From Fundamental Principles of Memory Organisation Towards Neurorehabilitation: A Literature Review and Case Reportстатья
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Дата последнего поиска статьи во внешних источниках: 6 декабря 2018 г.
Аннотация:Background. Contemporary rehabilitation of memory impairments relies on the use of
external compensatory strategies. In Russian neuropsychological tradition, rehabilitation
is understood as a transformation of a higher mental function, based on intact elements
of that function and on use of external and internal means. Such a restructuration approach
may be applied to memory.
Objective. Tis article describes the basic principles underlying memory rehabilitation
and gives an example of their successful implementation in a clinical case.
Design. A 62-year-old patient was admitted 6 months afer severe traumatic brain
injury with primary damage to his lef frontal and temporal lobes. He faced difculties
in social living and activities of daily life, mainly due to memory impairment. Neuropsychological
assessment revealed moderate impairment of diferent memory types: modal
nonspecifc impairment with mild but persistent impairments in autobiographic and
semantic memories. During a 3-week rehabilitation program, an algorithm involving
the use of text was developed in consideration of the structure of memory impairment
(impaired selectiveness, excessive inhibition and pathologic inertness of memory traces).
Results. Afer multiple trials and modifcations, the resulting algorithm (written
retelling with the use of keywords, self-correction with writing correct variants instead
of errors), allowed reproduction of the presented text with 100% recall of signifcant information
and no false memories. Te use of the developed memorization technique in
everyday life allowed the patient to efectively memorize relevant information.
Conclusion. Te described approach—restructuration of memory on the basis of
preserved chains—is a feasible strategy of memory rehabilitation.
Keywords: neuropsychological rehabilitation, neurorehabilitation, memory, traumatic
brain injury