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What traditional neuropsychological assessment got wrong about mild traumatic brain injury. IV: clinical applications
Erin D Bigler1,2, Steven Allder3, Benjamin T Dunkley4
1Department of Psychology and Neuroscience Center, Brigham Young University, Provo, Utah, USA.
Primary Objective:
Part IV concludes this four-part review of 'What Traditional Neuropsychological Assessment Got Wrong About Mild Traumatic Brain Injury,' with a focus on clinical applications and future directions.
Methods And Procedures:
These reviews have highlighted the limitations of traditional neuropsychological assessment methods, particularly in the evaluation of the patient with mild traumatic brain injury (mTBI), and especially within the context of all of the 21st Century advances in neuroimaging, quantification and network neuroscience.
Main Outcome And Results:
How advanced neuroimaging technology and contemporary network neuroscience can be applied to assessing the mTBI patient at this time along with neuroimaging of the future are reviewed. The current status of computerized neuropsychological test (CNT) development is reviewed as it applies to mTBI assessment. Likewise, how the future of various types of virtual reality (VR), artificial intelligence (AI), wearable sensors, and markerless gaming technology could enhance the mTBI CNT assessment tool box of the future is reviewed.
Conclusions:
The review concludes with some aspirational statements about how improvements along with novel CNT methods could be developed and integrated with advanced neuroimaging technologies in the future to be tailored to meet the needs of the mTBI patient.
Insights
This review explores limitations in traditional mild traumatic brain injury (mTBI) assessments. Future directions integrate advanced neuroimaging and novel computerized neuropsychological tests (CNTs) for improved mTBI evaluation.
Area of Science:
- Neuroscience
- Clinical Psychology
- Medical Technology
Background:
- Traditional neuropsychological assessment methods have limitations in evaluating mild traumatic brain injury (mTBI).
- 21st-century advancements in neuroimaging, quantification, and network neuroscience offer new perspectives for mTBI assessment.
- Existing assessment tools often fail to adequately capture the complexities of mTBI.
Purpose of the Study:
- To review the limitations of traditional neuropsychological assessment for mild traumatic brain injury (mTBI).
- To explore the clinical applications and future directions for mTBI assessment.
- To highlight how advanced technologies can improve mTBI evaluation.
Main Methods:
- Review of current literature on traditional neuropsychological assessment for mTBI.
- Analysis of advancements in neuroimaging and network neuroscience.
- Evaluation of the status and future potential of computerized neuropsychological tests (CNTs), including VR, AI, and wearable sensors.
Main Results:
- Traditional methods are insufficient for comprehensive mTBI evaluation in light of modern scientific advances.
- Advanced neuroimaging and network neuroscience offer promising avenues for mTBI assessment.
- Future computerized neuropsychological tests (CNTs) could be enhanced by virtual reality, artificial intelligence, and wearable sensors.
Conclusions:
- There is a need to move beyond traditional assessment methods for mTBI.
- Integrating advanced neuroimaging with novel CNTs is crucial for tailored mTBI patient care.
- Future research should focus on developing and validating these integrated approaches for improved mTBI outcomes.
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