Ca. Palmese et Sa. Raskin, The rehabilitation of attention in individuals with mild traumatic brain injury, using the APT-II programme, BRAIN INJUR, 14(6), 2000, pp. 535-548
Traumatic brain injury (TBI) is a prevalent cause of cognitive impairments
and dysfunctions and affects over 2 million individuals each year. Mild tra
umatic brain injury (MTBI) is generally defined by a brief loss of consciou
sness, and post-traumatic amnesia that lasts for less than 24 hours. One re
gion of the brain that is likely affected in patients with MTBI is the pre-
frontal cortex. This region mediates several functions, including those req
uired for adequate attention. Three individuals, diagnosed with MTBI and di
fficulties with attention, volunteered to participate in the study. Individ
uals were presented with 10 weeks of cognitive retraining with the Attentio
n Process Training-II (APT-II) programme, followed by 6 or 7 weeks of educa
tional and applicational programmes. Cognitive tests were administered both
pre- and post-training to assess the effectiveness of the programme. Analy
sis of the results showed that the APT-II programme improved attention and
performance speed in each of the three individuals. In addition, any rehabi
litated cognitive skills remained stable in each individual in the absence
of the rehabilitation programme for at least 6 weeks.