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Abstract Details

Telerehabilitation of Cognitive Functioning with Combined Transcranial Direct Current Stimulation and Computerized Adaptive Cognitive Training in Traumatic Brain Injury: A Case Report
Neuro-rehabilitation
Neuro-rehabilitation Posters (7:00 AM-5:00 PM)
012
We report the feasibility and efficacy of a cognitive telerehabilitation protocol, combining remotely supervised transcranial direct current stimulation (RS-tDCS) and computerized adaptive cognitive training, for at-home intervention targeting cognitive sequelae of traumatic brain injury (TBI). 
Cognitive impairments following a TBI often persist long after acute recovery. Options for longer-term cognitive remediation are needed, and telerehabilitation can provide continued access to interventions.  
Patient was a 29-year-old man with persisting cognitive problems four years following TBI. He completed 20 daily at-home computer-based cognitive training sessions paired with tDCS (2.0 mA × 20 minutes, left anodal dorsolateral prefrontal cortex). Treatments were completed with real-time supervision via videoconference. Neuropsychological evaluation was completed before and after the intervention.
The patient had significant improvements (>1 SD) on measures of attention and working memory, semantic fluency, and information processing speed. 
At-home and remotely supervised telerehabilitation including tDCS is a feasible intervention, and remediated persisting cognitive impairments in a TBI survivor. Findings are particularly relevant for patients who cannot attend the clinic due to the COVID-19 social distancing limitations, as well as other barriers, such as time restriction, financial cost, distance from the clinic, or level of disability.
Authors/Disclosures
Tehila Eilam-Stock, PhD (NYU Langone Health)
PRESENTER 		Dr. Eilam-Stock has nothing to disclose.
Allan George Mr. George has nothing to disclose.
Leigh E. Charvet, PhD (NYU Langone) Dr. Charvet has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Johnson & Johnson. Dr. Charvet has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Springer Healthcare. Dr. Charvet has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for YBrain. Dr. Charvet has stock in Johnson&Johnson.