=10.18, P=0.007; η2=0.75) and cognitive flexibility (F(14)=5.36, P=0.04; η2=0.57).
Conclusions
These findings indicate positive support for combined process-specific and metacognitive strategy training for attention and executive functions.Permalink : ./index.php?lvl=notice_display&id=80590 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêtA reflective case review: Relearning handwriting after a traumatic brain injury / Alison Titchener in The British Journal of Occupational Therapy, Vol.81 Issue 5 (Mai 2018)
[article]
Titre : A reflective case review: Relearning handwriting after a traumatic brain injury Type de document : texte imprimé Auteurs : Alison Titchener ; Carolyn Dunford ; Lorna Wales Année de publication : 2018 Article en page(s) : p. 290-293 Langues : Anglais (eng) Mots-clés : Handwriting traumatic brain injury children neuro-rehabilitation Résumé : Statement of context
A retrospective single case study reflecting on a child relearning handwriting following a traumatic brain injury as part of an inpatient neuro-rehabilitation programme. Applying evidence-based handwriting guidelines and comparisons with community experiences are explored.
Critical reflection on practice
Relearning to write following a traumatic brain injury showed dramatic improvements in 36 sessions over 12 weeks, supporting the evidence. Progress in this timeframe contrasts with clinical experiences of working with children’s community services.
Implications for practice
Whilst the literature on handwriting interventions does not include children with traumatic brain injury, following the recommendations was an effective intervention for this individual.Permalink : ./index.php?lvl=notice_display&id=80083
in The British Journal of Occupational Therapy > Vol.81 Issue 5 (Mai 2018) . - p. 290-293[article] A reflective case review: Relearning handwriting after a traumatic brain injury [texte imprimé] / Alison Titchener ; Carolyn Dunford ; Lorna Wales . - 2018 . - p. 290-293.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol.81 Issue 5 (Mai 2018) . - p. 290-293
Mots-clés : Handwriting traumatic brain injury children neuro-rehabilitation Résumé : Statement of context
A retrospective single case study reflecting on a child relearning handwriting following a traumatic brain injury as part of an inpatient neuro-rehabilitation programme. Applying evidence-based handwriting guidelines and comparisons with community experiences are explored.
Critical reflection on practice
Relearning to write following a traumatic brain injury showed dramatic improvements in 36 sessions over 12 weeks, supporting the evidence. Progress in this timeframe contrasts with clinical experiences of working with children’s community services.
Implications for practice
Whilst the literature on handwriting interventions does not include children with traumatic brain injury, following the recommendations was an effective intervention for this individual.Permalink : ./index.php?lvl=notice_display&id=80083 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêtSupporting people with traumatic brain injury in their use of public spaces: Identifying facilitating factors and obstacles / Hélène Lefebvre in Alter, Vol. 8, n°3 (Juillet / Septembre 2014)
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PermalinkFaire des courses avec des atteintes cognitives : l’influence des facteurs environnementaux / Stéphanie GAUTHIER in Alter, Vol. 8, n°3 (Juillet / Septembre 2014)
PermalinkAssessment of sexual function in women with neurological disorders: A review / Frédérique Courtois in Annals of physical and rehabilitation medicine, Vol. 61, n°4 (Juillet 2018)
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