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Biomedical subjects

I Fussey

Publications and source records attributed to I Fussey.

3 recordsLinked to original sources

Computer-based cognitive retraining: a controlled study.

Microcomputers have gained popularity as treatment tools after severe head injury but there have been no controlled studies to show if the programmes used can modify behaviour or cognitive improvement. This paper describes a controlled study of such a training programme using three groups of subjects of ten each, one head-injured group using the computer, one head-injured group not using the computer, and a non-head-injured group. The study lasted 4 weeks. The only differences found were in the behavioural aspects of attention. Psychomotor and vigilance were not improved. The reasons for this are discussed.

Adult

The behavioural treatment of verbal interaction skills following severe head injury: a single case study.

This study reports the improvement of verbal interaction skills in a 27-year-old severely head-injured male who presented with an inappropriate attention-seeking circumlocutory conversational style. The patient was baselined on verbal response to three differing question forms, and then treated using combined cognitive behavioural methods on a daily sessional basis. Treatment resulted in a significant clinical change out of sessions, whilst the overall in-session improvement proved significant at the 0.05 level. Follow-up at 2 months indicated that the trend of improvement had continued beyond the treatment period.

Adult

The use of adapted leisure materials to reinforce correct head positioning in a brain-injured adult.

This study aims to highlight the possible use of adapted leisure materials in the modification of behavioural responses within the brain-injured population. Single-case methodology was used to evaluate the effectiveness of contingent reinforcement in promoting head posture in an adult brain-injured male. A microswitch was implanted within a headband worn by the subject, attached to a portable radio and positioned such that correct head posture operated the switch, completed the electric circuit and activated the music. The target behaviour was defined as the percentage of time in a walking programme where correct head posture was maintained. The experimental procedure incorporated an A-BC-B-BC-A design and represented the following phases: (A) baseline; (BC) headband + music and (B) headband, no music. A follow-up assessment was also undertaken 1 month later. Overall, statistical analysis revealed a significant increase in the target behaviour and that this improvement was directly contingent on the provision of music inforcement. Results are discussed in further detail and the clinical significance of this finding, over and above the statistical significance, is highlighted in terms of this individual's rehabilitation.

Adult