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Issue title: Emerging Data in Pediatric Traumatic Brain Injury
Guest editors: Stacy Suskauer
Article type: Research Article
Authors: Kaldoja, Mari-Liisa; b; c | Saard, Marianneb; d; e | Lange, Kirsie | Raud, Triinb | Teeveer, Ott-Kaarelf | Kolk, Annelid; e; *
Affiliations: [a] Psychiatry Clinic, Tallinn Children's Hospital, Tallinn, Estonia | [b] Institute of Psychology, University of Tartu, Tartu, Estonia | [c] Institute of Psychology, Tallinn University, Tallinn, Estonia | [d] Department of Neurology and Neurorehabilitation, Children's Clinic, Tartu University Hospital, Tartu, Estonia | [e] Department of Pediatrics, Faculty of Medicine, University of Tartu, Tartu, Estonia | [f] Faculty of Science and Technology, University of Tartu, Tartu, Estonia
Correspondence: [*] Corresponding author: Anneli Kolk, Department of Neurology and Neurorehabilitation, Children's Clinic, Tartu University Hospital, N. Lunini 6, EE-51014 Tartu, Estonia. Tel.: +372 5065 862; E-mail:[email protected]
Abstract: INTRODUCTION: The number of children with different cognitive difficulties is constantly increasing. Still, too few evidence-based pediatric neurocognitive rehabilitation programs exist. The main aim of the study was to assess the efficiency and usability of computer-assisted FORAMENRehab program for training specific components of attention in children with mild traumatic brain injury (mTBI) and partial epilepsy (PE). The second aim was to specify short- and long-term effects of the intervention. METHODS: Eight children between the ages of 9-12 years with attention impairment (3 with PE and 5 with mTBI) and 18 healthy controls participated. FORAMENRehab Attention software, adapted by the authors, was used for intervention. Strict intervention protocol consisting of patients completing 10 sessions over a 6-week-period to train four components of attention (sustaining, focusing, dividing, tracking) was designed and applied. Follow-up assessments were conducted after the end of the last training and 1.63 years later. RESULTS: After the intervention patients' sustained and complex attention improved. Long-term follow-up revealed continuing positive rehabilitation effects. 100% compliance suggested that the used method is attractive for children. CONCLUSIONS: These preliminary results of the pilot study give reason to presume that the method is effective in attention impairment remediation. However, more thorough research is needed.
Keywords: Pediatric rehabilitation, computer-assisted cognitive rehabilitation, attention impairment, epilepsy, mild traumatic brain injury, FORAMENRehab
DOI: 10.3233/PRM-150346
Journal: Journal of Pediatric Rehabilitation Medicine, vol. 8, no. 4, pp. 271-283, 2015
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