Research Reports - Rehabilitation following cerebral anoxia
Brain Inj. 2016 Jan;30(1):95-103. doi: 10.3109/02699052.2015.1113563. Epub 2016
Tazopoulou E(1,)(2), Miljkovitch R(3), Truelle JL(2,)(4), Schnitzler A(2,)(4),
Onillon M(2,)(5), Zucco T(2), Hawthorne G(6), Montreuil M(1).
OBJECTIVES: (1) To evaluate cognitive and emotional impairments, disability and
quality-of-life for adults with cerebral anoxia institutionalized in residential
care facilities. (2) To evaluate the efficacy of medication, psychotherapy,
support group and therapeutic activities.
METHODS: Twenty-seven persons with cerebral anoxia were recruited, on average 8
years post-injury. Only 20 went through the whole study. Over three consecutive
2-month periods, they were assessed four times to evaluate: baseline observations
(T1-T2), adjustment of their medication (T2-T3); and the effect of psychotherapy,
support group and therapeutic activities such as physical and artistic or
cultural activities usually proposed in the facilities involved (T3-T4). Examined
variables at all time points were cognitive status, anxiety and depression,
anosognosia, alexithymia, disability and quality-of-life.
RESULTS: All participants exhibited cognitive and emotional impairments
comparable to those reported in the literature. Statistical analyses revealed
good baseline stability of their condition and no significant effects of changes
in medication (between T2 and T3). Conversely, following implementation of
psychotherapy, support group and therapeutic activities (between T3 and T4),
quality-of-life and social participation were significantly improved.
CONCLUSION: Social participation and quality-of-life for persons instutionalized
several years after cerebral anoxia were improved by psychotherapeutic and