The effects of plasticity-based cognitive rehabilitation on resting-state functional connectivity in chronic traumatic brain injury: A pilot study.

BACKGROUND: Traumatic brain injury (TBI) often results in chronic impairments to cognitive function, and these may be related to disrupted functional connectivity (FC) of the brain at rest. OBJECTIVE: To investigate changes in default mode network (DMN) FC in adults with chronic TBI following 40 hou...

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Publicado en:NeuroRehabilitation Vol. 51; no. 1; pp. 133 - 151
Autores principales: Lindsey, Hannah M., Lazar, Mariana, Mercuri, Giulia, Rath, Joseph F., Bushnik, Tamara, Flanagan, Steven, Voelbel, Gerald T.
Formato: diagnostic images research tables/charts Journal Article
Publicado: Sage Publications Inc. 2022
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.3233/NRE-210264
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        atl: The effects of plasticity-based cognitive rehabilitation on resting-state functional connectivity in chronic traumatic brain injury: A pilot study.
      aug:
        au:
          Lindsey, Hannah M.
          Lazar, Mariana
          Mercuri, Giulia
          Rath, Joseph F.
          Bushnik, Tamara
          Flanagan, Steven
          Voelbel, Gerald T.
        affil: Traumatic Brain Injury and Concussion Center, Department of Neurology, University of Utah, Salt Lake City, UT, USA
      sug:
        subj:
          Brain Injuries Rehabilitation
          Rehabilitation, Cognitive
          Functional Connectivity Evaluation
          Human
          Pilot Studies
          Cognition
          After Care
          Effect Size
          Neuronal Plasticity
          Repeated Measures
          Analysis of Covariance
          Adult
          Adult: 19-44 years
      ab: BACKGROUND: Traumatic brain injury (TBI) often results in chronic impairments to cognitive function, and these may be related to disrupted functional connectivity (FC) of the brain at rest. OBJECTIVE: To investigate changes in default mode network (DMN) FC in adults with chronic TBI following 40 hours of auditory processing speed training. METHODS: Eleven adults with chronic TBI underwent 40-hours of auditory processing speed training over 13-weeks and seven adults with chronic TBI were assigned to a non-intervention control group. For all participants, resting-state FC and cognitive and self-reported function were measured at baseline and at a follow-up visit 13-weeks later. RESULTS: No significant group differences in cognitive function or resting-state FC were observed at baseline. Following training, the intervention group demonstrated objective and subjective improvements on cognitive measures with moderate-to-large effect sizes. Repeated measures ANCOVAs revealed significant (p < 0.001) group×time interactions, suggesting training-related changes in DMN FC, and semipartial correlations demonstrated that these were associated with changes in cognitive functioning. CONCLUSIONS: Changes in the FC between the DMN and other resting-state networks involved in the maintenance and manipulation of internal information, attention, and sensorimotor functioning may be facilitated through consistent participation in plasticity-based auditory processing speed training in adults with chronic TBI.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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