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Treatment challenges with profound behaviour disturbance after traumatic brain injury: A case report

机译:创伤后脑损伤后的深刻行为障碍治疗挑战:案例报告

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Background: Severe behavioural disturbances exhibited during the earliest stages of recovery from severe traumatic brain injury often limit the ability to provide standard care. Studies that focus on treatment options for inpatients with such behaviours are scarce. There is limited guidance on how to approach therapy that will maximize the patient's tolerance and participation and how to measure meaningful progress. Case report: This case study describes how the use of an innovative treatment approach to improve attention was beneficial in rehabilitation of a patient with severe traumatic brain injury whose profound behaviour disturbances substantially precluded participation in traditional therapies. The study shows how rehabilitation utilizing an interactive virtual reality-robotics environment that minimized distractions was associated with improved engagement in therapy, decreased disruptive behaviour during treatment and more sensitive measurement of progress. Conclusion: These results may be instructive in how technology can be used to modify therapy sessions to make them accessible to patients with profound behaviour disturbance and how meaningful progress can be measured even in the absence of gains in traditional metrics.
机译:背景技术:在严重创伤性脑损伤中最早恢复期间表现出的严重行为障碍通常会限制提供标准护理的能力。专注于具有此类行为的住院患者的治疗选择的研究是稀缺的。有关如何接近治疗的指导有限,将最大限度地提高患者的容忍和参与以及如何测量有意义的进展。案例报告:本案例研究描述了如何利用创新的治疗方法来提高关注的是有益的,恢复严重创伤性脑损伤的患者,其深刻的行为扰乱的行为紊乱大幅列出了传统疗法的参与。该研究表明,利用互动虚拟现实 - 机器人环境的康复方式最小化的分心与改善治疗的接触有关,治疗过程中的破坏性行为降低,进展更敏感。结论:这些结果可能对技术如何用于修改治疗会话,使其能够对具有深远的行为扰动的患者以及如何在传统指标中没有收益的情况下获得有意义的进展。

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