Voluntary postural or dual-task training improves motor and mental functions in patients with traumatic brain injury
| Autor: | S. V. Kuptsova, L. Zhavoronkova, A. Pozdneev, O. Maksakova, T. P. Shevtsova, S. I. Moraresku |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Rehabilitation Functional integration (neurobiology) medicine.diagnostic_test Traumatic brain injury business.industry medicine.medical_treatment Cognition Electroencephalography medicine.disease Task (project management) Quality of life (healthcare) Physical medicine and rehabilitation Minnesota Multiphasic Personality Inventory medicine Orthopedics and Sports Medicine business |
| Zdroj: | Annals of Physical and Rehabilitation Medicine. 61:e227 |
| ISSN: | 1877-0657 |
| DOI: | 10.1016/j.rehab.2018.05.525 |
| Popis: | Introduction/Background Traumatic brain injury (TBI) is the most common cause of social disadaptation among young people and accompanied by disorders in motor and cognitive spheres. The aim of our study was to estimate a rehabilitation effect of voluntary postural and dual-task training at different periods after TBI. Material and method Seventeen TBI patients (28 ± 5.3) and 32 healthy persons (27.6 ± 0.07) participated at the investigation. Electroencephalographic (EEG), stabilographic studies and clinical scales (MMPI, FIM, MMSE, Berg's scale) were utilized for estimation of different spheres of human functioning. Results Clinical scales demonstrated deficits in all domains including motor and cognitive activity at the early terms after TBI. These deficits accompanied by global decrease of EEG connectivity between brain areas especially for distant brain areas while the increase of connectivity for local networks was observed as a reflection of compensator brain mechanisms. Postural training focused at vertical pose recovery while demonstrated improvement of motor as well as mental functions and accompanied by an increase of EEG connectivity. Dual-tasking was used as next step of rehabilitation course. EEG data demonstrated additional increase of EEG connectivity between different brain areas. Clinical scales showed improvement of all functions and improvement the quality of patient's life and their social adaptation. Conclusion Thus, voluntary postural and dual-task training may be used as effective rehabilitation approach that can serve as trigger for brain functional integration resulting in recovery of disordered functions. This approach may be recommended for patients with functional deficits to enhance their social adaptation and quality of life. |
| Databáze: | OpenAIRE |
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