Traumatic Brain Injury Study 2

23 year old male Brain Injury Patient

From an interview with a rehabilitation case manager (RN),
February 1998.

The case manager is working with a 23-year old brain injury patient. After the injury, the patient had been in a coma for 2 weeks. He subsequently was treated at Emory Medical Center in Atlanta. He later moved to Gainesville, GA and worked with a neuropsychologist there, Dr. Stephen Farr, who started the patient on Neurofeedback about a year ago.

Since starting Neurofeedback, the case manager feels her patient has made significant strides in functional levels – well beyond the progress he was making before. She said the progress with the outpatient Neurofeedback treatment has been “almost phenomenal.”

The patient’s doctor at Emory was surprised, when he came back for an evaluation, how well the patient was able to say why he was there and what he was going to be doing. Previously, the patient had been unable to express this information. Subsequent follow-up Neuropsych tests at Emory confirmed definite improvements since starting Neurofeedback. Dr. Farr gave a pre and post TOVA test which showed the treatment shifted his score from borderline to average performance, with clear steady improvement recorded through the course of his treatment.

The patient has been able to return to reading, with much greater concentration and focus. Before, he could not do that. He had received cognitive training at Emory on basic skills such as balancing the checkbook, but was not making much progress. These skills have progressed much further since starting the Neurofeedback.

This patient was not a good math student in high school prior to the accident, and since the accident, testing both at Sylvan Learning Center and elsewhere had confirmed that he was very weak in math – a 6th grade arithmetic level. However, after the Neurofeedback training, the patient was able to pass the College Proficiency Exam used to get into vocational training school without any remediation – the very first time. This was an extremely surprising result, according to the case manager.

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