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Brain Sciences
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Neuropsychological Evaluation and Rehabilitation of Traumatic Brain Injury
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Neuropsychological Evaluation and Rehabilitation of Traumatic Brain Injury

A special issue of Brain Sciences (ISSN 2076-3425). This special issue belongs to the section "Neurosurgery and Neuroanatomy".

Deadline for manuscript submissions: closed (30 June 2024) | Viewed by 4218

Special Issue Editor

Dr. Arnaud Saj

E-Mail Website
Guest Editor
Department of Psychology, Montréal University, CRIR Institut Nazareth Louis-Braille, Longueuil, QC, Canada
Interests: neurorehabilitation; spatial cognition; stroke; developmental trajectory; pediatric disorders
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Clinical neuropsychology is a subspecialty of professional psychology that is concerned with the scientific study and clinical application of brain–behavior relationships. Broadly defined, a neuropsychological evaluation is a flexible clinical tool that involves the integration of objective psychometric test data along with various other sources of clinical information to comprehensively elucidate the cognitive, behavioral, and emotional sequelae after traumatic brain injury (TBI).

Understanding the nature, the severity, and the modality of cognitive complaints is best served by a neuropsychological assessment. When cognitive complaints are reported or persist following mild traumatic brain injury in adults, neuropsychological testing can assist with diagnostic issues as well as with treatment and rehabilitation planning. The process typically begins with a clinical interview and then continues with tests that assess function in various cognitive and emotional domains.

A neuropsychological evaluation can help delineate normal individual differences from the neurologic effects of injury. Neuropsychological testing is also useful for identifying if psychological conditions (e.g., depression) or other non-neurologic factors are affecting symptom presentation.

On the other hand, a neuropsychological evaluation can further contribute to evidence-based TBI patient care through the serial assessment of cognitive and functional status over time, informing TBI rehabilitation, and evaluating the effectiveness of interventions.

The double objective in this Special Issue is to promote new neuropsychological assessment and rehabilitation methods for patients with traumatic brain injury.

Dr. Arnaud Saj
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Brain Sciences is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2200 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • brain injury
  • clinical neuropsychology
  • TBI rehabilitation
  • rehabilitation
  • traumatic brain injury
  • neuropsychological evaluation

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Published Papers (3 papers)

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Research

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12 pages, 1426 KiB  
Article
Maintaining Cognitive Performance at the Expense of Gait Speed for Asymptomatic Concussed Athletes: A Novel Dual-Task and Post-Exercise Assessment
by Gabriel Lavoie, Mathieu Bolduc, Veronik Sicard, Franco Lepore and Dave Ellemberg
Brain Sci. 2024, 14(7), 715; https://doi.org/10.3390/brainsci14070715 - 17 Jul 2024
Viewed by 1013
Abstract
Our goal was to evaluate persisting deficits in gait and executive functioning in asymptomatic athletes with a history of concussion using a novel approach combining a dual-task paradigm and post-exercise exertion. Thirty-eight athletes aged 17 to 25 years old participated in the study, [...] Read more.
Our goal was to evaluate persisting deficits in gait and executive functioning in asymptomatic athletes with a history of concussion using a novel approach combining a dual-task paradigm and post-exercise exertion. Thirty-eight athletes aged 17 to 25 years old participated in the study, including 18 with a history of concussion. The dual-task paradigm required walking continuously at a predetermined self-paced target speed of 6.5 km/h while executing a complex switch task. Athletes completed two conditions, each on separate days: (1) dual task alone and (2) dual task following 20 min of running on a non-motorized treadmill. The statistical analyses revealed a significant reduction in gait speed exclusively for athletes with a history of concussion and only following the post-exercise condition (p = 0.008). These findings suggest that although asymptomatic concussed athletes maintain a cognitive performance comparable to non-concussed athletes, this appears to be achieved at the expense of gait speed. Our results underscore the importance of incorporating gait assessments and post-exercise exertion into concussion evaluation protocols in both research and clinical settings. Full article
(This article belongs to the Special Issue Neuropsychological Evaluation and Rehabilitation of Traumatic Brain Injury)
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15 pages, 1937 KiB  
Article
OculoMotor & Vestibular Endurance Screening (MoVES) Normative, Repeatability, and Reliability Data
by Stephanie Iring-Sanchez, Michaela E. Dungan, Andrew Jones, Mitchell Malakhov, Stuti Mohan and Chang Yaramothu
Brain Sci. 2024, 14(7), 704; https://doi.org/10.3390/brainsci14070704 - 14 Jul 2024
Viewed by 761
Abstract
This study aims to assess oculomotor and vestibular endurance by utilizing the Oculomotor and Vestibular Endurance Screening (MoVES) assessment in athletes’ pre-season and post-season and after a suspected head injury to detect impairment. Athletes (N = 311, 19.4 ± 1.3 years) were [...] Read more.
This study aims to assess oculomotor and vestibular endurance by utilizing the Oculomotor and Vestibular Endurance Screening (MoVES) assessment in athletes’ pre-season and post-season and after a suspected head injury to detect impairment. Athletes (N = 311, 19.4 ± 1.3 years) were recruited to perform the following seven tasks: (1) horizontal saccades, (2) vertical saccades, (3) vergence jumps, (4) horizontal vestibular-oculomotor reflex (VOR), (5) vertical VOR, (6) amplitude of accommodation (AoA), and (7) near point of convergence (NPC). At pre-season, the observed number of eye movements in 60 s are horizontal saccades (74 ± 13 initial 30 s; 67 ± 11 latter 30 s), vertical saccades (70 ± 13; 66 ± 10), vergence jumps (48 ± 12; 45 ± 13), horizontal VOR (38 ± 11; 38 ± 11), and vertical VOR (8 ± 11; 38 ± 11). These results establish a normative database for eye movements within the MoVES assessment and show consistency in the number of movements from pre-season to post-season. The initial results show a trending decrease in the number of eye movements in the initial days post-head injury, which improves to pre-season measures 14–21 days post-injury. This foundation can be used by future studies to explore the extent of binocular and vestibular endurance dysfunctions caused by head injuries that subside within two weeks. Full article
(This article belongs to the Special Issue Neuropsychological Evaluation and Rehabilitation of Traumatic Brain Injury)
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Review

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19 pages, 588 KiB  
Review
Virtual Reality-Based Interventions to Improve Balance in Patients with Traumatic Brain Injury: A Scoping Review
by Gabriel Hernan, Neha Ingale, Sujith Somayaji and Akhila Veerubhotla
Brain Sci. 2024, 14(5), 429; https://doi.org/10.3390/brainsci14050429 - 26 Apr 2024
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Abstract
Introduction: Virtual reality (VR)-based interventions to improve balance and mobility are gaining increasing traction across patient populations. VR-based interventions are believed to be more enjoyable and engaging for patients with traumatic brain injury. This scoping review aims to summarize existing studies from the [...] Read more.
Introduction: Virtual reality (VR)-based interventions to improve balance and mobility are gaining increasing traction across patient populations. VR-based interventions are believed to be more enjoyable and engaging for patients with traumatic brain injury. This scoping review aims to summarize existing studies from the literature that used VR to improve balance and mobility and determine the gap in VR-based balance literature specific to individuals with traumatic brain injury. Methods: Two authors independently searched the literature using the search terms “Virtual Reality Traumatic Brain Injury Lower Limb”, “Virtual Reality Traumatic Brain Injury Balance”, and “Virtual Reality Traumatic Brain Injury Gait”. Results: A total of seventeen studies, specifically, three randomized controlled trials, one one-arm experimental study, two retrospective studies, two case studies, one feasibility/usability study, one cohort study, and seven diagnostic (validation) studies, met the inclusion criteria for this review. The methodological quality of the studies evaluated using the PEDro scale was fair. Discussion: Future studies should focus on large-scale clinical trials using validated technology to determine its effectiveness and dose–response characteristics. Additionally, standard assessment tools need to be selected and utilized across interventional studies aimed at improving balance and mobility to help compare results between studies. Full article
(This article belongs to the Special Issue Neuropsychological Evaluation and Rehabilitation of Traumatic Brain Injury)
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