Recovery patterns of body functions and activities of daily living performance across the progression and resolution of posttraumatic amnesia.

IF 1.5 4区 医学 Q4 NEUROSCIENCES
Hayley S Walsh, Jennifer Fleming, Narda Murillo
{"title":"Recovery patterns of body functions and activities of daily living performance across the progression and resolution of posttraumatic amnesia.","authors":"Hayley S Walsh, Jennifer Fleming, Narda Murillo","doi":"10.1080/02699052.2025.2479823","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Posttraumatic amnesia (PTA) following a traumatic brain injury (TBI) is characterized by multiple cognitive and behavioral changes including memory impairment and disorientation. This study aimed to measure changes and relationships between key body functions and activities of daily living (ADL) performance throughout PTA progression and resolution.</p><p><strong>Method: </strong>A longitudinal observational study was conducted with 24 participants in PTA. PTA was measured daily with the Westmead PTA Scale (WPTAS). As participants achieved a new score on the WPTAS, measures of agitation, attention, balance, visual perception, visual motor and ADL performance were taken. The data were analyzed descriptively and significant improvements in functions were identified using Friedman´s rank tests with post-hoc testing. Relationships between variables were examined using Spearman's rank order correlations.</p><p><strong>Results: </strong>As PTA resolved, there were gradual and significant improvements in all variables except for visual motor performance. Attention was significantly better when scoring >8-9 on the WPTAS. There were significant correlations between body functions and ADL performance at different timepoints.</p><p><strong>Conclusion: </strong>Understanding these gradual and interrelated improvements of functions during PTA may facilitate more precise assessment and earlier introduction of interventions to enhance patient outcomes.</p>","PeriodicalId":9082,"journal":{"name":"Brain injury","volume":" ","pages":"1-10"},"PeriodicalIF":1.5000,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Brain injury","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/02699052.2025.2479823","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"NEUROSCIENCES","Score":null,"Total":0}
引用次数: 0

Abstract

Objective: Posttraumatic amnesia (PTA) following a traumatic brain injury (TBI) is characterized by multiple cognitive and behavioral changes including memory impairment and disorientation. This study aimed to measure changes and relationships between key body functions and activities of daily living (ADL) performance throughout PTA progression and resolution.

Method: A longitudinal observational study was conducted with 24 participants in PTA. PTA was measured daily with the Westmead PTA Scale (WPTAS). As participants achieved a new score on the WPTAS, measures of agitation, attention, balance, visual perception, visual motor and ADL performance were taken. The data were analyzed descriptively and significant improvements in functions were identified using Friedman´s rank tests with post-hoc testing. Relationships between variables were examined using Spearman's rank order correlations.

Results: As PTA resolved, there were gradual and significant improvements in all variables except for visual motor performance. Attention was significantly better when scoring >8-9 on the WPTAS. There were significant correlations between body functions and ADL performance at different timepoints.

Conclusion: Understanding these gradual and interrelated improvements of functions during PTA may facilitate more precise assessment and earlier introduction of interventions to enhance patient outcomes.

创伤后失忆症进展和消退过程中身体功能和日常生活表现活动的恢复模式。
目的:创伤性脑损伤(TBI)后的创伤后遗忘症(PTA)以多种认知和行为改变为特征,包括记忆障碍和定向障碍。本研究旨在测量PTA进展和消退过程中关键身体功能和日常生活活动(ADL)表现之间的变化和关系。方法:采用纵向观察法对24例PTA患者进行研究。每日使用Westmead PTA量表(WPTAS)测量PTA。当参与者在WPTAS上获得一个新的分数时,对焦虑、注意力、平衡、视觉感知、视觉运动和ADL表现进行了测量。对数据进行描述性分析,并使用Friedman ' s秩检验和事后检验确定功能的显著改进。变量之间的关系使用Spearman的秩序相关性进行检验。结果:随着PTA的消退,除视觉运动表现外,所有变量均有逐渐显著的改善。当WPTAS评分为bb0 - 8分时,注意力显著提高。不同时间点机体功能与ADL表现存在显著相关性。结论:了解PTA期间这些渐进的和相互关联的功能改善可能有助于更准确的评估和早期引入干预措施,以提高患者的预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Brain injury
Brain injury 医学-康复医学
CiteScore
3.50
自引率
5.30%
发文量
148
审稿时长
12 months
期刊介绍: Brain Injury publishes critical information relating to research and clinical practice, adult and pediatric populations. The journal covers a full range of relevant topics relating to clinical, translational, and basic science research. Manuscripts address emergency and acute medical care, acute and post-acute rehabilitation, family and vocational issues, and long-term supports. Coverage includes assessment and interventions for functional, communication, neurological and psychological disorders.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信