Résumé
Background: The goal of providing neurobehavioural rehabilitation of traumatic brain injury (TBI) survivors still remains largely unachieved, as the problem is still neglected. This study analysed the change in behavioural sequelae in TBI patients over a period of twelve months, so that appropriate measures may be taken for their adequate rehabilitation.Methods: All patients admitted with moderate TBI, aged between 15 and 60 years, during the study period of one year, or until the sample size (n=118) was reached, were included in the study. The initial details regarding the mechanism of injury and the initial Glasgow coma scale (GCS), number of days in intensive care unit (ICU), and so on were recorded. At follow up periods of six months and one year, the neuro behavioral rating scale was used in the review clinic to assess the change in neuro behavioral status. Data was analyzed using SPSS.Results: Out of the 118 subjects included in the study, there was statistically significant improvement in inattention, disorientation, expressive deficit, memory deficit, inaccurate insight, depressive mood, hallucinatory behaviour, unusual thought content, comprehension deficit, speech articulation defect, and so on. There was worsening of anxiety, guilt, tension, etc. There was no much change in somatic concern, hostility and so on.Conclusions: In view of significant worsening of behavioural components, this study has highlighted the need for individualized regimens for overall rehabilitation of the victims, thereby lessening burden on the patient, family and society.
Résumé
Simultanagnosia resulting from dorsal stream dysfunction is an under recognized condition. In this case report we describe the case of a young woman who developed posterior reversible encephalopathy syndrome (PRES), and who recovered visual acuities of 20/20 in each eye, along with normal visual fields and contrast sensitivities, yet experienced persistent symptoms of perceptual dysfunction. Detailed and systematic history taking revealed consistent visual difficulties typical of dorsal stream dysfunction. After a detailed explanation of her symptomatology and training in a range of strategies to cope, the patient experienced a great improvement in her day-to-day functioning.
Résumé
Resumen En este artículo se describe detalladamente el proceso de captura de una actividad de neurorehabilitación en miembros superiores dispuesta en rutina clínica, utilizando dispositivos que permiten extraer variables de interés clínico, dentro de las cuales se encuentra el tiempo, la movilidad y ángulos. Estas variables se almacenarán cuantitativamente, de manera que sea posible tener un seguimiento continuo y exhaustivo sobre la rehabilitación del paciente, y así tener verosimilitud de cumplimiento en estas rutinas.
Abstract This article describes, in detail, the process of capturing a neuro-rehabilitation activity in upper limbs for clinical routines, using devices that enable the extraction of variables of clinical interest within the patient's task of execution, within which there is a focus on time, mobility and angles. These variables will be stored quantitatively, so that it is possible to have continuous and exhaustive follow-ups of the rehabilitation of the patient and, thus having compliance authenticity in these routines.
Resumo Neste artigo descreve-se detalhadamente o processo de captura de uma atividade de neuroreabilitação em membros superiores disposta em rotina clínica, utilizando dispositivos que permitem extrair variáveis de interesse clínico, dentro das quais se encontra o tempo, a mobilidade e ângulos. Estas variáveis se armazenaram quantitativamente, de maneira que seja possível ter um rastreamento contínuo e exaustivo sobre a reabilitação do paciente, e assim ter verossimilitude de cumprimento nestas rotinas.
Résumé
La improvisación musical es un concepto abordado desde diferentes disciplinas y campos artísticos. Es una técnica de uso común en el ámbito musicoterapéutico, pero su desarrollo teórico desde las neurociencias parece ser un campo poco investigado. El objetivo de esta revisión es desarrollar la temática desde la disciplina musicoterapéutica y su inserción en el campo de la neurorrehabilitación, para lo cual se describirán los correlatos neuroanatómicos y los mecanismos cognitivos que caracterizan a esta habilidad creativa, y que la convierten en una técnica destacable en la rehabilitación de pacientes que han sufrido un daño neurológico.
Musical improvisation is a technique commonly used in the field of music therapy, but its theory is not well-researched in neuroscience. This paper focuses on improvisation in music therapy and its inclusion in the field of neuro-rehabilitation. This research describes neuro-anatomical correlates and cognitive mechanisms that characterize this creative skill and make it a remarkable technique for rehabilitation patients who have suffered neurological damage.