Fundarò Cira, Maffoni Marina, Boselli Mirella
Neuropathophysiology Unit of Montescano Institute, Istituti Clinici Scientifici Maugeri IRCCS, Montescano, Pavia, Italy.
Psychology Unit of Montescano Institute, Istituti Clinici Scientifici Maugeri IRCCS, Montescano, Pavia, Italy.
Case Rep Neurol Med. 2025 Sep 7;2025:5311669. doi: 10.1155/crnm/5311669. eCollection 2025.
The rehabilitation of patients with severe acquired brain injury (sABI) presents various challenges. There is still a lack of knowledge regarding the efficacy and timing of high-technology (HT) rehabilitation in this clinical population. This paper describes the rehabilitation of a 56-year-old Caucasian woman who developed sABI due to the spontaneous rupture of multiple left middle cerebral artery aneurysms. The focus is on the interconnection between cognitive resources and motor-cognitive abilities to implement HT rehabilitation as early as possible, aiming to maximize the restoration of both motor and cognitive deficits. Following the acute clinical phase, the patient underwent an intensive multidisciplinary rehabilitation, which is described in this paper. The main target was the superior limb training with HT using an upper limb exoskeleton and augmented feedback exercises. The rehabilitative exercises have been selected and timed according to the neuropsychological assessment. The patient showed progressive cognitive and upper limb motor recovery along the tailored rehabilitative path. This case study provides useful insights into the value of a customized motor-cognitive HT rehabilitative approach, allowing for the best possible functional outcome in a case of sABI.
重度获得性脑损伤（sABI）患者的康复面临各种挑战。对于这一临床群体中高科技（HT）康复的疗效和时机，目前仍缺乏了解。本文描述了一名56岁白种女性的康复情况，该患者因左侧大脑中动脉多发动脉瘤自发破裂而导致sABI。重点在于认知资源与运动认知能力之间的相互联系，以便尽早实施HT康复，旨在最大程度恢复运动和认知功能障碍。在急性期过后，患者接受了强化多学科康复治疗，本文对此进行了描述。主要目标是使用上肢外骨骼和增强反馈练习对上肢进行HT训练。康复训练根据神经心理学评估进行选择和安排时间。沿着量身定制的康复路径，患者的认知和上肢运动功能逐渐恢复。本案例研究为定制化运动认知HT康复方法的价值提供了有益见解，有望在sABI病例中实现最佳功能预后。
