| Abstract [eng] |
People who have had injuries to the brain suffer from various residual motor and cognitive impairments. Rehabilitation methods are used for restoration of motor function, however, these methods usually lack attention paid to the recovery of cognitive function – there are few such techniques. One of them is a dual-task methodology, which is suitable for restoration of both motor and cognitive functions. This technique allows combining the physiotherapy program and the tasks related to the development of cognitive functions. The subject of the research is the possibilities of restoration of cognitive functions in the individual with traumatic brain injury by applying a dual-task technique. The aim of the research is to reveal the possibilities of restoration of cognitive functions in the individual with traumatic brain injury by applying a dual-task technique. The paper seeks to achieve the following objectives: 1. To reveal theoretical paradigms of neurorehabilitation describing the mechanisms of the restoration of cognitive functions in individuals who have experienced traumatic brain injuries (TBI). 2. To determine the impact of the dual-task method on the performance of cognitive functions in individuals with TBI during physiotherapy, based on the paradigm of A. Luria's theory of neurorehabilitation. 3. To determine the dynamics of cognitive processes by using a standardized dual-task method. 4. To prepare recommendations for specialists to apply the dual-task method in the process of physiotherapy for restoration of cognitive functions in individuals with TBI. The research employs the following research methods: One respondent with traumatic brain injury participated in the study; the analysis of patient’s case history/medical documents was performed. The mobility function of the respondent was tested by using Rivermead Mobility Index and the cognitive functions was tested by using Montreal Cognitive Assessment (MoCA) screening tool at the beginning of the study, after 1 month, after 2 months and after 3 months. During all the sessions, memory capacity was assessed by using the adapted 10–word assessment test. Findings. The results of the study reveal the following changes in the restoration of motor and cognitive functions: 56 1. Traumatic brain injuries usually result in both residual motor impairment and cognitive deficit. Neurorehabilitation of impaired cognitive functions is based on a learning process closely related to memory. 2. It has been determined that the changes in restoration of such cognitive functions as visual-spatial abilities, executive functions, speech, long-term memory and orientation are observed two months after the start of the study, simultaneously the improvement in such mobility functions as change of position and walking on the rough surface is determined.. |
