Research Reports - Recovery of cognitive function during comprehensive rehabilitation after severe traumatic brain injury
J Rehabil Med. 2012 Jun 4;44(5):505-11
León-Carrión J, Domínguez-Morales MR, Martín JM, Leon-Dominguez U
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.