I'm Aoi Hashima , an occupational therapist working in Saga Sumai and Fukuoka.
Those who meet the "diagnostic criteria for high brain dysfunction" can continue to recover from high brain dysfunction after 180 days of recovery from cerebrovascular disease.
*What are the diagnostic criteria for advanced brain dysfunction?
The diagnostic criteria for advanced brain dysfunction are as follows.
ーーーーーーーーーーーーーーーーーーーーーーーーー
Diagnostic criteria
The main symptoms, etc.
1. Unintentional injuries and diseases that have been confirmed to cause organic brain lesions.
2. They currently have limitations in their daily life or social life, mainly due to cognitive deficits such as memory impairment, attention deficit, executive dysfunction, and social behavioral impairment.
2. Laboratory results
The presence of organic lesions in the brain thought to be the cause of cognitive impairment has been confirmed by MRI, CT, EEG, etc., or the presence of organic lesions in the brain can be confirmed from medical certificates.
3. Exclusions
1. In cognitive impairment based on organic brain lesions, persons with symptoms that can be identified as physical disabilities but lacking the above-mentioned main symptoms (I-2) are excluded.
2. Pre-existing symptoms and laboratory findings prior to injury or onset were excluded from diagnosis.
3. Congenital diseases, perinatal brain injuries, developmental disorders and progressive diseases are excluded.
4. Diagnosis
1. When I to III are all satisfied, a diagnosis of high-grade brain dysfunction is made.
2. Higher brain dysfunction can be diagnosed after the trauma or acute phase of the disease leading to organic brain lesions has passed.
3. The results of neuropsychological tests may be helpful.
Source: Advanced Brain Dysfunction Diagnostic Criteria <br>ーーーーーーーーーーーーーーーーーーーーーーーーー
In an advanced brain dysfunction rehabilitation model project, we report the effect of training on people 180 days after onset.
Other published case reports include:
- Citations and References 4)
"Over a 10-year period, patients with visuospatial cognitive impairment showed improvements in neuropsychological tests and in daily life, but from qualitative observations, restoration of function due to neural network reorganization alone was sufficient. It has been suggested that supplementation by Contribute to various strategies using residual functions."
- Citations and References 5)
"Functional recovery occurs 7-27 months after the onset, mainly language comprehension, 28-55 months after the onset, the expression ability is mainly reading, and 56-70 months after the onset, the writing ability is the main. Rice field. "
"It is hypothesized that exposure to external language stimuli in everyday life can restore language function even when speech therapy is interrupted."
- Citations and References 6)
"1) Recovery from aphasia symptoms varies widely depending on the site of injury and age at onset, but in most cases it takes at least 6 months to recover, and 2) Recovery of function after speech therapy can be fragile. High quality
As a case report, you can view reports of long-term improvement and recovery in symptoms of advanced brain dysfunction.
The people I'm in charge of with higher brain dysfunction have been sick for days and I sometimes keep in touch with them on social media, but I want to support them because I believe recovery can improve them.
Citations/references
1) Junko Abe et al.: Recovery of advanced brain dysfunction after brain injury. Human Environment Studies 2004 Vol.2 No.2
https://www.jstage.jst.go.jp/article/shes/2/2/2_2_2_35/_pdf/-char/ja
2) Chiai Fukuyama et al.: An approach focus on self-awareness for high brainfunctions in the higher brain recovery period. Occupational Therapy 40: 519-526, 2021
https://www.jstage.jst.go.jp/article/jotr/40/4/40_519/_pdf/-char/ja
3) Advanced Brain Dysfunction Information and Support Center of National Rehabilitation Center for Disabled Persons: Basic Coping and Support
https://www.pref.nagasaki.jp/shared/uploads/2021/04/1619417051.pdf
4) Kyoko Suzuki: The life of patients with visuospatial cognitive impairment - a 10-year course of treatment for patients with bilateral parietal lobe injury - Advanced Brain Function Research 38(3): 331-338, 2018
https://www.jstage.jst.go.jp/article/hbfr/38/3/38_331/_pdf
5) Kondo, Ikue et al.: The recovery process in aphasia - a 6-year course study including 2 years and 3 months of treatment interruption -. Higher Brain Function Research 35(3): 332-337, 2015
https://www.jstage.jst.go.jp/article/hbfr/35/3/35_332/_pdf
6) Yoshihisa Nakagawa: Long-term recovery from aphasia. Higher brain function research 34 (3): 305-314, 2014
https://www.jstage.jst.go.jp/article/hbfr/34/3/34_305/_pdf
,ﾟ.:｡+ﾟThank you for reading to the end,ﾟ.:｡+ﾟ
ーーーーーーーーーーーーーーーーーーーーーーー
This article was reprinted on September 22 , 2022 on Aoi Hashima's blog " Stroke Rehabilitation Longevity Consultation Center " .