scholarly journals Cognitive Impairment in Acquired Brain Injury: A Predictor of Rehabilitation Outcomes and an Opportunity for Novel Interventions

PM&R ◽  
2011 ◽  
Vol 3 ◽  
pp. S45-S51 ◽  
Author(s):  
Ellen Whyte ◽  
Elizabeth Skidmore ◽  
Howard Aizenstein ◽  
Joseph Ricker ◽  
Meryl Butters
Keyword(s):  
Cognitive Impairment ◽  
Brain Injury ◽  
Acquired Brain Injury ◽  
Rehabilitation Outcomes

Goal statements in brain injury rehabilitation: A cohort study of client-centredness and relationship with goal outcome

2019 ◽  
Vol 20 (3) ◽  
pp. 226-239
Author(s):  
Sarah Prescott ◽  
Emmah Doig ◽  
Jennifer Fleming ◽  
Nicole Weir
Keyword(s):  
Brain Injury ◽  
Goal Setting ◽  
Acquired Brain Injury ◽  
Community Dwelling ◽  
Outpatient Rehabilitation ◽  
Injury Rehabilitation ◽  
Rehabilitation Outcomes ◽  
Cohort Design ◽  
Specific Goal ◽  
Goal Specificity

AbstractBackground:Currently, there is increasing recognition of the need to use a client-centred approach to goal setting in rehabilitation. However, there is limited research to guide practice with community-dwelling clients with acquired brain injury. An understanding of the characteristics of client-centred goals and the extent to which client-centeredness influences goal outcomes is required.Objective:To examine the relationships between the client-centredness of goals and their characteristics, content, recall and outcomes of client-centred goals in brain injury rehabilitation.Methods:A prospective cohort design study was employed. Participants were 45 clients with brain injury receiving outpatient rehabilitation, who completed measures of client-centredness after goal setting. Each goal was classified according to whether it was specific, measurable, non-jargonistic, and participation-focussed, included a timeframe and was recalled by participants.Results:Participants set 223 goals with 20 clinicians from multiple disciplines. Levels of client-centredness did not differ according to the characteristics, content and recall of goals, with the exception of goal specificity (p< 0.01). Client-centredness was significantly and positively correlated with goal outcomes (p< 0.05).Conclusions:The use of client-centred goals is recommended for improved rehabilitation outcomes. Applying goal documentation criteria does not necessarily mean that goals will be client-centred, and highly specific goal statements may not reflect what is important and meaningful to clients.

scholarly journals Enactive Approach and Dual-Tasks for the Treatment of Severe Behavioral and Cognitive Impairment in a Person with Acquired Brain Injury: A Case Study

2016 ◽  
Vol 7 ◽  
Author(s):  
David Martínez-Pernía ◽  
David Huepe ◽  
Daniela Huepe-Artigas ◽  
Rut Correia ◽  
Sergio García ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Brain Injury ◽  
Acquired Brain Injury ◽  
Dual Tasks ◽  
Enactive Approach

scholarly journals Addressing a continuum of recovery after acquired brain injury

1998 ◽  
Vol 4 (4) ◽  
pp. 409-409 ◽  
Author(s):  
THOMAS A. NOVACK ◽  
BRICK JOHNSTONE
Keyword(s):  
Cognitive Impairment ◽  
Brain Injury ◽  
Cognitive Deficits ◽  
Cognitive Rehabilitation ◽  
Spontaneous Recovery ◽  
Cognitive Disorders ◽  
Acquired Brain Injury ◽  
Cognitive Stimulation ◽  
Injured Brain ◽  
Opportune Time

In their dialogue published in JINS, Wilson (1997) and Prigatano (1997) have eloquently and concisely presented the challenges facing neuropsychology with respect to cognitive rehabilitation. However, both authors neglect two important issues that must be addressed if people with cognitive disorders are to be effectively treated. First, cognitive impairment must be treated during the acute stages of recovery; as to ignore cognitive deficits until patients are more fully recovered may bypass an opportune time for intervention. Evidence is mounting that the injured brain adapts to the losses sustained and that the adaptation will be enhanced by increasing interaction with the environment, as compared to more passive states (Johansson & Ohlsson, 1996; Stein et al., 1995). Given such information, it is difficult to justify withholding cognitive stimulation and remediation from people during acute stages of recovery and instead awaiting a point when spontaneous recovery (presumably) will be complete.

Improving Communication for People with Brain Injury in the 21st Century: The Value of Collaboration

2013 ◽  
Vol 14 (1) ◽  
pp. 130-138 ◽  
Author(s):  
Leanne Togher
Keyword(s):  
Social Networks ◽  
Brain Injury ◽  
Large Scale ◽  
Acquired Brain Injury ◽  
Collaborative Communication ◽  
Rehabilitation Outcomes ◽  
Research Collaborations ◽  
Clinical Centre ◽  
Communication Partners ◽  
Research Excellence

This paper describes the value of collaboration from two perspectives. The first perspective highlights the benefit of teaching communication partners collaborative communication strategies to facilitate the interactions of people with traumatic brain injury (TBI). Collaborative strategies encompass the provision of collaborative intent, emotional and cognitive support, positive questioning styles and collaborative turn taking. Translating research outcomes into accessible resources is described with reference to the TBI Express website which has video demonstrations of conversation strategies for communication partners of people with TBI. The broader meaning of collaboration is also discussed, with particular focus on the advantages collaboration can provide in advancing rehabilitation outcomes for people with acquired brain injury, their families and social networks. Collaboration is described in terms of encompassing all relevant contributors to the development of research advances, including people with acquired brain injury, their families and social networks, stakeholders, clinicians, peak bodies, students and researchers. Two examples of large-scale research collaborations occurring within Australia are described, including the NHMRC Clinical Centre of Research Excellence in Aphasia Rehabilitation and the NHMRC Moving Ahead Centre for Research Excellence in Brain Recovery, also known as Moving Ahead.

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