Content » Vol 44, Issue 6

Original report

Recovery of cognitive function during comprehensive rehabilitation after severe traumatic brain injury

José León-Carrión, María Rosario Domínguez-Morales, Juan Manuel Barroso y Martín, Umberto Leon-Dominguez
DOI: 10.2340/16501977-0982

Abstract

Objective: To explore the course and timing of functional recovery in patients who have emerged from coma after undergoing severe traumatic brain injury.
Methods: An observational study involving 19 patients with traumatic brain injury recovered from coma who underwent holistic, intensive and multidisciplinary neurorehabilitation. Daily performance in each cognitive function (long-term memory, short-term memory, orientation, calculation, attention, mental control, automation, and planning) was clinically scored and compared at admission and discharge.
Results: The course of cognitive recovery after post-traumatic coma is not uniform, offering a curve with many ups, downs and plateaus. To achieve a good response and outcome nearing normalcy, a patient needs over 300 h of intensive rehabilitation.
Conclusion: The consolidation of functional recovery in patients with traumatic brain injury requires time and adequate training, and discharge is not recommended until cognitive improvement is established.

Lay Abstract

Supplementary content

Comments

Do you want to comment on this paper? The comments will show up here and if appropriate the comments will also separately be forwarded to the authors. You need to login/create an account to comment on articles. Click here to login/create an account.
Advertisement