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Landry Lysanne - One of the best experts on this subject based on the ideXlab platform.
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Entraînement à la pleine conscience via la réalité virtuelle immersive auprès de personnes ayant des symptômes post-commotionnels persistants suite à un traumatisme craniocérébral léger : une étude de cas
2020Co-Authors: Landry LysanneAbstract:Problématique : Chaque année, plus de 30 000 Canadiens subissent un traumatisme craniocérébral léger et vivent divers symptômes d’ordre physique, cognitif ou affectif. Pour la plupart, ces symptômes se résorbent à l’intérieur des trois premiers mois. Cependant, pour 5 à 15 % d’entre eux, les plaintes persistent bien au-delà de cette période donnant lieu à un Syndrome post-commotionnel. Des conséquences variées en découlent pour ces personnes qui éprouvent bien souvent une détresse émotionnelle et des difficultés à retourner au travail, à l’école ou tout simplement à être autonome au quotidien. Pour intervenir auprès de ces personnes, de nouvelles interventions basées sur la pleine conscience ont démontré des effets importants entre autres sur la flexibilité psychologique, les cognitions et l’humeur. Objectif : L’objectif de la recherche est de présenter un nouveau protocole d’entraînement à la pleine conscience implanté dans un environnement virtuel immersif afin d’en observer ses effets sur certaines variables telles que les difficultés d’attention, les symptômes post-commotionnels persistants, l’inflexibilité psychologique et les variations de l’humeur. Méthode : Au total, quatre participants présentant un Syndrome post-commotionnel ont complété le programme de 8 semaines basé sur les principes de la pleine conscience. Ils ont également effectué à trois reprises une évaluation comprenant des tests neuropsychologiques et des questionnaires afin d’estimer les effets de l’intervention. Résultats : Les différentes analyses ont révélé une amélioration du fonctionnement attentionnel la plupart des participants. Des variations concernant les symptômes post-commotionnels, la flexibilité psychologique et l’humeur ont également été observées. Conclusion : Ces résultats suggèrent qu’un tel programme basé sur la pleine conscience et suivi en réalité virtuelle immersive est prometteur. Toutefois, des recherches supplémentaires sont nécessaires et la mise en place de devis de recherche contrôlé et randomisé est suggérée.Background: Each year, more than 30,000 Canadians experience mild brain injury and have a variety of physical, cognitive and emotional symptoms. For the majority, these symptoms will resorb within the first three months. However, for 5-15% of them, the symptoms persist well beyond this period giving rise to the Post-Concussion Syndrome. There are various consequences for these people who often experience emotional distress and difficulties returning to work, school, or simply being independent on a daily basis. To intervene with these people, new intervention methods based on mindfulness have shown significant effects on psychological flexibility, cognition, and mood. Objective: The objective of the research is to present a new mindfulness training protocol implemented in an immersive virtual environment to observe its effects on certain variables such as attention difficulties, persistent post-concussive symptoms, psychological inflexibility, and mood variations. Method: A total of four participants with post-concussive Syndrome completed the 8-week program based on the principles of mindfulness. They also performed three assessments including neuropsychological tests and questionnaires to estimate the effects of the intervention. Results: The different analysis revealed an improvement in attentional functioning for most of the participants. Variations in post-concussive symptoms, in mood and psychological flexibility were also observed. Conclusion: These results suggest that such a program based on mindfulness and follow-up in immersive virtual reality is promising. However, additional research is needed and the setting up of randomized controlled research proposals is suggested
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Entraînement à la pleine conscience via la réalité virtuelle immersive auprès de personnes ayant des symptômes post-commotionnels persistants suite à un traumatisme craniocérébral léger : une étude de cas
2020Co-Authors: Landry LysanneAbstract:Essai doctoral présenté en vue de l’obtention du grade de Doctorat en psychologie option neuropsychologie clinique (D.Psy.)Problématique : Chaque année, plus de 30 000 Canadiens subissent un traumatisme craniocérébral léger et vivent divers symptômes d’ordre physique, cognitif ou affectif. Pour la plupart, ces symptômes se résorbent à l’intérieur des trois premiers mois. Cependant, pour 5 à 15 % d’entre eux, les plaintes persistent bien au-delà de cette période donnant lieu à un Syndrome post-commotionnel. Des conséquences variées en découlent pour ces personnes qui éprouvent bien souvent une détresse émotionnelle et des difficultés à retourner au travail, à l’école ou tout simplement à être autonome au quotidien. Pour intervenir auprès de ces personnes, de nouvelles interventions basées sur la pleine conscience ont démontré des effets importants entre autres sur la flexibilité psychologique, les cognitions et l’humeur. Objectif : L’objectif de la recherche est de présenter un nouveau protocole d’entraînement à la pleine conscience implanté dans un environnement virtuel immersif afin d’en observer ses effets sur certaines variables telles que les difficultés d’attention, les symptômes post-commotionnels persistants, l’inflexibilité psychologique et les variations de l’humeur. Méthode : Au total, quatre participants présentant un Syndrome post-commotionnel ont complété le programme de 8 semaines basé sur les principes de la pleine conscience. Ils ont également effectué à trois reprises une évaluation comprenant des tests neuropsychologiques et des questionnaires afin d’estimer les effets de l’intervention. Résultats : Les différentes analyses ont révélé une amélioration du fonctionnement attentionnel la plupart des participants. Des variations concernant les symptômes post-commotionnels, la flexibilité psychologique et l’humeur ont également été observées. Conclusion : Ces résultats suggèrent qu’un tel programme basé sur la pleine conscience et suivi en réalité virtuelle immersive est prometteur. Toutefois, des recherches supplémentaires sont nécessaires et la mise en place de devis de recherche contrôlé et randomisé est suggérée.Background: Each year, more than 30,000 Canadians experience mild brain injury and have a variety of physical, cognitive and emotional symptoms. For the majority, these symptoms will resorb within the first three months. However, for 5-15% of them, the symptoms persist well beyond this period giving rise to the Post-Concussion Syndrome. There are various consequences for these people who often experience emotional distress and difficulties returning to work, school, or simply being independent on a daily basis. To intervene with these people, new intervention methods based on mindfulness have shown significant effects on psychological flexibility, cognition, and mood. Objective: The objective of the research is to present a new mindfulness training protocol implemented in an immersive virtual environment to observe its effects on certain variables such as attention difficulties, persistent post-concussive symptoms, psychological inflexibility, and mood variations. Method: A total of four participants with post-concussive Syndrome completed the 8-week program based on the principles of mindfulness. They also performed three assessments including neuropsychological tests and questionnaires to estimate the effects of the intervention. Results: The different analysis revealed an improvement in attentional functioning for most of the participants. Variations in post-concussive symptoms, in mood and psychological flexibility were also observed. Conclusion: These results suggest that such a program based on mindfulness and follow-up in immersive virtual reality is promising. However, additional research is needed and the setting up of randomized controlled research proposals is suggested
Keith Van Meter - One of the best experts on this subject based on the ideXlab platform.
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a phase i study of low pressure hyperbaric oxygen therapy for blast induced post concussion Syndrome and post traumatic stress disorder
Journal of Neurotrauma, 2012Co-Authors: P G Harch, Edward F Fogarty, P Staab, Susan R Andrews, D Amen, John C Pezzullo, Juliette Lucarini, Claire Aubrey, D Taylor, Keith Van MeterAbstract:This is a preliminary report on the safety and efficacy of 1.5 ATA hyperbaric oxygen therapy (HBOT) in military subjects with chronic blast-induced mild to moderate traumatic brain injury (TBI)/Post-Concussion Syndrome (PCS) and post-traumatic stress disorder (PTSD). Sixteen military subjects received 40 1.5 ATA/60min HBOT sessions in 30 days. Symptoms, physical and neurological exams, SPECT brain imaging, and neuropsychological and psychological testing were completed before and within 1 week after treatment. Subjects experienced reversible middle ear barotrauma (5), transient deterioration in symptoms (4), and reversible bronchospasm (1); one subject withdrew. Post-treatment testing demonstrated significant improvement in: symptoms, neurological exam, full-scale IQ ( +14.8 points; p <0.001), WMS IV Delayed Memory (p =0.026), WMS-IV Working Memory (p =0.003), Stroop Test (p <0.001), TOVA Impulsivity (p =0.041), TOVA Variability (p =0.045), Grooved Pegboard (p =0.028), PCS symptoms (Rivermead PCSQ: p =0.0002), PTSD symptoms (PCL-M: p <0.001), depression (PHQ-9: p <0.001), anxiety (GAD-7: p =0.007), quality of life (MPQoL: p =0.003), and self-report of percent of normal (p <0.001), SPECT coefficient of variation in all white matter and some gray matter ROIs after the first HBOT, and in half of white matter ROIs after 40 HBOT sessions, and SPECT statistical parametric mapping analysis (diffuse improvements in regional cerebral blood flow after 1 and 40 HBOT sessions). Forty 1.5 ATA HBOT sessions in 1 month was safe in a military cohort with chronic blast-induced PCS and PTSD. Significant improvements occurred in symptoms, abnormal physical exam findings, cognitive testing, and quality-of-life measurements, with concomitant significant improvements in SPECT.
P G Harch - One of the best experts on this subject based on the ideXlab platform.
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a phase i study of low pressure hyperbaric oxygen therapy for blast induced post concussion Syndrome and post traumatic stress disorder
Journal of Neurotrauma, 2012Co-Authors: P G Harch, Edward F Fogarty, P Staab, Susan R Andrews, D Amen, John C Pezzullo, Juliette Lucarini, Claire Aubrey, D Taylor, Keith Van MeterAbstract:This is a preliminary report on the safety and efficacy of 1.5 ATA hyperbaric oxygen therapy (HBOT) in military subjects with chronic blast-induced mild to moderate traumatic brain injury (TBI)/Post-Concussion Syndrome (PCS) and post-traumatic stress disorder (PTSD). Sixteen military subjects received 40 1.5 ATA/60min HBOT sessions in 30 days. Symptoms, physical and neurological exams, SPECT brain imaging, and neuropsychological and psychological testing were completed before and within 1 week after treatment. Subjects experienced reversible middle ear barotrauma (5), transient deterioration in symptoms (4), and reversible bronchospasm (1); one subject withdrew. Post-treatment testing demonstrated significant improvement in: symptoms, neurological exam, full-scale IQ ( +14.8 points; p <0.001), WMS IV Delayed Memory (p =0.026), WMS-IV Working Memory (p =0.003), Stroop Test (p <0.001), TOVA Impulsivity (p =0.041), TOVA Variability (p =0.045), Grooved Pegboard (p =0.028), PCS symptoms (Rivermead PCSQ: p =0.0002), PTSD symptoms (PCL-M: p <0.001), depression (PHQ-9: p <0.001), anxiety (GAD-7: p =0.007), quality of life (MPQoL: p =0.003), and self-report of percent of normal (p <0.001), SPECT coefficient of variation in all white matter and some gray matter ROIs after the first HBOT, and in half of white matter ROIs after 40 HBOT sessions, and SPECT statistical parametric mapping analysis (diffuse improvements in regional cerebral blood flow after 1 and 40 HBOT sessions). Forty 1.5 ATA HBOT sessions in 1 month was safe in a military cohort with chronic blast-induced PCS and PTSD. Significant improvements occurred in symptoms, abnormal physical exam findings, cognitive testing, and quality-of-life measurements, with concomitant significant improvements in SPECT.
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low pressure hyperbaric oxygen therapy and spect brain imaging in the treatment of blast induced chronic traumatic brain injury post concussion Syndrome and post traumatic stress disorder a case report
Cases Journal, 2009Co-Authors: P G Harch, Edward F Fogarty, P Staab, Keith Van MeterAbstract:A 25-year-old male military veteran presented with diagnoses of post concussion Syndrome and post traumatic stress disorder three years after loss of consciousness from an explosion in combat. The patient underwent single photon emission computed tomography brain blood flow imaging before and after a block of thirty-nine 1.5 atmospheres absolute hyperbaric oxygen treatments. The patient experienced a permanent marked improvement in his post-concussive symptoms, physical exam findings, and brain blood flow. In addition, he experienced a complete resolution of post-traumatic stress disorder symptoms. After treatment he became and has remained employed for eight consecutive months. This case suggests a novel treatment for the combined diagnoses of blast-induced Post-Concussion Syndrome and post-traumatic stress disorder.
P Staab - One of the best experts on this subject based on the ideXlab platform.
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a phase i study of low pressure hyperbaric oxygen therapy for blast induced post concussion Syndrome and post traumatic stress disorder
Journal of Neurotrauma, 2012Co-Authors: P G Harch, Edward F Fogarty, P Staab, Susan R Andrews, D Amen, John C Pezzullo, Juliette Lucarini, Claire Aubrey, D Taylor, Keith Van MeterAbstract:This is a preliminary report on the safety and efficacy of 1.5 ATA hyperbaric oxygen therapy (HBOT) in military subjects with chronic blast-induced mild to moderate traumatic brain injury (TBI)/Post-Concussion Syndrome (PCS) and post-traumatic stress disorder (PTSD). Sixteen military subjects received 40 1.5 ATA/60min HBOT sessions in 30 days. Symptoms, physical and neurological exams, SPECT brain imaging, and neuropsychological and psychological testing were completed before and within 1 week after treatment. Subjects experienced reversible middle ear barotrauma (5), transient deterioration in symptoms (4), and reversible bronchospasm (1); one subject withdrew. Post-treatment testing demonstrated significant improvement in: symptoms, neurological exam, full-scale IQ ( +14.8 points; p <0.001), WMS IV Delayed Memory (p =0.026), WMS-IV Working Memory (p =0.003), Stroop Test (p <0.001), TOVA Impulsivity (p =0.041), TOVA Variability (p =0.045), Grooved Pegboard (p =0.028), PCS symptoms (Rivermead PCSQ: p =0.0002), PTSD symptoms (PCL-M: p <0.001), depression (PHQ-9: p <0.001), anxiety (GAD-7: p =0.007), quality of life (MPQoL: p =0.003), and self-report of percent of normal (p <0.001), SPECT coefficient of variation in all white matter and some gray matter ROIs after the first HBOT, and in half of white matter ROIs after 40 HBOT sessions, and SPECT statistical parametric mapping analysis (diffuse improvements in regional cerebral blood flow after 1 and 40 HBOT sessions). Forty 1.5 ATA HBOT sessions in 1 month was safe in a military cohort with chronic blast-induced PCS and PTSD. Significant improvements occurred in symptoms, abnormal physical exam findings, cognitive testing, and quality-of-life measurements, with concomitant significant improvements in SPECT.
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low pressure hyperbaric oxygen therapy and spect brain imaging in the treatment of blast induced chronic traumatic brain injury post concussion Syndrome and post traumatic stress disorder a case report
Cases Journal, 2009Co-Authors: P G Harch, Edward F Fogarty, P Staab, Keith Van MeterAbstract:A 25-year-old male military veteran presented with diagnoses of post concussion Syndrome and post traumatic stress disorder three years after loss of consciousness from an explosion in combat. The patient underwent single photon emission computed tomography brain blood flow imaging before and after a block of thirty-nine 1.5 atmospheres absolute hyperbaric oxygen treatments. The patient experienced a permanent marked improvement in his post-concussive symptoms, physical exam findings, and brain blood flow. In addition, he experienced a complete resolution of post-traumatic stress disorder symptoms. After treatment he became and has remained employed for eight consecutive months. This case suggests a novel treatment for the combined diagnoses of blast-induced Post-Concussion Syndrome and post-traumatic stress disorder.
Edward F Fogarty - One of the best experts on this subject based on the ideXlab platform.
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a phase i study of low pressure hyperbaric oxygen therapy for blast induced post concussion Syndrome and post traumatic stress disorder
Journal of Neurotrauma, 2012Co-Authors: P G Harch, Edward F Fogarty, P Staab, Susan R Andrews, D Amen, John C Pezzullo, Juliette Lucarini, Claire Aubrey, D Taylor, Keith Van MeterAbstract:This is a preliminary report on the safety and efficacy of 1.5 ATA hyperbaric oxygen therapy (HBOT) in military subjects with chronic blast-induced mild to moderate traumatic brain injury (TBI)/Post-Concussion Syndrome (PCS) and post-traumatic stress disorder (PTSD). Sixteen military subjects received 40 1.5 ATA/60min HBOT sessions in 30 days. Symptoms, physical and neurological exams, SPECT brain imaging, and neuropsychological and psychological testing were completed before and within 1 week after treatment. Subjects experienced reversible middle ear barotrauma (5), transient deterioration in symptoms (4), and reversible bronchospasm (1); one subject withdrew. Post-treatment testing demonstrated significant improvement in: symptoms, neurological exam, full-scale IQ ( +14.8 points; p <0.001), WMS IV Delayed Memory (p =0.026), WMS-IV Working Memory (p =0.003), Stroop Test (p <0.001), TOVA Impulsivity (p =0.041), TOVA Variability (p =0.045), Grooved Pegboard (p =0.028), PCS symptoms (Rivermead PCSQ: p =0.0002), PTSD symptoms (PCL-M: p <0.001), depression (PHQ-9: p <0.001), anxiety (GAD-7: p =0.007), quality of life (MPQoL: p =0.003), and self-report of percent of normal (p <0.001), SPECT coefficient of variation in all white matter and some gray matter ROIs after the first HBOT, and in half of white matter ROIs after 40 HBOT sessions, and SPECT statistical parametric mapping analysis (diffuse improvements in regional cerebral blood flow after 1 and 40 HBOT sessions). Forty 1.5 ATA HBOT sessions in 1 month was safe in a military cohort with chronic blast-induced PCS and PTSD. Significant improvements occurred in symptoms, abnormal physical exam findings, cognitive testing, and quality-of-life measurements, with concomitant significant improvements in SPECT.
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low pressure hyperbaric oxygen therapy and spect brain imaging in the treatment of blast induced chronic traumatic brain injury post concussion Syndrome and post traumatic stress disorder a case report
Cases Journal, 2009Co-Authors: P G Harch, Edward F Fogarty, P Staab, Keith Van MeterAbstract:A 25-year-old male military veteran presented with diagnoses of post concussion Syndrome and post traumatic stress disorder three years after loss of consciousness from an explosion in combat. The patient underwent single photon emission computed tomography brain blood flow imaging before and after a block of thirty-nine 1.5 atmospheres absolute hyperbaric oxygen treatments. The patient experienced a permanent marked improvement in his post-concussive symptoms, physical exam findings, and brain blood flow. In addition, he experienced a complete resolution of post-traumatic stress disorder symptoms. After treatment he became and has remained employed for eight consecutive months. This case suggests a novel treatment for the combined diagnoses of blast-induced Post-Concussion Syndrome and post-traumatic stress disorder.