Evidence map›Paper›PMID 30741708›Full record

ArticleRestorative neurology and neuroscience2019

Dynamic cognitive remediation for a Traumatic Brain Injury (TBI) significantly improves attention, working memory, processing speed, and reading fluency.

Teri Lawton, Ming-Xiong Huang

Abstract read
In one paragraph

Article in Restorative neurology and neuroscience, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Association of life-course traumatic brain injury with dementia risk: A nationwide twin study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023
    Article
  8. Article
  9. Article
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Teri LawtonDepartment of Cognitive Neuroscience, Perception Dynamics Institute, Encinitas, CA, USA.
Ming-Xiong HuangRadiology and Research Services, VA San Diego Healthcare System, San Diego, CA, USA.

Funding

Neuroimaging Investigation of mTBI and its Potentiation of PTSD in VeteransI01CX000499 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI HUANG, MINGXIONG · 2012 to 2019
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Passive electrical neurofeedback treatment of mTBI: MEG and Behavioral OutcomesI01RX001988 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI HUANG, MINGXIONG · 2018 to 2022
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CSRD VA I01 CX000499RRD VA I01 RX001988
6 · The paper itself

Abstract

backgroundIn the U.S. 3.8 million people have a Traumatic Brain Injury (TBI) each year. Rapid brain training exercises to improve cognitive function after a mild TBI are needed.

objectiveThis study determines whether cognitive remediation by discriminating the direction a test pattern moves relative to a stationary background (movement figure-ground discrimination) improves the vision and cognitive deficits that result from a TBI, providing a paradigm shift in treatment methods.

methodsMovement-discrimination neurotraining was used to remediate low-level visual timing deficits in the dorsal stream to determine whether it improved high-level cognitive functions, such as processing speed, reading fluency, and the executive control functions of attention and working memory in four men with a TBI between the ages of 15-68. Standardized tests, as well as Magnetoencephalography (MEG) brain imaging, were administered at the beginning and end of 8-16 weeks of intervention training to evaluate improvements in cognitive skills.

resultsMovement-discrimination cognitive neurotraining remediated both low-level visual timing deficits and high-level cognitive functioning, including selective and sustained attention, reading fluency, processing speed, and working memory for all TBI patients we studied. MEG brain imaging, using the Fast-VESTAL procedure, showed that this movement-discrimination training improved time-locked activity in the dorsal stream, attention, and executive control networks.

conclusionsRemediating visual timing deficits in the dorsal stream revealed the causal role of visual movement discrimination training in improving high-level cognitive functions such as focusing and switching attention, working memory, processing speed, and reading. This study found that movement-discrimination training was very rapid and effective in remediating cognitive deficits, providing a new approach that is very beneficial for treating a mild TBI.

Indexed as

Cognitive RemediationMental ProcessesReadingAdolescentAgedBrainBrain Injuries, TraumaticHumansMaleMiddle AgedNeurological RehabilitationTreatment Outcomeattentionbrain exercisecortical plasticitydorsal streamMEGneurorehabilitationperceptual learningprocessing speedreadingTraumatic brain injuriesvisual timingworking memory

Identifiers

PMID30741708
PMCPMC6481540

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.