A PROSPECTIVE STUDY OF NEUROPSYCHOLOGICAL DEFICIT AND EFFECT OF COMPUTERISED COGNITIVE RETRAINING IN TRAUMATIC BRAIN INJURY

Abstract

Shubhranshu Nath1, Krishan Kumar Yadav2, Kalpana Srivastav3, Divina Kumar K. J4

BACKGROUND
Traumatic Brain Injury (TBI) is a major public health issue across the globe. A range of cognitive and behavioural sequelae is exhibited by TBI. Patients of Traumatic Brain Injury (TBI) do benefit from cognitive retraining.
The aim of the present study is to observe the effects of cognitive retraining on neuropsychological deficits. Sample for the study comprised of 36 patients of head injury reporting to a tertiary care hospital.
MATERIALS AND METHODS
The cases were evaluated on Glasgow Coma Scale (GCS), Wisconsin Card Sorting Test (WCST) and Wechsler’s Memory Scale (WMS) III to assess the prevalence of neuropsychological deficit. The cases were given four sessions of Brain Function Therapy (BFT) per week. A total of eight sessions were finally given to each one of the cases. The neuropsychological deficit were assessed before and after giving Brain Function Therapy (BFT) or cognitive retraining and compared.
RESULTS
The mean age of the sample was 32.13±6.14 years and majority of the cases were educated till higher secondary school. Significant differences were noted when the neuropsychological deficit assessed pre-BFT and post-BFT were compared (p <0.001).
CONCLUSION
Cases of TBI do benefit with BFT, and hence, it is recommended to institute computerised cognitive rehabilitation/retraining in such cases in psychiatry setup.

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