Specific attention disorders in drivers with traumatic brain injury

Masson, Marjolaine; Michael, George A.; Désert, Jean-François; Rhein, F.; Foubert, Lucie; Colliot, Pascale

doi:10.3109/02699052.2013.766926

Cited by 4 publications

(4 citation statements)

References 22 publications

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“…TBI patients only showed a disproportionate increase in reaction times (RTs) under the dual-task condition. All these results considered, DA should be one of the main targets in the rehabilitation of TBI patients, given its key role in many tasks of everyday life (Toyokura et al, 2012 ; Masson et al, 2013 ). However, few rehabilitation programs have been developed to improve this function in patients with TBI [(Couillet et al, 2010 ) specifically addressed DA; (Serino et al, 2007 ; Montani et al, 2014 ) included it in their training programs].…”

Section: Introductionmentioning

confidence: 99%

Concomitant Use of Transcranial Direct Current Stimulation and Computer-Assisted Training for the Rehabilitation of Attention in Traumatic Brain Injured Patients: Behavioral and Neuroimaging Results

Sacco

Galetto

Dimitri

et al. 2016

Front. Behav. Neurosci.

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Divided attention (DA), the ability to distribute cognitive resources among two or more simultaneous tasks, may be severely compromised after traumatic brain injury (TBI), resulting in problems with numerous activities involved with daily living. So far, no research has investigated whether the use of non-invasive brain stimulation associated with neuropsychological rehabilitation might contribute to the recovery of such cognitive function. The main purpose of this study was to assess the effectiveness of 10 transcranial direct current stimulation (tDCS) sessions combined with computer-assisted training; it also intended to explore the neural modifications induced by the treatment. Thirty-two patients with severe TBI participated in the study: 16 were part of the experimental group, and 16 part of the control group. The treatment included 20’ of tDCS, administered twice a day for 5 days. The electrodes were placed on the dorso-lateral prefrontal cortex. Their location varied across patients and it depended on each participant’s specific area of damage. The control group received sham tDCS. After each tDCS session, the patient received computer-assisted cognitive training on DA for 40’. The results showed that the experimental group significantly improved in DA performance between pre- and post-treatment, showing faster reaction times (RTs), and fewer omissions. No improvement was detected between the baseline assessment (i.e., 1 month before treatment) and the pre-training assessment, or within the control group. Functional magnetic resonance imaging (fMRI) data, obtained on the experimental group during a DA task, showed post-treatment lower cerebral activations in the right superior temporal gyrus (BA 42), right and left middle frontal gyrus (BA 6), right postcentral gyrus (BA 3) and left inferior frontal gyrus (BA 9). We interpreted such neural changes as normalization of previously abnormal hyperactivations.

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Section: Introductionmentioning

confidence: 99%

Concomitant Use of Transcranial Direct Current Stimulation and Computer-Assisted Training for the Rehabilitation of Attention in Traumatic Brain Injured Patients: Behavioral and Neuroimaging Results

Sacco

Galetto

Dimitri

et al. 2016

Front. Behav. Neurosci.

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“…Masson and colleagues documented the negative impact of an increased attentional load on the performance of drivers with TBI (Masson et al, 2013). Conversely, it has been shown that an increase in cognitive workload is associated with a decrease in the variability of lateral position (i.e., better vehicle control) in healthy individuals (Cooper, Medeiros-Ward, & Strayer, 2013).…”

Section: Discussionmentioning

confidence: 99%

Attention following traumatic brain injury: Neuropsychological and driving simulator data, and association with sleep, sleepiness, and fatigue

Beaulieu‐Bonneau

Fortier-Brochu

Ivers

et al. 2015

Neuropsychological Rehabilitation

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The objectives of this study were to compare individuals with TBI and healthy controls on neuropsychological tests of attention, driving simulation performance, and explore their relationships with participants' characteristics, sleep, sleepiness, and fatigue. Participants were 22 adults with moderate or severe TBI (time since injury ≥ one year) and 22 matched controls.They completed three neuropsychological tests of attention, a driving simulator task, nighttime polysomnographic recordings, and subjective ratings of sleepiness and fatigue. Results showed that participants with TBI exhibited poorer performance compared to controls on measures tapping speed of information processing and sustained attention, but not on selective attention measures. On the driving simulator task, a greater variability of the vehicle lateral position was observed in the TBI group. Poorer performance on specific subsets of neuropsychological variables was associated with poorer sleep continuity in the TBI group, and with a greater increase in subjective sleepiness in both groups. No significant relationship was found between cognitive performance and fatigue. These findings add to the existing evidence that speed of information processing is still impaired several years after moderate to severe TBI. Sustained attention could also be compromised. Attention seems to be associated with sleep continuity and daytime sleepiness; this interaction needs to be explored further.

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“…Overload and depletion of attentional resources, as well as sustaining attention on task (Hahn et al, 2012) already reported as being impaired in patients with schizophrenia (Birkett, Brindley, Norman, Harrison, & Baddeley, 2006;Michael et al, 2014), can be detected even in a short task with high attention demands. Although depletion of resources has already been reported in TBI patients (Azouvi et al, 2004;Cossa & Fabiani, 1999;Masson et al, 2013;Zoccolotti et al, 2000), a recent investigation showed that the degree of such impairment is not the same in the two populations ). An alternative interpretation would be that, as the time passes, the degrading effects of noise produced by distractors would accumulate.…”

Section: Instant Overloadmentioning

confidence: 91%

“…There is also evidence that pro-saccades are intact (Heitger et al, 2004), although Kraus et al (2007) showed this to be the case only in mild brain injury. By contrast, deficits of focused attention are frequently reported (Cossa & Fabiani, 1999;Masson et al, 2013;Schmitter-Edgecombe & Kibby, 1998;Zoccolotti et al, 2000). Behavioral and electrocortical evidence suggests there are early target discrimination disturbances in TBI patients (Heinze et al, 1992;Mattson et al, 1994), which contribute to impaired search processes.…”

Section: Differential Processing Of Targets and Distractorsmentioning

confidence: 99%

Disturbances of selective attention in traumatic brain injury and schizophrenia: What is common and what is different?

Michael

Masson

Robert

et al. 2015

Psychologie Française

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Specific attention disorders in drivers with traumatic brain injury

Abstract: These difficulties may have a negative impact on real driving situations.

Cited by 4 publications

References 22 publications

Concomitant Use of Transcranial Direct Current Stimulation and Computer-Assisted Training for the Rehabilitation of Attention in Traumatic Brain Injured Patients: Behavioral and Neuroimaging Results

Concomitant Use of Transcranial Direct Current Stimulation and Computer-Assisted Training for the Rehabilitation of Attention in Traumatic Brain Injured Patients: Behavioral and Neuroimaging Results

Attention following traumatic brain injury: Neuropsychological and driving simulator data, and association with sleep, sleepiness, and fatigue

Disturbances of selective attention in traumatic brain injury and schizophrenia: What is common and what is different?

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