The Road Less Traveled: Integrating Neurotherapy with Holistic Neuropsychological Rehabilitation After Severe Head Injury

Q3 Medicine
NeuroRegulation Pub Date : 2021-03-29 DOI:10.15540/NR.8.1.57
M. Afsar, Nishita Choudhari, D. Shukla, J. Rajeswaran
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引用次数: 2

Abstract

Introduction: Traumatic brain injury (TBI) is associated with physical, cognitive, emotional, and behavioral disturbances. The cognitive deficits are common after TBI, and a holistic approach to neuropsychological rehabilitation is recommended in these patients. EEG neurofeedback training (EEG-NFT) is a state-of-the-art technique for neuropsychological rehabilitation. There is a paucity of studies exploring the use of EEG-NFT integrated with holistic neuropsychological rehabilitation. Method: Single case design was adopted for the present study. A 25-year-old single male, diagnosed with severe TBI, presented with physical, cognitive, and emotional-behavioral disturbances after 17 months of injury. A comprehensive neuropsychological assessment was carried out. The neuropsychological rehabilitation using EEG-NFT along with psychosocial interventions with the patient and the parents was carried out for 9 months. Results: The patient showed significant improvement in cognitive deficits such as attention, executive functions, and visuospatial ability. Emotional-behavioral problems such as irritability, sadness, and overall dysfunction also improved significantly. Conclusion: The present case study highlights that integrating EEG-NFT along with holistic neuropsychological rehabilitation helps to improve cognitive, emotional, and behavioral disturbances after TBI.
少有人走过的路:在严重头部损伤后整合神经治疗和整体神经心理康复
引言:创伤性脑损伤(TBI)与身体、认知、情绪和行为障碍有关。TBI后认知缺陷很常见,建议对这些患者采用整体的神经心理康复方法。脑电神经反馈训练(EEG-NFT)是一种最先进的神经心理康复技术。很少有研究探索EEG-NFT与整体神经心理康复相结合的应用。方法:本研究采用单病例设计。一名25岁的单身男性,被诊断为严重TBI,在受伤17个月后出现身体、认知和情绪行为障碍。进行了全面的神经心理学评估。使用EEG-NFT的神经心理康复以及对患者和父母的心理社会干预进行了9个月。结果:患者在注意力、执行功能和视觉空间能力等认知缺陷方面有显著改善。情绪行为问题,如易怒、悲伤和整体功能障碍也有显著改善。结论:本案例研究强调,将EEG-NFT与整体神经心理康复相结合有助于改善TBI后的认知、情绪和行为障碍。
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来源期刊
NeuroRegulation
NeuroRegulation Medicine-Psychiatry and Mental Health
CiteScore
2.50
自引率
0.00%
发文量
15
审稿时长
19 weeks
期刊介绍: NeuroRegulation is a peer-reviewed journal providing an integrated, multidisciplinary perspective on clinically relevant research, treatment, reviews, and public policy for neuroregulation and neurotherapy. NeuroRegulation publishes important findings in these fields with a focus on electroencephalography (EEG), neurofeedback (EEG biofeedback), quantitative electroencephalography (qEEG), psychophysiology, biofeedback, heart rate variability, photobiomodulation, repetitive Transcranial Magnetic Simulation (rTMS) and transcranial Direct Current Stimulation (tDCS); with a focus on treatment of psychiatric, mind-body, and neurological disorders. In addition to research findings and reviews, it is important to stress that publication of case reports is always useful in furthering the advancement of an intervention for both clinical and normative functioning. We strive for high quality and interesting empirical topics presented in a rigorous and scholarly manner. The journal draws from expertise inside and outside of the International Society for Neurofeedback & Research (ISNR) to deliver material which integrates the diverse aspects of the field, to include: *basic science *clinical aspects *treatment evaluation *philosophy *training and certification issues *technology and equipment
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