| Evaluation of differentiated neurotherapy programs for a patient after severe TBI and long term coma using event-related potentials. | |
| | |
MedLine Citation:
|
PMID: 21959618 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
Background: This article examines the effectiveness of differentiated rehabilitation programs for a patient with frontal syndrome after severe TBI and long-term coma. We hypothesized that there would be a small response to relative beta training, and a good response to rTMS, applied to regulate the dynamics of brain function.<br /> Case Report: M. L-S, age 26, suffered from anosognosia, executive dysfunction, and behavioral changes, after a skiing accident and prolonged coma, rendering him unable to function independently in many situations of everyday life. Only slight progress was made after traditional rehabilitation. The patient took part in 20 sessions of relative beta training (program A) and later in 20 sessions of rTMS (program B); both programs were combined with behavioral training. We used standardized neuropsychological testing, as well as ERPs before the experiment, after the completion of program A, and again after the completion of program B. As hypothesized, patient M.L-S showed small improvements in executive dysfunction and behavioral disorders after the conclusion of program A, and major improvement after program B. Similarly, in physiological changes the patient showed small improvement after relative beta training and a significant improvement of the P300 NOGO component after the rTMS program.<br /> Conclusions: The rTMS program produced larger physiological and behavioral changes than did relative beta training. A combination of different neurotherapeutical approaches (such as neurofeedback, rTMS, tDCS) can be suggested for similar severe cases of TBI. ERPs can be used to assess functional brain changes induced by neurotherapeutical programs.<br /> |
| | |
Authors:
|
Maria Pachalska; Malgorzata Lukowicz; Juri D Kropotov; Izabela Herman-Sucharska; Jan Talar |
Related Documents
:
|
19998538 - An investigation of the impact of young children's self-knowledge of trustworthiness on... 18200888 - Adolescent empathy and prosocial behavior in the multidimensional context of school cul... 3059298 - School absence--a health perspective. 8969448 - The impact of the transition to high school on the self-system and perceived social con... 1203208 - Textbooks -- a new approach. 9785108 - Compliance with universal precautions: knowledge and behavior of residents and students... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Medical science monitor : international medical journal of experimental and clinical research Volume: 17 ISSN: 1643-3750 ISO Abbreviation: Med. Sci. Monit. Publication Date: 2011 Oct |
Date Detail:
|
Created Date: 2011-09-30 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9609063 Medline TA: Med Sci Monit Country: Poland |
Other Details:
|
Languages: eng Pagination: CS120-128 Citation Subset: IM |
Affiliation:
|
Andrzej Frycz Modrzewski Cracow University, Cracow, Poland and Center for Cognition and Communication, New York, N.Y., U.S.A. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Full trisomy 5 in a sample of spontaneous abortion and arias stella reaction.
Next Document: Spectral optical coherence tomography in a patient with type I sialidosis.