NeuroRehabilitation - Volume 22, issue 4

Authors: Campbell, Loretta | Wilson, F. Colin | McCann, John | Kernahan, George | Gray Rogers, Rosalind

Article Type: Research Article

Abstract: Objectives: To investigate if errorless learning applied by carer(s) in an everyday setting can reduce the frequency of everyday memory problems following severe traumatic brain injury (TBI). Research design: Multiple baseline single case experimental design. Methods and procedures: A patient with severe memory impairment, six years post TBI was recruited via an outpatient neurorehabilitation clinic. ABA analysis was conducted using daily frequency counts of everyday memory problems as an index of change. Experimental intervention: Errorless learning delivered by the patient’s carer, aimed at reducing the occurrence of identified everyday memory problems. The carer was …guided in treatment implementation by an Occupational Therapist. Main outcomes and results: Incidence of frequently occurring memory lapses was significantly reduced (p < 0.001) and this was maintained at 3 months post intervention. Conclusion: This study highlights the potential clinical value of errorless learning with self-generated cues applied by carers within an everyday setting. Show more

Keywords: Memory rehabilitation, errorless learning, family and carers, brain injury

DOI: 10.3233/NRE-2007-22411

Citation: NeuroRehabilitation, vol. 22, no. 4, pp. 325-333, 2007

Authors: Krause, Phillip | Szecsi, Johann | Straube, Andreas

Article Type: Case Report

Abstract: We report on a multiple sclerosis patient who received functional electrical stimulation to reduce spastic muscle tone of the lower limbs. Stimulation by means of surface electrodes applied to the thigh muscles induced cycling leg movements. Spastic muscle tone was measured clinically using the modified Ashworth scale and semiautomatically by pendulum testing of spasticity. This was done before and directly after stimulation. The patient was able to endure the stimulation for ca. 30 minutes; there was a significant reduction of spasticity after each stimulation session. We conclude, that this type of stimulation could be another potential treatment modality for multiple …sclerosis patients, especially those with a high score in the expanded disability Status scale. Show more

Keywords: Multiple sclerosis, functional electrical stimulation, spasticity, case report

DOI: 10.3233/NRE-2007-22412

Citation: NeuroRehabilitation, vol. 22, no. 4, pp. 335-337 , 2007