Cognition in patients with traumatic brain injury measured by the Montreal Cognitive Assessment-Basic

An, Jing; Cao, Qilong; Lin, Wei Che; An, Jinlong; Wang, Yuhai; Yang, Likun; Yang, Changzheng; Wang, Dan; Sun, Shibai

doi:10.1080/23279095.2019.1603151

Cited by 5 publications

(5 citation statements)

References 38 publications

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“…The study by Demery et al supports our conclusions: using the TMT-A and TMT-B, the authors compared visuospatial and executive functions between 20 patients with a history of mild TBI, 26 patients with a history of (moderate to) severe TBI, and 24 (age- and sex-matched) healthy controls and found a stepwise deterioration of TMT-A scores and TMT-B scores in patients with mild and patients with (moderate to) severe TBI compared to the scores of the controls [ 22 ]. In another study with 67 TBI patients, the authors found that patients with a higher GCS score, i.e., with a less severe TBI, had better scores on the Montreal Cognitive Assessment-Basic, i.e., a better cognitive function [ 27 ]. In a recent study of 15,764 persons aged 50 to 90 years, Lennon et al moreover demonstrated a cumulative effect of TBIs on cognition, particularly on attention and executive function, even decades after the TBIs [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Cardiovascular autonomic regulation correlates with cognitive performance in patients with a history of traumatic brain injury

et al. 2023

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Background and objective Traumatic brain injury (TBI) may afflict brain areas contributing to both cardiovascular autonomic regulation and cognitive performance. To evaluate possible associations between both functions in patients with a history of TBI (post-TBI-patients), we determined correlations between cardiovascular autonomic regulation and cognitive function in post-TBI-patients. Methods In 86 post-TBI-patients (33.1 ± 10.8 years old, 22 women, 36.8 ± 28.9 months after injury), we monitored RR intervals (RRI), systolic and diastolic blood pressures (BPsys, BPdia), and respiration (RESP) at rest. We calculated parameters of total cardiovascular autonomic modulation (RRI-standard-deviation (RRI-SD), RRI-coefficient-of-variation (RRI-CV), RRI-total-powers), sympathetic (RRI-low-frequency-powers (RRI-LF), normalized (nu) RRI-LF-powers, BPsys-LF-powers) and parasympathetic modulation (root-mean-square-of-successive-RRI-differences (RMSSD), RRI-high-frequency-powers (RRI-HF), RRI-HFnu-powers), sympathetic-parasympathetic balance (RRI-LF/HF-ratios), and baroreflex sensitivity (BRS). We used the Mini-Mental State Examination and Clock Drawing Test (CDT) to screen the general global and visuospatial cognitive function, and applied the standardized Trail Making Test (TMT)-A assessing visuospatial abilities and TMT-B assessing executive function. We calculated correlations between autonomic and cognitive parameters (Spearman’s rank correlation test; significance: P < 0.05). Results CDT values positively correlated with age (P = 0.013). TMT-A values inversely correlated with RRI-HF-powers (P = 0.033) and BRS (P = 0.043), TMT-B values positively correlated with RRI-LFnu-powers (P = 0.015), RRI-LF/HF-ratios (P = 0.036), and BPsys-LF-powers (P = 0.030), but negatively with RRI-HFnu-powers (P = 0.015). Conclusions In patients with a history of TBI, there is an association between decreased visuospatial and executive cognitive performance and reduced parasympathetic cardiac modulation and baroreflex sensitivity with relatively increased sympathetic activity. Altered autonomic control bears an increased cardiovascular risk; cognitive impairment compromises quality of life and living conditions. Thus, both functions should be monitored in post-TBI-patients.

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Section: Discussionmentioning

confidence: 99%

Cardiovascular autonomic regulation correlates with cognitive performance in patients with a history of traumatic brain injury

et al. 2023

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“…The motor evaluation included the Barthel Index (BI) [ 34 ] to assess the global functional status, the Tinetti Scale (TS) [ 35 ] to evaluate balance and gait recovery, and the MAS [ 36 ] to evaluate spasticity in upper limbs (shoulder, elbow, wrist) and lower limbs (hip, knee, ankle). The neuropsychological assessment included the Beck Depression Inventory II (BDI-II) to evaluate depression symptoms [ 37 ], the Montreal Cognitive Assessment (MoCA) to assess the global cognitive status [ 38 ], the Short Form Health Survey 36 (SF-36) [ 39 ] to measure the QoL, the Psychological General Well-Being Index (PGWBI) [ 40 ] for behavioral and mood problems, and the Frontal Assessment Battery (FAB) [ 41 ] to evaluate frontal abilities. In addition, the Caregiver Burden Inventory (CBI) [ 42 ] was administered to each caregiver to evaluate the emotional burden status (see Table 1 ).…”

Section: Methodsmentioning

confidence: 99%

“…Global functioning cognition MoCa g [38] The SF-36 is a generic, multidimensional tool consisting of 36 questions that can be divided into 8 subscales.…”

Section: Patientsmentioning

confidence: 99%

Benefits of Telerehabilitation for Patients With Severe Acquired Brain Injury: Promising Results From a Multicenter Randomized Controlled Trial Using Nonimmersive Virtual Reality

Calabrò¹,

Bonanno²,

Torregrossa³

et al. 2023

J Med Internet Res

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Background In neurorehabilitation, the use of innovative technologies offers many opportunities to monitor and improve the health status of patients with severe acquired brain injury (SABI). Telerehabilitation allows for continuity of service through the entire rehabilitation cycle, including assessment, intervention, consultation, and education, affording early reintegration and positively enhancing the quality of life (QoL). Objective The main purpose of this multicenter randomized controlled trial was to test the effectiveness of advanced training provided using a nonimmersive virtual reality rehabilitation system (ie, the VRRS HomeKit device) in improving functional outcomes in patients with SABI. Methods In total, 40 patients with SABI and their 40 caregivers visiting 2 Italian rehabilitation centers were enrolled in the study protocol and randomized into 2 groups. Of the 40 patients, 20 (50%) underwent the experimental training using the VRRS HomeKit (teleneuro-VRRS group), whereas the other 20 (50%) were administered usual territorial rehabilitative treatments (UTRTs; control group). To investigate motor and neuropsychological functioning, patients with SABI were evaluated before (T0) and at the end of (T1) each training session by a multispecialist team through a complete clinical and psychometric battery: the Barthel Index (BI), the Tinetti Scale (TS), the Modified Ashworth Scale (MAS), the Montreal Cognitive Assessment (MoCa), the Frontal Assessment Battery (FAB), the Beck Depression Inventory II (BDI-II), the Short Form Health Survey 36 (SF-36), and the Psychological General Well-Being Index (PGWBI). In addition, the Caregiver Burden Inventory (CBI) was administered to each caregiver to investigate the emotional burden status. Results The teleneuro-VRRS group achieved a statistically significant improvement in both general and motor outcomes, as well as psychological well-being and QoL, compared to the control group. In particular, the BI (P<.001), FAB (P<.001), and BDI-II (P<.001) were the outcome scales with the best improvement. The burden of caregivers also significantly improved in the teleneuro-VRRS group (CBI; P<.004). Between-group analysis showed statistical differences in the anxiety (effect size [ES]=0.85, P<.02) and self-control (ES=0.40, P<.03) subtests of the PGWBI and in the social role functioning (ES=0.85, P<.02) subtest of the SF-36, confirmed by quite medium and large ESs. Conclusions Our results suggest that the VRRS is a suitable alternative tool or complementary tool or both to improve motor (level of functional independence) and cognitive (frontal/executive abilities) outcomes, reducing behavioral alterations (anxiety and depression symptoms) in patients with SABI, with a beneficial impact also on the caregivers’ burden distress management, mitigating distress and promoting positive aspects of caring. Trial Registration ClinicalTrials.gov NCT03709875; https://classic.clinicaltrials.gov/ct2/show/NCT03709875

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“…To monitor mood changes, we used the Beck Depression Inventory (BDI) [31], considering the common occurrence of depressive symptoms in spinal cord injury patients. For an overall assessment of cognitive function, we employed the Montreal Cognitive Assessment (MoCA) [32], providing insights into overall cognitive performance. Additionally, we assessed patient satisfaction using the Short Form of the Patient Satisfaction Questionnaire (PSQ) [33], offering insights into the subjective evaluation of the intervention.…”

Section: Outcome Measuresmentioning

confidence: 99%

Improving Outcomes in People with Spinal Cord Injury: Encouraging Results from a Multidisciplinary Advanced Rehabilitation Pathway

Maggio,

Bonanno,

Manuli

et al. 2024

Brain Sciences

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Spinal cord injury (SCI) consists of damage to any segment of the spinal cord extending to potential harm to nerves in the cauda equina. Rehabilitative efforts for SCI can involve conventional physiotherapy, innovative technologies, as well as cognitive treatment and psychological support. The aim of this study is to evaluate the feasibility of a dedicated, multidisciplinary, and integrated intervention path for SCI, encompassing both conventional and technological interventions, while observing their impact on cognitive, motor, and behavioral outcomes and the overall quality of life for individuals with SCI. Forty-two patients with SCI were included in the analysis utilizing electronic recovery system data. The treatment regimen included multidisciplinary rehabilitation approaches, such as traditional physiotherapy sessions, speech therapy, psychological support, robotic devices, advanced cognitive rehabilitation, and other interventions. Pre–post comparisons showed a significant improvement in lower limb function (Fugl Meyer Assessment-FMA < 0.001), global cognitive functioning (Montreal Cognitive Assessment-MoCA p < 0.001), and perceived quality of life at both a physical and mental level (Short Form-12-SF-12 p < 0.001). Furthermore, we found a significant reduction in depressive state (Beck Depression Inventory-BDI p < 0.001). In addition, we assessed patient satisfaction using the Short Form of the Patient Satisfaction Questionnaire (PSQ), offering insights into the subjective evaluation of the intervention. In conclusion, this retrospective study provides positive results in terms of improvements in motor function, cognitive functions, and quality of life, highlighting the importance of exploring multidisciplinary approaches.

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Cognition in patients with traumatic brain injury measured by the Montreal Cognitive Assessment-Basic

Cited by 5 publications

References 38 publications

Cardiovascular autonomic regulation correlates with cognitive performance in patients with a history of traumatic brain injury

Cardiovascular autonomic regulation correlates with cognitive performance in patients with a history of traumatic brain injury

Benefits of Telerehabilitation for Patients With Severe Acquired Brain Injury: Promising Results From a Multicenter Randomized Controlled Trial Using Nonimmersive Virtual Reality

Improving Outcomes in People with Spinal Cord Injury: Encouraging Results from a Multidisciplinary Advanced Rehabilitation Pathway

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