TY - JOUR PY - 2012// TI - Recovery of cognitive function during comprehensive rehabilitation after severe traumatic brain injury JO - Journal of rehabilitation medicine A1 - León-Carrión, José A1 - Domínguez-Morales, María Rosario A1 - Martín, Juan Manuel A1 - Leon-Dominguez, Umberto SP - 505 EP - 511 VL - 44 IS - 5 N2 - Objective: To explore the course and timing of functional recovery in patients who have emerged from coma after undergoing severe traumatic brain injury. Methods: An observational study involving 19 patients with traumatic brain injury recovered from coma who underwent holistic, intensive and multidisciplinary neurorehabilitation. Daily performance in each cognitive function (long-term memory, short-term memory, orientation, calculation, attention, mental control, automation, and planning) was clinically scored and compared at admission and discharge. Results: The course of cognitive recovery after post-traumatic coma is not uniform, offering a curve with many ups, downs and plateaus. To achieve a good response and outcome nearing normalcy, a patient needs over 300 h of intensive rehabilitation. Conclusion: The consolidation of functional recovery in patients with traumatic brain injury requires time and adequate training, and discharge is not recommended until cognitive improvement is established.
Language: en
LA - en SN - 1650-1977 UR - http://dx.doi.org/10.2340/16501977-0982 ID - ref1 ER -