Article

The present study investigates the feasibility and utility of using a
computerized brain plasticity-based cognitive training (BPCT) program as an
intervention for community-dwelling individuals with traumatic brain injury
(TBI). In a pre-post pilot study, 10 individuals with mild to severe TBI who were
6 mo to 22 yr postinjury were asked to use a computerized BPCT
intervention-designed to improve cognitive functioning through a graduated series
of structured exercises-at their homes in an urban community. Outcome measures
included objective neuropsychological and self-report measures of cognitive
functioning. All participants were able to use the software in their homes. Some
mild fatigue was reported, which tended to dissipate over time. Few technical
difficulties were reported. Remote support was sufficient for what technical
assistance was needed. Participants reported subjective improvement in cognitive
functioning, and small to large effect sizes on self-report and
neuropsychological measures are reported. We conclude that BPCT may be a viable
intervention for TBI outpatients as an adjunct to comprehensive
neurorehabilitation. The intervention can be delivered in patients' homes with
support provided remotely. Results of this study demonstrate the potential for
treatment-related improvements many years after injury. Further study in
controlled trials is warranted.

Langue : ANGLAIS