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
https://orcid.org/0009-0007-5447-7495
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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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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