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Evaluation of neurotherapy for a patient with chronic impaired self-awareness and secondary ADHD after severe TBI and long term coma using event-related potentials

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Evaluation of neurotherapy for a patient with chronic impaired self-awareness and secondary ADHD after severe TBI and long term coma using event-related potentials

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dc.contributor.author Mirski, Andrzej [SAP11011439] pl
dc.contributor.author Pachalska, Maria pl
dc.contributor.author Mańko, Grzegorz [SAP20011798] pl
dc.contributor.author Kropotov, D. pl
dc.contributor.author Łukowicz, Małgorzata pl
dc.contributor.author Jedwabińska, Anna pl
dc.contributor.author Talar, Jan pl
dc.date.accessioned 2014-09-11T13:15:33Z
dc.date.available 2014-09-11T13:15:33Z
dc.date.created 2012 pl
dc.date.issued 2012 pl
dc.identifier.issn 1730-7503 pl
dc.identifier.uri http://ruj.uj.edu.pl/xmlui/handle/item/887
dc.language eng pl
dc.title Evaluation of neurotherapy for a patient with chronic impaired self-awareness and secondary ADHD after severe TBI and long term coma using event-related potentials pl
dc.type JournalArticle pl
dc.description.physical 399-417 pl
dc.identifier.weblink http://1035.indexcopernicus.com/fulltxt.php?ICID=1023689 pl
dc.abstract.en We examined the effectiveness of neurotherapy for chronic, impaired self-awareness and secondary ADHD (SADHD) diagnosed in the patient after severe TBI. We hypothesized a good response to relative beta training. Patient A.A., age 30, after severe TBI and long-term coma, suffered from chronic, impaired self-awareness and SADHD, manifesting two years post trauma. Only slight progress was made after behavioral training. The patient took part in a neurotherapy program consisting of 40 sessions of relative beta training. We used standardized neuropsychological testing, as well as ERPs before and after the completion of neurotherapy. At baseline, A.A. showed an excess of relative mu-rhythm, possibly associated with ADHD (alpha subtype); decreased beta generated centrally, indicating hyperactivation of the central medial cortical area and possibly associated with anxiety; and a decreased visual-related component, an indicator of TBI. There was no significant improvement of the P300 NOGO component after the conclusion of the neurotherapy program. However, as hypothesized, she showed improvements in cognitive parameters, especially attention, memory and executive function, including remission of the impaired self-awareness and SADHD. The patient finished her studies and has now started working. A neurofeedback program using relative beta-theta training produced slight physiological changes in our TBI patient, but major cognitive and behavioral changes, including reduced impaired self-awareness and SADHD. ERPs can be used to assess SADHD and functional brain changes induced by neurotherapy, but has limited application for interpreting the brain mechanism of chronic, impaired self-awareness after severe TBI and long term coma. pl
dc.subject.en executive dysfunction pl
dc.subject.en relative beta training pl
dc.subject.en SADHD pl
dc.subject.en behavioral change pl
dc.description.number 3 pl
dc.title.journal Acta Neuropsychologica pl
dc.language.container eng pl
dc.date.accession 20015-05-08 pl
dc.affiliation Wydział Nauk o Zdrowiu : Instytut Fizjoterapii pl
dc.affiliation Wydział Zarządzania i Komunikacji Społecznej : Instytut Kultury pl
dc.subtype Article pl
dc.rights.original OTHER; inne; ostateczna wersja wydawcy; w momencie opublikowania; 0; pl
.pointsMNiSW [2012 B]: 6


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