We present a clinical case of treatment and neurorehabilitation of a patient with severe neurological deficit due to extensive traumatic lesion of the left hemisphere of the brain. Until recently, such cases were considered incurable and remained marginalized throughout their lives. This clinical case illustrates the compensatory brain possibilities under long-term integrated multidisciplinary treatment and neurorehabilitation with mandatory application of medical, medico-psychological, medico-pedagogical, and medico-social methods, the importance and intensity of which vary at different stages of the disease. This process is addressed in the individual patient. The greatest efficiency of the neurorehabilitation treatment of patients with severe consequences of a stroke and traumatic brain injury can be reached under the following conditions: the earliest possible start of rehabilitation with a sufficient duration and intensity; interdisciplinary and integrative rehabilitation process at various stages of rehabilitation treatment; systematic clinical and neuropsychological diagnostics; systematic monitoring of somatic, neurological, psychiatric, and psychological condition of the patient; assistance with sociopsychological and labor issues; and problem-solving support.
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http://dx.doi.org/10.1002/pchj.127 | DOI Listing |
Neurodegener Dis Manag
January 2025
Turner Institute for Brain & Mental Health, School of Psychological Sciences, Faculty of Medicine, Nursing & Health Sciences, 18 Innovation Walk, Monash University, Clayton VIC 3800, Australia.
Huntington's disease (HD) causes progressive cognitive decline, with no available treatments. Computerized cognitive training (CCT) has shown efficacy in other populations, but its effects in HD are largely unknown. This pilot study will explore the effects and neural mechanisms of CCT in HD.
View Article and Find Full Text PDFNeural Plast
January 2025
Department of Neurology, The Fifth Affiliated hospital of Guangxi Medical University, The First People's Hospital of Nanning, Nanning, China.
The investigation of brain functional network dynamics offers a promising approach to understanding network reorganization poststroke. This study aims to explore the dynamic network configurations associated with motor recovery in stroke patients and assess their predictive potential using multilayer network analysis. Resting-state functional magnetic resonance imaging data were collected from patients with subacute stroke within 2 weeks of onset and from matched healthy controls (HCs).
View Article and Find Full Text PDFHum Brain Mapp
January 2025
The Mind Research Network/Lovelace Biomedical Research Institute, Albuquerque, New Mexico, USA.
Evaluation of mechanisms of action of EEG neurofeedback (EEG-nf) using simultaneous fMRI is highly desirable to ensure its effective application for clinical rehabilitation and therapy. Counterbalancing training runs with active neurofeedback and sham (neuro)feedback for each participant is a promising approach to demonstrate specificity of training effects to the active neurofeedback. We report the first study in which EEG-nf procedure is both evaluated using simultaneous fMRI and controlled via the counterbalanced active-sham study design.
View Article and Find Full Text PDFJ Rehabil Med
January 2025
Department of Neurology, The First Hospital of Hebei Medical University, Hebei, China.
Objectives: To investigate the relationship between physical activity and depressive symptoms in stroke survivors.
Design: A cross-sectional study utilizing National Health and Nutrition Examination Survey (NHANES) 2007-2018 data, employing propensity score matching to control for confounders.
Patients: 1,140 stroke survivors from NHANES, assessing depressive symptoms through the Patient Health Questionnaire-9 (PHQ-9) conducted via family interview or a mobile examination centre examination.
Zhonghua Yi Xue Yi Chuan Xue Za Zhi
January 2025
Department of Pediatric Neurorehabilitation, Zhuhai Maternal and Child Health Care Hospital, Zhuhai, Guangdong 519000, China.
Objective: To investigate the clinical features and genetic variants associated with Multiple mitochondrial dysfunction syndrome (MMDS) type 3 in two children.
Methods: Two children diagnosed with MMDS type 3 at Zhuhai Maternal and Child Health Care Hospital in January 2021 were selected for this study. A retrospective analysis of their clinical data was carried out.
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