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CES Psicología

On-line version ISSN 2011-3080

Abstract

CUERVO CUESTA, María Teresa  and  CADAVID RUIZ, Natalia. Rehabilitation of executive functioning in a case of Traumatic Brain Injury -TBI- severe. CES Psicol [online]. 2023, vol.16, n.2, pp.31-45.  Epub May 26, 2023. ISSN 2011-3080.  https://doi.org/10.21615/cesp.6460.

Introduction:

despite the high incidence of executive symptoms after suffering a Traumatic Brain Injury (TBI), few studies assess the effectiveness of programs to the rehabilitation of executive functions (EF).

Objective:

to assess the effect of a rehabilitation program on inhibition and working memory, in a patient with severe TBI.

Methods:

an AB design with follow-up was used with a computerized program of 15 sessions, offered three times a week. The program efficacy was evaluated by sampling two target behaviors during different phases (baseline, during, post-intervention and long-term) and with standardized tests of inhibition and working memory (pre and post-intervention).

Results:

visual analysis revealed an upward trajectory in inhibition and working memory, with greater stability in the immediate and long-term evaluations. However, these changes cannot be fully attributed to the program.

Conclusions:

the rehabilitation program improved the process of inhibition with minimal effects on working memory. The former suggests that the intervention looks promising as a specific cognitive intervention but not a global stimulation resource for executive functions. In this respect, single-case designs are a valuable resource to ensure rigorous monitoring of the application and evaluation of interventions and analyze their effectiveness.

Keywords : rehabilitation; neuropsychological rehabilitation; executive functions; inhibition; working memory; traumatic brain injury; TBI.

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