METHOD FOR ESTIMATING MENTAL ACTIVITY OF CHILDREN WITH SEVERE TRAUMATIC BRAIN INJURY Russian patent published in 2019 - IPC A61B5/16 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, correctional psychology and pedagogy, psychological and pedagogical diagnostics, and can be used to assess the mental activity (MA) of a child after severe traumatic brain injury (STBI) and to choose an option for an individual correctional and educational rehabilitation program. Specialist consistently offers the child to perform 9 diagnostic tasks, three series of three tasks in accordance with the scales of physical A, cognitive B and social C capabilities, assessing the manifestations of MA for each task from 1 to 4 points. Criteria for assessing physical abilities A are: total motor activity - a1, fine motor skills of the fingers - a2, visual-motor capabilities - a3. Criteria for assessing cognitive abilities B are: approximate b1 reactions, the seizure and retention of the toy in b2 hand, the game manipulation with the b3 toy. Criteria for assessing mental abilities C are: response to a proper name c1, ways of communicating with an adult c2, ability to use a spoon during a meal c3. Results of the survey are summarized according to each scale and the data is recorded in the following form: A = a1 + a2 + a3, where A is the assessment of manifestations of physical capabilities; B = b1 + b2 + b3, where B is the assessment of cognitive abilities; C = c1 + c2 + c3, where C is the assessment of social opportunities. Final grade of MA I is calculated by the formula: I = (A + B + C)/36 × 100 %, where 36 is the maximum possible quantitative expression of the score in points of all possible results on the 3rd scale. Based on the final grade I, the MA variant is determined: less than 34 % - the child's MA is rated as “minimally low with a predominance of autonomic responses,” from 35 to 67 % - child's MA is rated as “minimal with a predominance of sensorimotor reactions without understanding or with a partial understanding of reversed speech,” from 68 % and above - child's MA is assessed as “sufficient, elementary arbitrary with the understanding of reversed speech”.

EFFECT: method provides control over the recovery dynamics of a child's MA with STBI by conducting intermediate assessments at each stage of rehabilitation, is easy to use, and requires a small number of generally accessible game tasks with didactic aids.

1 cl, 1 ex