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Journal of the Korean Academy of Rehabilitation Medicine 1999;23(4):695-702.
Neurobehavioral Psychometry and Functional Outcome in Traumatic Brain Injured Patients.
Yoon, Se Jin , Kim, Chang Yoon , Yoo, Hee Jung , Chun, Min Ho
1Department of Rehabilitation Medicine, University of Ulsan College of Medicine.
2Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine.
외상성 뇌손상환자의 신경행동학적 평가와 기능회복
윤세진, 김창윤1, 유희정1, 전민호
울산대학교 의과대학 서울중앙병원 재활의학과, 1정신과

To identify the neurobehavioral impairment in the traumatic brain injured (TBI) patients and to determine the relationship between the neurobehavioral impairment and functional recovery.

We analyzed and compared Functional Independence Measure (FIM) scores and neurobehavioral psychometry results in 16 patients with severe TBI. The neurobehavioral psychometry tests included Minimental Status Examination (MMSE), Galvestone Orientation and Amnesia Test (GOAT) as screening tools, Korean Wechsler Intelligence Scale (KWIS) for intelligence, Wechsler Memory Scale-Revised (WMS-R) test for memory function, Color Trail test (CTT) 1 and 2 for attention and concentration, Grooved Pegboard Test (GPT) and Finger Tapping Test (FTT) for motor function, Wisconsin Card Sorting Test (WCST) for executive function, and Symptom Checklist-90-Revision (SCL-90-R) for personality.

At discharge, neurobehavioral psychometry of the TBI patients showed impairment of the attention and concentration as demonstrated by severe and moderate impairment in CTT 1 and CTT 2, repectively. Memory disturbance was also noted by the result of mental retardation in WMS-R. But GOAT and MMSE showed normal, KWIS was below average. Motor dysfunction was seen in GPT and FTT and mild executive dysfunction in WCST. Functional recuperation was influenced by attention and concentration, as the FIM score has significant correlation with CTT 1 and FTT.

The TBI patients have the pervasive neurobehavioral impairment, especially severe dysfunction in the memory, attention and concentration. And functional recovery was significantly correlated with attention. The neurobehavioral psychometry will be useful in neurobehavioral evaluation in TBI patients. A further prospective study using Neurobehavioral psychometry would bring a more precise and valuable information.

Key Words: Traumatic brain injury, Neurobehavioral impairment, Functional independence measure


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