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Cognitive remediation in pediatric head injury: a case study
1Alfred I duPont Institute, Wilmington, Delaware 19899.
Journal of Pediatric Psychology
|October 1, 1991
Summary
This case study details a cognitive remediation approach for a pediatric head injury survivor, focusing on mathematical skills. The tailored, behavioral treatment successfully improved computation abilities and generalized skills to other math areas.
Area of Science:
- Neuroscience
- Pediatric Psychology
- Rehabilitation Medicine
Background:
- Cognitive remediation strategies for pediatric head injury survivors are underdeveloped.
- Severe traumatic brain injury (TBI) in children can lead to lasting cognitive deficits.
- There is a need for tailored interventions addressing the unique challenges faced by young TBI patients.
Observation:
- A 16-year-old male, 1.5 years post-severe TBI, was the subject of this case study.
- The individual presented with significant cognitive challenges impacting academic functioning.
- A specific functional academic goal was established: competence in mathematical computation.
Findings:
- A behavioral, individually tailored cognitive remediation model was implemented.
- The treatment course involved specific techniques designed for the pediatric TBI survivor.
- The patient successfully achieved the set goals in mathematical computation.
- Generalization of acquired skills was observed in related, non-targeted math domains.
Implications:
- This case study demonstrates a viable cognitive remediation model for pediatric TBI survivors.
- The findings suggest that tailored, behavior-based interventions can effectively address academic deficits post-TBI.
- The observed skill generalization highlights the potential for broader cognitive improvements beyond the primary treatment focus.