Challenges and opportunities facing holistic approaches to neuropsychological rehabilitation

Prigatano, George P.

doi:10.3233/nre-130899

Cited by 25 publications

(21 citation statements)

References 46 publications

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“…This includes the ways they affect social functioning and how they interact with the environment and personal traits (12, 13, 19). Furthermore, it has been recognized that a measure of NBD needs to include both a patient and proxy rating, as some patients lack awareness of their disabilities (22).…”

Section: Introductionmentioning

confidence: 99%

Measuring Neurobehavioral Disabilities Among Severe Brain Injury Survivors: Reports of Survivors and Proxies in the Chronic Phase

et al. 2019

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Background: Neurobehavioral disability (NBD) has a major influence on long-term psychosocial outcome following acquired brain injury, as it affects not only the survivor of the brain injury, but the whole family.Objectives: To investigate (1) the frequency of NBD among survivors of severe brain injury measured by the Danish version of the St Andrew's-Swansea Neurobehavioural Outcome Scale (SASNOS) rated by patients and proxies, (2) factors associated with NBD, and (3) concordance between reports of NBD completed by patients and proxies.Methods: SASNOS was administered at an outpatient unit as a part of a follow-up assessment after discharge from intensive neurorehabilitation. SASNOS consists of five factors describing the following domains: Interpersonal Behavior, Cognition, Aggression, Inhibition and Communication, and both the patient and a proxy were asked to complete the questionnaire. Data collection was conducted over a period of 2 years, and 32 patients and 31 proxies completed the questionnaire. Mean time since injury was 19.4 months (10.0 SD). Most patients were male (68.8%), and most proxies were female (58.1%). Most of the patients had suffered a traumatic brain injury (68.8%).Results: A fourth of this patient group reported themselves below the normal range on the major domains of Interpersonal Behavior and Cognition. Significant associations between proxies' reports and time since injury, cohabitant status, and the patient's score on the Extended Glasgow Outcome Scale were found. Furthermore, significant differences were found between patient and proxy ratings. Proxies rated patients as having fewer problems on the Interpersonal Behavior domain, and more problems in relation to Cognition. Cognition was the only domain, where patients rated themselves higher indicating fewer problems, compared with their proxies. On both the Aggression and Communication domains, proxies rated patients higher indicating fewer problems than the patients themselves.Conclusion: Danish brain injury survivors experienced NBD as measured by SASNOS. Differences were found between patient and proxy ratings in relation to Cognition and Interpersonal Behavior. The NBDs identified can affect the survivor's ability to reintegrate and participate in activities of daily living, emphasizing how a systematic assessment is required.

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Section: Introductionmentioning

confidence: 99%

Measuring Neurobehavioral Disabilities Among Severe Brain Injury Survivors: Reports of Survivors and Proxies in the Chronic Phase

et al. 2019

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“…Due to the individual needs and often complex challenges related to cognitive symptoms, a multicomponent, multidisciplinary approach to cognitive MS rehabilitation has been recommended . As cognitive rehabilitation typically is a mix of various components tailored to the individual's needs, the relative effects from the different parts of the intervention can be difficult to separate.…”

Section: Introductionmentioning

confidence: 99%

Cognitive rehabilitation in multiple sclerosis: a randomized controlled trial

Hanssen

Beiske²,

Landrø

et al. 2015

Acta Neurol Scand

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“…Prigatano noted that current research is scant regarding the family's involvement in the adult rehabilitation process. 15 Clinicians must determine, with patient input, whether the family's presence is a help or a hindrance. Research on this topic indicates that a highly motivated family can improve outcomes for children who have suffered a brain injury, but more investigation is needed to determine how family involvement affects outcomes of adults.…”

Section: Treatmentmentioning

confidence: 99%

Community-Based Resources for Concussion Management

Crawford

Sirmon-Taylor

2014

Semin Speech Lang

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Speech-language pathologists can serve an important role as members of interdisciplinary treatment teams in the rehabilitation of concussion-related cognitive-communicative changes in the community setting. This article discusses the continuum of care for individuals who have experienced concussion and the importance of appropriate assessment and functionally based intervention. Factors such as executive function impairments, sensory overload, and cognitive exertion can yield subtle deficits that can impact functional return to work or school. Community resources such as support groups are discussed, as well as the impact of state and federal policies related to concussion on community activities.

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Challenges and opportunities facing holistic approaches to neuropsychological rehabilitation

Cited by 25 publications

References 46 publications

Measuring Neurobehavioral Disabilities Among Severe Brain Injury Survivors: Reports of Survivors and Proxies in the Chronic Phase

Measuring Neurobehavioral Disabilities Among Severe Brain Injury Survivors: Reports of Survivors and Proxies in the Chronic Phase

Cognitive rehabilitation in multiple sclerosis: a randomized controlled trial

Community-Based Resources for Concussion Management

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