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Study of the pre- and post-treatment functionality of unilateral acquired brain injuries

E. Huertas-Hoyas, E.J. Pedrero-Pérez, A.M. Águila-Maturana, C. González-Alted [REV NEUROL 2014;58:345-352] PMID: 24723177 DOI: https://doi.org/10.33588/rn.5808.2013550

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Volumen 58 | Number 08 | Nº of views of the article 7.408 | Nº of PDF downloads 736 | Article publication date 16/04/2014

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ABSTRACT

INTRODUCTION Most of the people who have survived a lateralized brain injury have sequelae components affecting sensorimotor, cognitive or behavioral. These deficits affect the proper execution of daily living activities. The aim of this study is to analyze and compare the occupational profile of people with unilateral acquired brain injury, both people with traumatic brain injury (TBI) and cerebrovascular accidents (CVA), with functional independence, ability, participation and the quality of performance of everyday activities, before and after a multidisciplinary treatment.

PATIENTS AND METHODS Cohort quasi-experimental design with pre-cutting measures after treatment with a sample of 58 people, 28 TBI and 30 CVA, both lateralized. The measures used were the FIM+FAM, ICF, and AMPS.

RESULTS Considering the groups analyzed (lateralized full sample, sample diagnosis) analysis results indicate the existence of significant differences and a moderate effect size in the two cross-sectional estimates, providing greater levels of independence to injuries occurring in the right hemisphere (p < 0.001). However, when it is divided the sample by diagnosis appears no significant differences, except in motor skills, where higher scores for TBI are showed (p < 0,05).

CONCLUSIONS We suggest that this justifies the differences is not the mode of injury (TBI or CVA), but the hemispheric location. Therefore, it is suggested that people with acquired brain injury in the left hemisphere require more intensive intervention. KeywordsFunctional independence Left hemisphere Quality of performance Right hemisphere Stroke Traumatic brain injury CategoriesDependencias Patología vascular Traumatismos

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Original

Study of the pre- and post-treatment functionality of unilateral acquired brain injuries