About this trial
Patients with working memory deficits due to a moderate to severe head injury will undergo a 5 month protocol including cognitive remediation with numerous exercises, transcranial direct current stimulation (tDCS), and therapeutic education.
Eligibility criteria
Qualifiers
Moderate or severe head trauma, defined by an initial Glasgow score ≤ 12/15, duration of post-traumatic amnesia superior to 24 hours and/or the presence of abnormalities on brain imaging,
Moderate or severe head trauma occurring within a period greater than or equal to 3 months,
Working memory complaints assessed by the Working Memory Questionnaire,
Patients with a working memory disorder in at least one of the following tests: Digit Memory subtest WAIS-IV (standard deviation ≤ -2) , PASAT (percentile ≤ 10), Brown-Peterson (standard deviation ≤ -2).
Disqualifiers
Presence of aphasia, apraxia or severe neglect demonstrated by standardized neuropsychological tests during the inclusion visit: language - oral naming of BECS-GRECO images, ideational praxis and ideomotor , neglect - bell test,
Insufficient visual or auditory abilities and oral and written expression to carry out neuropsychological tests,
Severe depression assessed by the Beck Depression Inventory (BDI)
Chronic alcoholic poisoning, drug addiction,
Trial design
Treatments tested in this trial
- therapeutic education
- tDCS
- cognitive remediation