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Rehabilitation lecture notes

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  • December 15, 2022
  • 7
  • 2022/2023
  • Class notes
  • School of psychology
  • All classes
  • Unknown
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Rehabilitation

Cognitive Rehabilitation

an intervention in which patients and their families work with health professionals
to restore or compensate for cognitive deficits, thereby improving the patients’
everyday functioning (Anderson et al., 2003)

team effort

restoration or compensation

meaning and measurable improvements



WHO (1999) Classification

Impairments - structure or function

Disability - deficits in capacity to carry out day to day behaviours

Restrictions - changes to involvement in life arenas (e.g. work or social
engagement



Case Study: Tom
23 years, traffic accident, bilateral frontal lobe damage.

impairments - structure: functional lobe damage; function: executive dysfunction,
planning, organisation

Disability - problems getting started, easily distracted, multitasking,
perseveration

Restrictions - in situations with no structure, many options available, thinking on
feet



Mechanisms of Recovery

restoration - structures known to subserve an impaired function are activated




Rehabilitation 1

, compensation - function is subserved by distinct mechanisms to those found in
controls



Cortical Plasticity

Hebb (1949) strengthening of synaptic connections when pre-post-synaptic
neurons are coactive

Neurons divided by lesion can reconnect if activated simultaneously

“cells that fire together, wire together”



Recovery Patterns




Triage of Recovery Patterns:

autonomous recovery

no recovery

assisted recovery



Autonomous Recovery

Dendritic sprouting of cells in caudate nucleus in PD



Rehabilitation 2

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