PDF(Pubmed)
Abstract：
UNASSIGNED: TBI incidence and distribution are largely overrepresented in low- to middle-income countries (LMICs), such as South Africa (SA), with substantial associated human and financial costs. However, access to rehabilitation for the public is severely limited and not standard practice in SA. Given this background, studies demonstrating the successful implementation of neuropsychological rehabilitation in a LMIC setting are important. Published studies of this nature are generally lacking in this context. Further, there is a need to evaluate interventions that can be implemented at a low cost. To this end, we report on a neuropsychological rehabilitation program for an individual with severe TBI in a LMIC context, aimed at improving his capacity for activities of daily living.
UNASSIGNED: A 33-year-old, South African male who sustained a severe traumatic brain injury (TBI) partook in a neuropsychological intervention aimed at remediating functional deficits and enhancing independent functioning. The intervention utilised principles of Goal Management Training and external memory aids, with reliance on procedural memory and errorless learning, to target the participant\'s impairments in executive functioning and memory through the use of assistive technology-namely smart device applications.
UNASSIGNED: Data collected pre- and post-intervention on formal neuropsychological measures demonstrated no significant change in cognition. However, observational data and qualitative feedback from the participant\'s family indicated notable improvement in performance on everyday tasks with reduced number of errors and reduced need for external prompting whilst completing intervention tasks across sessions.
UNASSIGNED: In the context of severe TBI, neuropsychological rehabilitation can facilitate gains in independent functioning. This study provides support for the value of neurorehabilitation especially for interventions that can be rolled out at low cost and should serve as impetus for further such research in South Africa, where neuropsychological rehabilitation infrastructure and services are lacking.
UNASSIGNED: A 33-year-old, South African male who sustained a severe traumatic brain injury (TBI) partook in a neuropsychological intervention aimed at remediating functional deficits and enhancing independent functioning. The intervention utilised principles of Goal Management Training and external memory aids, with reliance on procedural memory and errorless learning, to target the participant\'s impairments in executive functioning and memory through the use of assistive technology-namely smart device applications.
UNASSIGNED: Data collected pre- and post-intervention on formal neuropsychological measures demonstrated no significant change in cognition. However, observational data and qualitative feedback from the participant\'s family indicated notable improvement in performance on everyday tasks with reduced number of errors and reduced need for external prompting whilst completing intervention tasks across sessions.
UNASSIGNED: In the context of severe TBI, neuropsychological rehabilitation can facilitate gains in independent functioning. This study provides support for the value of neurorehabilitation especially for interventions that can be rolled out at low cost and should serve as impetus for further such research in South Africa, where neuropsychological rehabilitation infrastructure and services are lacking.
摘要：
■TBI的发病率和分布在中低收入国家（LMICs）中占比很大，例如南非（SA），伴随着大量的人力和财务成本。然而,在SA，公众获得康复的机会受到严重限制，而不是标准做法。鉴于这一背景,证明在LMIC环境中成功实施神经心理康复的研究非常重要.在这种情况下，通常缺乏这种性质的已发表研究。Further,有必要评估可以低成本实施的干预措施.为此,我们报道了在LMIC背景下针对患有严重TBI的个体的神经心理康复计划，旨在提高他的日常生活活动能力。
■33岁,遭受严重创伤性脑损伤（TBI）的南非男性参加了神经心理学干预，旨在修复功能缺陷并增强独立功能。干预利用目标管理培训和外部记忆辅助的原则，依靠程序记忆和无错误的学习，通过使用辅助技术（即智能设备应用程序）来针对参与者的执行功能和记忆障碍。
■关于正式神经心理学措施的干预前后收集的数据表明认知没有显着变化。然而,观察数据和来自参与者家庭的定性反馈表明,在完成各次会议干预任务时,日常任务的表现显著改善,错误数量减少,外部提示需求减少.
■在严重TBI的背景下，神经心理康复可以促进独立功能的提高。这项研究为神经康复的价值提供了支持，特别是对于可以以低成本推出的干预措施，并应作为南非进一步开展此类研究的动力。缺乏神经心理康复基础设施和服务的地方。
■33岁,遭受严重创伤性脑损伤（TBI）的南非男性参加了神经心理学干预，旨在修复功能缺陷并增强独立功能。干预利用目标管理培训和外部记忆辅助的原则，依靠程序记忆和无错误的学习，通过使用辅助技术（即智能设备应用程序）来针对参与者的执行功能和记忆障碍。
■关于正式神经心理学措施的干预前后收集的数据表明认知没有显着变化。然而,观察数据和来自参与者家庭的定性反馈表明,在完成各次会议干预任务时,日常任务的表现显著改善,错误数量减少,外部提示需求减少.
■在严重TBI的背景下，神经心理康复可以促进独立功能的提高。这项研究为神经康复的价值提供了支持，特别是对于可以以低成本推出的干预措施，并应作为南非进一步开展此类研究的动力。缺乏神经心理康复基础设施和服务的地方。
