Comprehensive cognitive retraining with CogSMART in mild traumatic brain injury: An interventional study


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Article type :

Original Article

Author :

Shanthi Kannan, Ramesh Kannan, V Chandramohan

Volume :

5

Issue :

3

Abstract :

Traumatic brain injury is one of the major causes of Neurological disability in India. 1 Post Concussive Symptoms of mild traumatic brain injury (mTBI) are usually ignored and not given importance, due to natural recovery and return to work. The aim of the present study was to find out the efficacy of Cognitive Retraining using CogSMART (Cognitive symptom management and rehabilitation therapy) for mild traumatic brain injury. The objectives were to measure cognitive impairment and evaluate the efficacy of CogSMART in the improvement of impaired cognitive functions. Sixty six out of ninety mild traumatic brain injury patients who were free from psychiatric problems were divided equally into experimental group, who received CogSMART, and control group who did not receive any intervention. Cognitive assessment was done using PGI battery of brain dysfunctions before the intervention, one and three months after withdrawing the intervention. Experimental group showed significant improvement (p in Memory, Verbal Intelligence, Performance Intelligence, Visual acuity and Visuomotor functions than the control group after the cognitive intervention. Cognitive Retraining, using CogSMART has the potential to improve cognitive impairment, which is commonly ignored in mTBI for a better quality of life. Early identification and intervention of cognitive impairment in mTBI can prevent long term persistent neurological dysfunction.

Keyword :

 Cognitive functions, CogSMART, Mild traumatic brain injury, Neuropsychological assessment.