Impact Of Early Cognitive Rehabilitation On Functional Outcomes Following Moderate Traumatic Brain Injury

Summary

Purpose of the study:

This study aims to detect the impact of early cognitive rehabilitation on functional outcomes with patients following moderate traumatic brain injury.

Conditions

• TBI (Traumatic Brain Injury)

Interventions

BEHAVIORAL

early cognitive therapy program in addition to selected physical therapy program (positioning, chest care exercise).

A.Positioning for head injury patients B.Chest clearance intervention C.Procedure for cognitive therapy All these exercises are given to patients even when they are on ventilator support of around 20-30 minutes six days /week . 1. coma stimulation incorporated with cognition training such as : i. Multimodal Sensory stimulation, including : 1. Visual 2. Auditory 3. Olfactory 4. Gustatory 5. Tactile- Administered by rubbing different textures like satin, silk, fur, smooth metal, sandpaper, or cool or warm items over the patient's body surfaces. ii. Calling out their names, using patient's relatives help for transferring were used for improving the cognition and conscious levels. 2. Kinesthetic Stimulation 1. Passive movements 2. Joint approximation Each movement two times, allowing 1 minute to respond. This will be performed either in bed or in the wheelchair, one extremity at a time.

BEHAVIORAL

selected physical therapy program (Chest care exercise, passive movement of the four limbs) in addition to early cognitive therapy program

The patient was placed in a comfortable position with a head-up position Passive range of movement for all four limbs \& positioning for head injury patients,. Joint approximation and Chest clearance intervention and Procedure for cognitive therapy Multimodal Sensory stimulation, including : Visual Auditory- Olfactory-. Gustatory- Tactile- Calling out their names, using patients relative help for transferring were used for improving the cognition and conscious levels.

BEHAVIORAL

Control group

The patient was placed in a comfortable position with a head-up position , Passive range of movement for all four limbs and positioning for head injury patients,. Joint approximation and Chest clearance intervention

Sponsors & Collaborators

• Amany Saadallah Hassan Mobarez

  lead OTHER

Principal Investigators

• Eman S. M. Fayez, Prof. · Professor of Physical Therapy , Cairo University

• Ahmad A.S. El-Fiki, Prof. · Professor of Neurosurgery , Cairo University

• Maged A. Gomaa, Ass.Prof. · Associate professor of psychiatry, Cairo University

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Model

SEQUENTIAL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2023-12-01

Primary Completion

2025-07-01

Completion

2025-07-01

Countries

• Egypt

Study Locations