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COGNITIVE REHABILITATION AFTER GLOBAL APHASIA DUE TO TRAUMATIC BRAIN INJURY : A CASE REPORT

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Abstract

Global aphasia is a syndrome involving receptive and expressive language impairment. Treatment protocols varies, based on each individual’s unique language profile and communication needs. We referred to a 28-year-old patient, who was ddiagnosed with global aphasia due to traumatic brain injury. He was admitted to our department 3 months after his accident. An initial evaluation showed impaired auditory and reading comprehension , poor verbal expression , impaired repetition and difficulty with naming and with sentence completion. Additionally he showed spatial estimation, calculation memory (especially short) disorders. In this case, we tried a patient-oriented rehabilitation protocol, based on cognitive abilities. Short-term goals were the improvement of speech deficits, cognition, perception and visual spatial awareness. The long-term goals of this protocol centered on self-independence in activities of daily living, enhancement of memory and judgment, as well as improvement in writing and numerical concepts. A 2-hour treatment program was seated 5 times a week including traditional interventions (speech and occupational therapy and psychological support). Our program involved playing with cards, table games, drawing and a computer-based treatment (visual matching objects and pictures). Mini Mental State (MMS) was performed to evaluate patients cognitive ability every month. Independence was measured with Modified Barthel Index (MBI). The main target was to inhase memory and attention first followed by others cognitive skills At the beginning the first MMS evaluation was 4/10, the second 16/30, the third 18/30 and the last 24/30. First MBI was 10, the second 37, and the last 81. Early studies have shown that there is no specific rehabilitation protocol which results in a faster and near-total recovery in global aphasia. In this case we mainly focus on memory and attention followed by the rest rehabilitation programme, gaining better results in cognition and independence on ADLs.

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© Copyright 2019 Morressier GmbH.
All rights reserved.