Turkish Journal of Physical Medicine and Rehabilitation 2002 , Vol 48 , Num 5

Travmatik Beyin Hasarlı Hastalarda Kognitif Rehabilitasyon Programı ile Alınan Sonuçların Değerlendirilmesi

Ümit Dinçer 1 ,Rıdvan Alaca 2 ,A. Salim Göktepe 3 ,Kamil Yazıcıoğlu 4 ,Oktay Arpacıoğlu 5
1 Gata Haydarpaşa Eğitim Hastanesi, Fizik Tedavi ve Rehabilitasyon Kliniği, İstanbul, Türkiye
2 Gülhane Askeri Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Türk Silahlı Kuvvetleri Rehabilitasyon Merkezi, Ankara, Türkiye
3 Gulhane Military Medical Academy, Department of Physical Medicine and Rehabilitation, Ankara, Turkey
4 Gülhane Askeri Tıp Akademisi Türk Silahlı Kuvvetleri Rehabilitasyon Merkezi, Ankara
5 Gülhane Askeri Tıp Akademisi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Ankara

Cognitive dysfunctions are among the major problems of patients with traumatic brain injury. These dysfunctions are related to the size and the localization of the injury. Most of the cognitive problems need rehabilitation while few recover spontaneously. The aim of the study was to determine the cognitive deficits of the patients with traumatic brain injury and to assess the efficacy of the cognitive rehabilitation program. Cognitive rehabilitation programs consist of various methods but a standart approach does not exist yet. The cognitive levels and rehabilitation potentials of 17 patients with trau- matic brain injury who were admitted to an inpatient unit were evaluated. The Mini Mental Examination Scale, Ranco Los Amigos Levels of Cognitive Functioning and Ross Information Processing Assessment were applied to the patients, both before and after cognitive rehabilitation program. According to the results obtained at the end of the 20 days of cognitive rehabilitation program, a statistically significant improvement was observed in the cognitive functions of the patients.

Keywords : Traumatic brain injury, cognitive evaluation, cognitive rehabilitation.