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Issue title: Thematic Issue: The Science and Practice of Neuropsychological Assessment in Neurorehabilitation
Guest editors: Daniel Klyce, Ana Mills and Paul Dukarm
Article type: Research Article
Authors: Voelbel, Gerald T.a; b; * | Lindsey, Hannah M.c; d | Mercuri, Giuliac; e | Bushnik, Tamarab | Rath, Josephb
Affiliations: [a] Department of Occupational Therapy, New York University, New York, NY, USA | [b] Department of Rehabilitation Medicine, Rusk Rehabilitation at NYU Langone Health, New York, NY, USA | [c] Department of Psychology, New York University, New York, NY, USA | [d] Traumatic Brain Injury and Concussion Center, Department of Neurology, University of Utah, Salt Lake City, UT, USA | [e] Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, NY, USA
Correspondence: [*] Address for correspondence: Gerald T. Voelbel, PhD, Department of Occupational Therapy, New York University, Pless Hall, 82 Washington Square East, 6th Floor, New York, NY 10003, USA. Tel.: +1 212 998 5827; Fax: +1 212 995 4044; E-mail: gv23@nyu.edu.
Abstract: BACKGROUND:Adults with chronic traumatic brain injury (TBI) may experience long-term deficits in multiple cognitive domains. Higher-order functions, such as verbal memory, are impacted by deficits in the ability to acquire verbal information. OBJECTIVE:This study investigated the effects of a neuroplasticity-based computerized cognitive remediation program for auditory information processing in adults with a chronic TBI. METHODS:Forty-eight adults with TBI were randomly assigned to an intervention or control group. Both groups underwent a neuropsychological assessment at baseline and post-training. The Intervention group received 40 one-hour cognitive training sessions with the Brain Fitness Program. RESULTS:The intervention group improved in performance on measures of the Woodcock-Johnson-III Understanding Directions subtest and Trail Making Test Part-A. They also reported improvement on the cognitive domain of the Cognitive Self-Report Questionnaire. CONCLUSIONS:The present study demonstrated that a neuroplasticity-based computerized cognitive remediation program may improve objective and subjective cognitive function in adults with TBI several years post-injury.
Keywords: Traumatic brain injury, cognitive rehabilitation, neuropsychological assessment, neuroplasticity, attention, working memory
DOI: 10.3233/NRE-218025
Journal: NeuroRehabilitation, vol. 49, no. 2, pp. 267-278, 2021
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