Rehabilitation of frontal lobe dysfunction

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  • Watanabe Shu
    * Department of Rehabilitation Medicine, Jikei Daisan Hospital, The Jikei University School of Medicine.

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  • 前頭葉損傷のリハビリテーション

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<p>  The frontal cortex is concerned with attention, executive function, working memory, response inhibition, emotional control and self-awareness. Therefore many people who suffer frontal lobe injuries from an accident or stroke for example, may have difficulty in daily life which prevents social integration. As manage ment of attentional disorders, attention process training is effective through the use of strategies and envi ronmental supports. On the other hands, previous reports support the efficacy of goal management training in the rehabilitation of executive functioning deficits. Agitated behavior is inversely associated with engage ment in rehabilitation therapy. At the first identifying the cause of agitation is essential and secondly behav ioral modification, cognitive behavioral therapy and pharmacological treatments should be selected accord ing to individual problems. Management of unawareness include educational approaches, the prediction-performance paradigm and group therapy.</p>

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