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Memory Problems After Brain Damage Research
Can you name the Memory Problems After Brain Damage Research?
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Internal mnemonics tend not to be maintained or generalised and are incredibly difficult to learn.
Systematic review of 64 studies - strong evidence supporting the use of external memory aids to compensate for functional memory problems. Internal strategies are effective for tho
112 studies (2003-2008) reviewed. Use of errorless learning and external aids were effective across all the studies.
Review of 21 studies, most common and effective memory aid was a written memory notebook/daily planner.
26pps with memory problems three months after brain injury using a computer programme made for tasks remembering faces and names. Sig. improvements in all groups but not between gr
RBMA-E - detects suble decrements in memory performance not originally seen by the RBMA. 36 pps with acquired brain injury. Tested on both RBMA and RBMA-E. Group showed greater var
Inevstigated effectiveness of errorless learning strategies under gussing condition and errorless learning condition. Found that the errorless approach was significantly more effec
Patient had surgery which involved the bilateral removal of the medial temporal lobes to cure epilepsy. Resulted in complete anterograde and milder retrograde amnesia.
RBMA-E - double the amount of material and increased difficulty to avoid ceiling effects in the general population.
RCT design - learning to use external aids - Neuropage. Significant improvements for each group after introduction of Neuropage. Group A didn't return to baseline. 32% dropout rate
Single case study comparing standard notebook with a design of notebook with involved facing pages rather than sections. Patient LB, 46 years old with severe head injury followed b
Electronic aid and memory notebook - pps performed better with an electronic aid.
5-10 year follow up study of 43 pps with severe memory problems following a 3 week memory training group. 60% showed no change on memory tests but greater use of internal and exter
Forgetfulness was observed in 76% of patients for more than two years after their injury.
The scale which assesses performance on analogues of common every day memory tasks.
Case study - Jay - 20 year old law student, left posterior cerebral artery haemorrhage.
Patients with temporal lobe damage show a double dissociation between impairments for words vs faces, and it's related to which side is lesioned (Left=words, right=faces).
Cognitive stimulation therapy could promote neuroplasticity (the reorganising of the brain). However it does not generalise past the trained tasks.
There is yet no evidence for direct and lasting improvement through restitution-orientated therapies. Compensatory appears to be the treatment of choice.
Pocket computers - allow user to keep account of events as well as other information. More complex and required navigation. Pps preferred it to computer with touch screen.
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