PSYCHOLOGICAL REHABILITATION

Author: MACHUCA MURGA FERNANDO.
Year: 2005.
University: SEVILLA [www.us.es].
Place of defense: VICERRECTORADO DE POSTGRADO Y DOCTORADO DE LA UNIVERSIDAD DE SEVILLA.
Place of preparation: FACULTAD DE PSICOLOGÍA, UNIVERSIDAD DE SEVILLA.

Summary: In this paper justifies the need to start early rehabilitation neuropsicológica during postaguda of recovery of traumatic brain injury. We studied at admission and discharge of treatments through a program of rehabilitation of brain damage C.RE.CER. Multidisciplinary, comprehensive and intensive two groups of 29 patients each with injury (TBI) craneoencefálico serious. The first group home rehabilitation before they passed 9 months after suffering the EC (early group). The second group home rehabilitation after they had passed 9 months since suffered the TEC (Late group). All results of the treatment were evaluated through the Functional Assessment Scale (FIMFAM) and the scale of assessment of disability (DRS). The data showed that both groups experienced a significant improvement at the end of treatment in all areas of activities of daily living valued by these scales, while the group that began the rehabilitation of early, reaching a recovery significantly higher than the group to do so late. We profile the patient with better prognosis for recovery wing face end (young, injury free front or bihemisféricas, with initial GCS greater 6 and unaltered language or sensitivomotoras added to the neuropsychological). Significant correlations were also found between the high and functionality neuropsicológica good recovery in other areas of daily life. It concludes by stating among other things that: * The early-onset neuropsicológica rehabilitation in patients with severe ECT produces a greater recovery of functionality and greater reduction in the disability of these patients. * Rehabilitation neuropsicológica holistica is effective for patients with severe TEC even when it starts so late (until 2 years after ECT). * The program C.RE.CER multidisicplinar, comprehensive and intensive is effective for the functional recovery of patients with severe TEC.

Author: BATISTA CHAVES CRUZ EDUARDO.
Year: 2005.
University: SALAMANCA [www.usal.es].
Place of defense: FACULTAD DE PSICOLOGIA.
Place of preparation: FACULTAD DE PSICOLOGIA.

Summary: The study analyzed the patterns of interaction communicative of 40 children with Cerebral Palsy (aged 2-7 years) is not speaking users of Alternative Systems and Aumentativos Communications (SAAC) with their primary caregivers. The díadas were video taped in a state of free game for 15 minutes. The interaction was then transcribed video recorded in a protocol for observation and codified relatively 5 categories of variables: mother-child communication patterns, management of the conversation, educational strategies implied, frequency shifts and communication functions. In regard to the mother-child communication patterns, the results showed a pattern of directivity of the mother primarily in taking initiative to begin interaction, where 100% of the mothers do, especially several times ( 85%), and to a lesser extent sometimes (15%). Similar results were obtained in the kind of questions that made: records show that 85% of mothers turn to their children with questions favor of yes or no answers from them. As for the analysis of the shift, 70% of caregivers who have received training in the SAAC manage communication in a way compensated for by their children, compared with 40.6% of those who have not received. It was also verified significant differences in the behavior of communication from the mother as to the time training in the SAAC: 72.2% of mothers with less than 1 year of training is not responding to communication sounds by the child, compared to 45 , 0% over 1 year of training at the SAAC. The variable educational strategies implied, presents utilization rates very low in all groups except the expansion strategy that is around 50%. Finally, communicative functions are independent of the type of Alternative System and Aumentativo Communications. We concluded that future research should be directed toward the training of primary caregivers in the use of SAAC and teaching strategies for both partners involved in the interaction.

Author: MACHUCA MURGA FERNANDO LUIS.
Year: 2005.
University: SEVILLA [www.us.es].
Place of defense: VICERRECTORADO DE POSTGRADO Y DOCTORADO DE LA UNIVERSIDAD DE SEVILLA.
Place of preparation: FACULTAD DE PSICOLOGÍA. UNIVERSIDAD DE SEVILLA.

Summary: In this paper justifies the need to start early rehabilitation neuropsicológica during postaguda of recovery of traumatic brain injury. We studied at admission and discharge of treatments through a program of rehabilitation of brain damage C.RE.CER. Multidisciplinary, comprehensive and intensive two groups of 29 patients each with injury (TBI) craneoencefálico serious. The first group home rehabilitation before they passed 9 months after suffering the EC (early group). The second group home rehabilitation after they had passed 9 months since suffered the EC (early group), the second group home rehabilitation after they had passed 9 months since suffered the TEC (TardÌos group). All results of the treatment were evaluated through the Functional Assessment Scale (FIM + FAM) and the scale of assessment of disability (DRS). The data showed that both groups experienced a significant improvement at the end of treatment of all areas of activities of daily living valued by these scales, while the group that began the rehabilitation of early, reaching a recovery significantly higher than the group to do so late. We profile the patient with better prognosis with regard to the ultimate recovery (young, injury free front or bihemisféricas, with initial GCS greater 6 and unaltered language or sensitivomotoras added to the neuropsychological). Significant correlations were also found between functionality neuropsicologíca discharge and good recovery in other areas of daily life. It concludes by stating among other things that: * Early initiation of neuropsychological rehabilitation in patients with severe ECT produces a greater recovery of functionality and greater reduction in the disability of these patients. * Neuropsicológica holistic rehabilitation is effective for patients with severe TEC even when it starts so late (until 2 years after ECT). * The program C.RE.CER. Multidisciplinary, comprehensive and intensive is effective for the functional recovery of patients with severe TEC.