ACADEMY OF LIFE PROGRAM FOR A PATIENT WITH SEVERE TRAUMATIC BRAIN INJURY TO THE FRONTAL LOBES
Journal Title: Acta Neuropsychologica - Year 2011, Vol 9, Issue 1
Abstract
The purpose of the present study was to evaluate the impact of the Academy of Life program on a patient with an extremely severe TBI and behavioral changes, who did not benefit from a long-term program of holistic rehabilitation for TBI patients. The patient, BA, a 42-year old male, suffered a massive cranio-facial injury with significant loss of tissue in the left frontal lobes after a motor vehicle accident. He was operated for a massive hematoma and remained in coma for 3 months. After awakening, he began walking, writing complete, sensible and grammatical sentences, and making rapid progress every day, but he showed serious attention and memory disturbances. Half a year later he also developed severe self-awareness and behavioral changes, characteristic of frontal syndrome. These difficulties made him dependent upon others and unable to function by himself in many situations of everyday life. Only a little progress was made after traditional rehabilitation. A personalized version of the Academy of Life Program was applied, with the active assistance of his family. Over the course of treatment, most of BA’s cognitive dysfunctions resolved. After one year of treatment considerable improvement was achieved. He regained self-awareness and frontal syndrome was reduced. The present case suggests that the prevailing views regarding the inadvisability of rehabilitation of frontal syndrome after TBI should be reconsidered.
Authors and Affiliations
Anna Rasmus, Beata Łukaszewska, Hanna Kowalska
Keywords
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