Cognitive Rehabilitation Following Traumatic Brain Injury: A Survey of Current Practice in Australia

2018 ◽  
Vol 20 (1) ◽  
pp. 24-36 ◽  
Author(s):  
Marina Downing ◽  
Peter Bragge ◽  
Jennie Ponsford
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Family Involvement ◽  
Cognitive Rehabilitation ◽  
Online Survey ◽  
Current Practice ◽  
Occupational Therapists ◽  
Self Awareness ◽  
Compensatory Strategies ◽  
Team Collaboration

Background and Objective: As cognitive impairments represent the greatest impediment to participation following moderate–severe traumatic brain injury (TBI), cognitive rehabilitation is vital. Several sets of guidelines for cognitive rehabilitation have been published, including INCOG in 2014. However, little is known about current practice by therapists working with individuals with TBI. This study aimed to characterise current cognitive rehabilitation practices via an online survey of therapists engaged in rehabilitation in individuals with TBI.Method: The survey documented demographic information, current cognitive rehabilitation practice, resources used to inform cognitive rehabilitation, and reflections on cognitive rehabilitation provided.Results: The 221 Australian respondents were predominantly occupational therapists, neuropsychologists, and speech pathologists with an average 9 years of clinical experience in cognitive rehabilitation and TBI. Cognitive retraining and compensatory strategies were the most commonly identified approaches used in cognitive rehabilitation. Executive functioning was mostly targeted for retraining, whereas memory was targeted with compensatory strategies. Attentional problems were less frequently addressed. Client self-awareness, family involvement, team collaboration, and goal-setting were seen as important ingredients for success.Conclusion: Clinical practice of cognitive rehabilitation in Australia is broadly consistent with guidelines. However, addressing the impediments to its delivery is important to enhance the quality of life for individuals with TBI.

Task performance in virtual environments used for cognitive rehabilitation after traumatic brain injury

1998 ◽  
Vol 79 (8) ◽  
pp. 888-892 ◽  
Author(s):  
Charles Christiansen ◽  
Beatriz Abreu ◽  
Kenneth Ottenbacher ◽  
Kenneth Huffman ◽  
Brent Masel ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Virtual Environments ◽  
Task Performance ◽  
Cognitive Rehabilitation

scholarly journals A Game System for Cognitive Rehabilitation

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Azrulhizam Shapi’i ◽  
Nor Azan Mat Zin ◽  
Ahmed Mohammed Elaklouk
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Conceptual Framework ◽  
Cognitive Rehabilitation ◽  
The Other ◽  
Rehabilitation Treatment ◽  
Other Hand ◽  
Rehabilitation Exercises

Brain injury such as traumatic brain injury (TBI) and stroke is the major cause of long-term disabilities in many countries. The increasing rate of brain damaged victims and the heterogeneity of impairments decrease rehabilitation effectiveness and competence resulting in higher cost of rehabilitation treatment. On the other hand, traditional rehabilitation exercises are boring, thus leading patients to neglect the prescribed exercises required for recovery. Therefore, we propose game-based approach to address these problems. This paper presents a rehabilitation gaming system (RGS) for cognitive rehabilitation. The RGS is developed based on a proposed conceptual framework which has also been presented in this paper.

Domain-specific deficits in self-awareness and relationship to psychosocial outcomes after severe traumatic brain injury

2018 ◽  
Vol 42 (5) ◽  
pp. 651-659 ◽  
Author(s):  
Felicity G. Hurst ◽  
Tamara Ownsworth ◽  
Elizabeth Beadle ◽  
David H. K. Shum ◽  
Jennifer Fleming
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Severe Traumatic Brain Injury ◽  
Psychosocial Outcomes ◽  
Self Awareness ◽  
Domain Specific

scholarly journals Providing Verbal Assistance When Assessing Individuals Living with a Traumatic Brain Injury

2021 ◽  
pp. 000841742110342
Author(s):  
Mireille Gagnon-Roy ◽  
Nathalie Bier ◽  
Stéphanie Boulé-Riley ◽  
Heidi Keurentjes ◽  
Priscilla Lam Wai Shun ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Activities Of Daily Living ◽  
Clinical Reasoning ◽  
Thematic Analysis ◽  
Daily Living ◽  
Occupational Therapists ◽  
Think Aloud ◽  
Accurate Assessment ◽  
Level Of Understanding

Background. Occupational therapists play a major role in identifying the assistance needs of individuals living with a traumatic brain injury. However, to obtain an accurate assessment, verbal assistance should be provided only when necessary, according to the person's needs. Purpose. This study aimed to understand (1) how verbal assistance is provided during an evaluation of Instrumental Activities of Daily Living and (2) why it is provided in this manner. Method. Interviews were conducted with three expert occupational therapists using their own videotaped evaluation and a “think-aloud” method to explore their clinical reasoning when providing verbal assistance. Data were analyzed using thematic analysis. Findings. The process of providing verbal assistance was recognized as flexible and nonlinear, and influenced by various factors including the participants’ level of understanding of the client's abilities. Implications. This information will help therapists better understand how and when to provide verbal assistance when assessing their clients.

Sign in / Sign up

Export Citation Format

Share Document