Case Reports
8 July 2024
Vol. 18 No. 3 (2024)
The importance of cognitive intervention in acquired traumatic brain injury during 6 months of multidisciplinary rehabilitation: a case description
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.
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.
2086
Views
524
Downloads
135
HTML
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.
Altmetrics
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
The importance of cognitive intervention in acquired traumatic brain injury during 6 months of multidisciplinary rehabilitation: a case description. (2024). Italian Journal of Medicine, 18(3). https://doi.org/10.4081/itjm.2024.1763
Copyright (c) 2024 the Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Karim Ouali, Btihaj AL Ibrahmi, Said Bouchefra, Abdellatif Bour, Micronutrition and diabetes: a new view at prevention and treatment , Italian Journal of Medicine: Vol. 18 No. 2 (2024)
- Andrea Montagnani, Roberto Nardi, Lactic acidosis, hyperlactatemia and sepsis , Italian Journal of Medicine: Vol. 10 No. 4 (2016)
- Tiziana M. Attardo, Immacolata Ambrosino, Elena Magnani, Nathan Artom, Nicola Battino, Deasy Cervo, Massimiliano Chiuch, Mariella Frualdo, Miriam Gino, Federico Pasin, Carlo Zaninetti, Management of syncope: from evidence to clinical practice , Italian Journal of Medicine: Vol. 11 No. 1 (2017)
- Rasoul Sabri Piro, Perjan Hashim Taha, Effectiveness of brief cognitive behavior therapy on symptoms severity in relation to social avoidance among patients with panic disorder: a randomized controlled trial , Italian Journal of Medicine: Vol. 17 No. 3 (2023)
- Kamal Kishore Pandita, Khalid Javid Bhat, Sushil Razdan, Rattan Parkash Kudyar, Fever of unknown origin - Hidden in the head , Italian Journal of Medicine: Vol. 10 No. 1 (2016)
- Eleonora Meloni, Davide Liborio Vetrano, Roberto Bernabei, Graziano Onder, Appropriateness of pharmacological treatment in older people with dementia , Italian Journal of Medicine: Vol. 9 No. 3 (2015)
- Dimitri Peterlana, Susanna Cozzio, Domenico Marco Bonifatti, Walter Spagnolli, Stroke-like manifestations in a patient with Listeria monocytogenes abscess and Horton's arteritis , Italian Journal of Medicine: Vol. 8 No. 1 (2014)
- Francesca Giacomazzi, Lorenzo Menicanti, Massimo Lombardi, Roberto Tramarin, The unusual journey of a retained epicardial pacing wire , Italian Journal of Medicine: Vol. 11 No. 4 (2017)
- Paolo Biagi, Roberto Nardi, Concetta Isabella Baldo, Giovanni Scanelli, Domenico Panuccio, Andrea Bonanome, Fabio Miserocchi, Luigi Lusiani, Erminio Bonizzoni, Mauro Campanini, Carlo Nozzoli, Giorgio Vescovo, on behalf of the FADOI-CONFINE Study Group, Clinical characteristics of very old patients hospitalized in internal medicine wards for heart failure: a sub-analysis of the FADOI-CONFINE Study Group , Italian Journal of Medicine: Vol. 8 No. 1 (2014)
- Cristina Gozzi, Maurizio Tognetti, Lucio Brugioni, The great imitator , Italian Journal of Medicine: Vol. 8 No. 3 (2014)
You may also start an advanced similarity search for this article.