Related Experiment Video
Updated: Oct 25, 2025
A Preclinical Controlled Cortical Impact Model for Traumatic Hemorrhage Contusion and Neuroinflammation
Published on: June 10, 2020
ICF model implementation in an interdisciplinary intervention for intraparenchymal hemorrhage (IPH) with focus on
Martina Vigorè1, Nicolò Granata1, Laura Ranzini1
1Psychology Unit, Istituti Clinici Scientifici Maugeri IRCCS, Montescano Institute, Pavia, Italy.
Insights
Intensive rehabilitation for spontaneous intraparenchymal hemorrhage (IPH) significantly improves cognitive, motor, and functional abilities. These gains are largely maintained long-term with interdisciplinary care.
Area of Science:
- Neurology
- Rehabilitation Medicine
Background:
- Spontaneous intraparenchymal hemorrhage (IPH) is a common condition with significant impacts on patient outcomes.
- IPH can affect motor skills, cognitive functions, and emotional regulation.
Observation:
- A 60-year-old male with IPH presented with left hemiparesis, dysphagia, cognitive deficits, and emotional dysregulation.
- The patient underwent a 4-month intensive interdisciplinary rehabilitative intervention.
Findings:
- Post-intervention assessments revealed significant improvements in cognitive, motor, speech, and functional performances.
- Emotional regulation also showed positive changes following the rehabilitative program.
- One-year follow-up demonstrated sustained functional gains, indicating long-term benefits of the intervention.
Implications:
- Interdisciplinary rehabilitation is crucial for optimizing clinical outcomes after IPH.
- Early and comprehensive rehabilitative strategies can lead to sustained functional recovery and improved quality of life.
Summary:
Spontaneous intraparenchymal hemorrhage (IPH) is relatively common and has a very important impact on clinical outcomes, motor and functional abilities and it may affect different cognitive domains. A 60-year-old male was admitted in post-acute phase, at Istituti Clinici Scientifici Maugeri IRCCS, to undertake neuro-motor treatment for a period of 4 months. The patient was affected by IPH. The clinical presentation revealed left hemiparesis, mild dysphagia, cognitive deficits (attention, visuospatial abilities and executive functions), psychiatric symptoms, emotional dysregulation and previous difficulties in medication management. The patient received an intensive cognitive, motor, speech and occupational rehabilitative intervention. Neuropsychological, motor, speech and occupational assessment and computerized tomography were performed before and after rehabilitative training to evaluate changes after the interdisciplinary intervention. The patient showed an improvement in cognitive, motor, speech and functional performances as well as in emotional aspects. After 1 year at home, the patient performed an outpatient visit that shown the substantial maintenance of the performances reached after the rehabilitative intervention. Rehabilitative interventions after IPH should always be provided by interdisciplinary teams in order to reach the best possible clinical outcomes and to maintain them over time.
