Outcomes from a pilot study using computer-based rehabilitative tools in a military population

Area of Science:

• Neuroscience
• Rehabilitation Medicine
• Military Health

Background:

• Cognitive rehabilitation for traumatic brain injury (TBI) needs novel approaches and outcome data.
• Computer-based brain-fitness programs offer potential benefits like maximizing neuroplasticity and providing objective efficacy data.
• These approaches are understudied in the military TBI population.

Purpose of the Study:

• To evaluate the effectiveness of a Brain Fitness Center (BFC) program utilizing computer-based brain-training for Service Members with TBI.
• To assess changes in self-reported cognitive, functional, and life satisfaction symptoms post-intervention.

Main Methods:

• A retrospective chart review of the first 29 participants in the BFC program at Walter Reed National Military Medical Center.
• Participants completed subjective assessments including the Mayo-Portland Adaptability Inventory-4 (MPAI-4), Neurobehavioral Symptom Inventory (NBSI), and Satisfaction with Life Scale (SWLS) pre- and post-intervention.
• Statistical analysis was performed on pre- and post-intervention scores.

Main Results:

• Two of three self-report questionnaires (MPAI-4 and NBSI) showed statistically significant reductions in symptom severity (p < .05).
• No significant differences were found in the Satisfaction with Life Scale (SWLS) scores.
• Preliminary results indicate a trend towards improved self-reported cognitive and functional symptoms.

Conclusions:

• The Brain Fitness Center program shows promise in reducing self-reported cognitive and functional symptoms in military Service Members with TBI.
• Computer-based cognitive rehabilitation may serve as a valuable adjunct to traditional therapies for this population.
• Further research with larger sample sizes and controlled designs is warranted to confirm efficacy.