The importance of cognitive intervention in acquired traumatic brain injury during 6 months of multidisciplinary rehabilitation: a case description

Published: 8 July 2024
Abstract Views: 92
PDF: 55
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Planning an immediate and multidisciplinary rehabilitation is crucial to reduce the significant physical, cognitive, and psychosocial impact resulting from head trauma. This study highlights the importance of ongoing cognitive rehabilitation in conjunction with other rehabilitation therapies, such as motor, occupational, and speech therapy, for a 19-year-old woman who suffered an acquired traumatic brain injury in a high-energy vehicle accident. When the patient was admitted to the hospital, their cognitive functioning (LCF) was 4 (confused-agitated state), their Barthel index was 0, their Glasgow coma scale (GCS) was 7, and their disability rating scale (DRS) was 7. The patient’s cognitive functioning improved to LCF 8 (purposeful-appropriate), numerical rating scale: 0/10, Barthel index: 53, GCS:15, and DRS: 5 at the time of discharge from the neurorehabilitation unit. In conclusion, early cognitive intervention in a multidisciplinary rehabilitation program is essential to maximizing the patient’s potential and improving the rehabilitation’s outcome.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Lubrini G, Viejo-Sobera R, Periáñez JA, et al. Evolution of cognitive impairment after a traumatic brain injury: is there any improvement after controlling the practice effect? Rev Neurol 2020;70:37-44.
Spitz G, Ponsford JL, Rudzki D, Maller JJ. Association between cognitive performance and functional outcome following traumatic brain injury: a longitudinal multilevel examination. Neuropsychology 2012;26:604-12. DOI: https://doi.org/10.1037/a0029239
Galeoto G, Turriziani S, Berardi A, et al. Levels of cognitive functioning assessment scale: Italian cross-cultural adaptation and validation. Ann Ig 2020;32:16-26.
Jensen MP, Karoly P. Self-report scales and procedures for assessing pain in adults. In: Turk DC, Melzack R (eds.). Handbook of pain assessment. 3rd ed. New York, NY: Guilford Press; 2011:19-41.
Mahoney FI, Barthel DW. Functional evaluation: the Barthel index. 1965;14:61-5. DOI: https://doi.org/10.1037/t02366-000
Rappaport M, Hall KM, Hopkins K, et al. Disability rating scale for severe head trauma: coma to community. Arch Phys Med Rehabil 1982;63:118-23. DOI: https://doi.org/10.1037/t29015-000
Katz S, Downs TD, Cash HR, Grotz RC. Progress in development of the index of ADL. Gerontologist 1970;10:20-30. DOI: https://doi.org/10.1093/geront/10.1_Part_1.20
Ninfa A, Pizzorni N, Eplite A, et al. Validation of the Italian Version of the Functional Oral Intake Scale (FOIS-It) against fiberoptic endoscopic evaluation of swallowing and nutritional status. Dysphagia 2021;37:137-47. DOI: https://doi.org/10.1007/s00455-021-10257-9
Carlesimo GA, Caltagirone C, Gainotti G. The mental deterioration battery: normative data, diagnostic reliability and qualitative analyses of cognitive impairment. The Group for the Standardization of the Mental Deterioration Battery. Eur Neurol 1996;36:378-84. DOI: https://doi.org/10.1159/000117297
Spinnler H, Tognoni G. Standardizzazione e taratura italiana di test neuropsicologici. Gruppo Italiano per lo Studio Neuropsicologico dell’Invecchiamento [Italian standardization and classification of Neuropsychological tests. The Italian Group on the Neuropsychological Study of Aging]. Ital J Neurol Sci 1987;1-120
Appollonio I, Leone M, Isella V, et al. The Frontal Assessment Battery (FAB): normative values in an Italian population sample. Neurol Sci 2005;26:108-16. DOI: https://doi.org/10.1007/s10072-005-0443-4
Giovagnoli AR, Del Pesce M, Mascheroni S, et al. Trail making test: normative values from 287 normal adult controls. Ital J Neurol Sci 1996;17:305-9. DOI: https://doi.org/10.1007/BF01997792
Basso A, Capitani E, Laiacona M. Raven’s coloured progressive matrices: normative values on 305 adult normal controls. Funct Neurol 1987;2:189-94.
Zigmond AS, Snaith P. The Hospital Anxiety and Depression Scale. Acta Psychiatr Scand 1983;67:361-70. DOI: https://doi.org/10.1111/j.1600-0447.1983.tb09716.x
Collin C, Wade D. Assessing motor impairment after stroke: a pilot reliability study. J Neurol Neurosurg Psychiatry 1990;53:576-9. DOI: https://doi.org/10.1136/jnnp.53.7.576

How to Cite

Pisanu, P., Contu, N., Picciau, C., Milighetti, S., Deiana, E., Vannucci, V., Centonze, B., Pirastru, S., Fabriani Sanchez, S. D. C., & Lucchetti, D. (2024). The importance of cognitive intervention in acquired traumatic brain injury during 6 months of multidisciplinary rehabilitation: a case description. Italian Journal of Medicine, 18(3). https://doi.org/10.4081/itjm.2024.1763