https://doi.org/10.4081/itjm.2024.1763

The importance of cognitive intervention in acquired traumatic brain injury during 6 months of multidisciplinary rehabilitation: a case description

Vol. 18 No. 3 (2024)
Published: 8 July 2024
Neurocognitive disorder, LCF, traumatic brain injury, neurorehabilitation, cognitive rehabilitation
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Authors

Patrizia Pisanu
patrizia_pisanu@yahoo.it
https://orcid.org/0000-0003-1865-0055
Post-acute Rehabilitation and Neurorehabilitation Department, Mater Olbia Hospital, Olbia (SS), Italy.
Nicolò Contu
Post-acute Rehabilitation and Neurorehabilitation Department, Mater Olbia Hospital, Olbia (SS), Italy.
Cristiana Picciau
Azienda Ospedaliero-Universitaria Sant’Andrea, Faculty of Medicine and Psychology, University La Sapienza, Rome, Italy.
Stefano Milighetti
Post-acute Rehabilitation and Neurorehabilitation Department, Mater Olbia Hospital, Olbia (SS), Italy.
Emiliano Deiana
Post-acute Rehabilitation and Neurorehabilitation Department, Mater Olbia Hospital, Olbia (SS), Italy.
Valeria Vannucci
Post-acute Rehabilitation and Neurorehabilitation Department, Mater Olbia Hospital, Olbia (SS), Italy.
Benedetta Centonze
Post-acute Rehabilitation and Neurorehabilitation Department, Mater Olbia Hospital, Olbia (SS), Italy.
Sara Pirastru
Post-acute Rehabilitation and Neurorehabilitation Department, Mater Olbia Hospital, Olbia (SS), Italy.
Sinai Del Carmen Fabriani Sanchez
Post-acute Rehabilitation and Neurorehabilitation Department, Mater Olbia Hospital, Olbia (SS), Italy.
Dario Lucchetti
Post-acute Rehabilitation and Neurorehabilitation Department, Mater Olbia Hospital, Olbia (SS), Italy.

Planning an immediate and multidisciplinary rehabilitation is crucial to reduce the significant physical, cognitive, and psychosocial impact resulting from head trauma. This study highlights the importance of ongoing cognitive rehabilitation in conjunction with other rehabilitation therapies, such as motor, occupational, and speech therapy, for a 19-year-old woman who suffered an acquired traumatic brain injury in a high-energy vehicle accident. When the patient was admitted to the hospital, their cognitive functioning (LCF) was 4 (confused-agitated state), their Barthel index was 0, their Glasgow coma scale (GCS) was 7, and their disability rating scale (DRS) was 7. The patient’s cognitive functioning improved to LCF 8 (purposeful-appropriate), numerical rating scale: 0/10, Barthel index: 53, GCS:15, and DRS: 5 at the time of discharge from the neurorehabilitation unit. In conclusion, early cognitive intervention in a multidisciplinary rehabilitation program is essential to maximizing the patient’s potential and improving the rehabilitation’s outcome.

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Scopus
Google Scholar
Europe PMC
Lubrini G, Viejo-Sobera R, Periáñez JA, et al. Evolution of cognitive impairment after a traumatic brain injury: is there any improvement after controlling the practice effect? Rev Neurol 2020;70:37-44.
Spitz G, Ponsford JL, Rudzki D, Maller JJ. Association between cognitive performance and functional outcome following traumatic brain injury: a longitudinal multilevel examination. Neuropsychology 2012;26:604-12.
Galeoto G, Turriziani S, Berardi A, et al. Levels of cognitive functioning assessment scale: Italian cross-cultural adaptation and validation. Ann Ig 2020;32:16-26.
Jensen MP, Karoly P. Self-report scales and procedures for assessing pain in adults. In: Turk DC, Melzack R (eds.). Handbook of pain assessment. 3rd ed. New York, NY: Guilford Press; 2011:19-41.
Mahoney FI, Barthel DW. Functional evaluation: the Barthel index. 1965;14:61-5.
Rappaport M, Hall KM, Hopkins K, et al. Disability rating scale for severe head trauma: coma to community. Arch Phys Med Rehabil 1982;63:118-23.
Katz S, Downs TD, Cash HR, Grotz RC. Progress in development of the index of ADL. Gerontologist 1970;10:20-30.
Ninfa A, Pizzorni N, Eplite A, et al. Validation of the Italian Version of the Functional Oral Intake Scale (FOIS-It) against fiberoptic endoscopic evaluation of swallowing and nutritional status. Dysphagia 2021;37:137-47.
Carlesimo GA, Caltagirone C, Gainotti G. The mental deterioration battery: normative data, diagnostic reliability and qualitative analyses of cognitive impairment. The Group for the Standardization of the Mental Deterioration Battery. Eur Neurol 1996;36:378-84.
Spinnler H, Tognoni G. Standardizzazione e taratura italiana di test neuropsicologici. Gruppo Italiano per lo Studio Neuropsicologico dell’Invecchiamento [Italian standardization and classification of Neuropsychological tests. The Italian Group on the Neuropsychological Study of Aging]. Ital J Neurol Sci 1987;1-120
Appollonio I, Leone M, Isella V, et al. The Frontal Assessment Battery (FAB): normative values in an Italian population sample. Neurol Sci 2005;26:108-16.
Giovagnoli AR, Del Pesce M, Mascheroni S, et al. Trail making test: normative values from 287 normal adult controls. Ital J Neurol Sci 1996;17:305-9.
Basso A, Capitani E, Laiacona M. Raven’s coloured progressive matrices: normative values on 305 adult normal controls. Funct Neurol 1987;2:189-94.
Zigmond AS, Snaith P. The Hospital Anxiety and Depression Scale. Acta Psychiatr Scand 1983;67:361-70.
Collin C, Wade D. Assessing motor impairment after stroke: a pilot reliability study. J Neurol Neurosurg Psychiatry 1990;53:576-9.

How to Cite

Pisanu, P., Contu, N., Picciau, C., Milighetti, S., Deiana, E., Vannucci, V., Centonze, B., Pirastru, S., Fabriani Sanchez, S. D. C., & Lucchetti, D. (2024). The importance of cognitive intervention in acquired traumatic brain injury during 6 months of multidisciplinary rehabilitation: a case description. Italian Journal of Medicine, 18(3). https://doi.org/10.4081/itjm.2024.1763
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