Recreational Therapy Program for Patients with Traumatic Brain Injury

Author(s):  
Mark Sell ◽  
Gregory J. Murrey
2018 ◽  
Vol 17 (2) ◽  
pp. 27
Author(s):  
McKenzie Seaton, LAT, ATC, MSRT Student ◽  
Victoria DeFazio, CTRS ◽  
Heather R. Porter, PhD, CTRS

The purpose of this systematic review is to examine the efficacy of anger management interventions for individuals with traumatic brain injury (TBI). A total of 4,178 articles were identified of which six met the inclusion criteria. Anger management interventions included TBI education, anger education, emotional recognition, support, and maintenance of an anger log. Data were collected on eight outcomes (trait anger, anger expression-out, anger control, self-reported aggressiveness, anger recognition strategies, well-being, self-reported anger, and treatment satisfaction) with mixed findings. Suggestions for recreational therapy practice are provided. Further research is needed, particularly for the pediatric and adolescent TBI population.


2018 ◽  
Vol 17 (1) ◽  
pp. 29
Author(s):  
Donna L. Gregory, MBA, CTRS ◽  
Brent L. Hawkins, PhD, LRT/CTRS ◽  
Leighton Chan, MD, MPH

Traumatic brain injury (TBI) can have a lasting and devastating impact on individuals and their families. The effects of TBI are complex and may impair cognitive and psychosocial function. The purpose of this study was to identify impairments 6 months to 5 years after TBI and to recognize opportunities for recreational therapy (RT) to address functional needs. Results indicated that psychosocial adjustment and cognitive improvements occurred between 90 and 180 days after injury. However, impairment in several cognitive and psychosocial adjustment subscales persisted 1 to 5 years after injury. Community-based RT interventions focused on cognitive compensatory strategies, environmental adaptation, and social skill development may help individuals experiencing long-term impairments.


Brain Injury ◽  
2010 ◽  
Vol 24 (5) ◽  
pp. 762-772 ◽  
Author(s):  
Jane Topolovec-Vranic ◽  
Nora Cullen ◽  
Alicja Michalak ◽  
Donna Ouchterlony ◽  
Shree Bhalerao ◽  
...  

2017 ◽  
Vol 16 (2) ◽  
pp. 9 ◽  
Author(s):  
Sophia Kenuk, MS, CTRS ◽  
Heather R. Porter, PhD, CTRS

This literature review aims to evaluate the effectiveness of mindfulness-based interventions (MBIs) for adults following a traumatic brain injury. A comprehensive literature search yielded 56 articles, of which 16 met the inclusion criteria. Five different MBIs were identified, including mindfulness-based stress reduction, mindfulness-based cognitive therapy, mindfulness training, yoga, tai chi, and qigong. A total of 88 outcomes in the areas of cognition, home and community activities, physical functioning, psychosocial functioning, and recovery and general health were measured across the studies, of which 66 of the 88 outcomes found significant, positive, or significant and positive mixed results (75 percent) across all of the studies. Although more research is needed, these findings indicate that MBIs hold promise in improving functioning. Recommendations for recreational therapy practice and future research are provided.


2009 ◽  
Vol 8 (2) ◽  
pp. 31-37
Author(s):  
James Newman, CTRS ◽  
Elizabeth Newstadt

The Adventure Therapy Program for Traumatic Brain Injury Survivors and Caregivers at Radford University is a recreation therapy program that uses adventure-based activities to decrease the stress, approach, and understanding of the traumatic brain injury survivor and caregiver relationship and individual experiences. There is empirical support for the use of inclusive outdoor recreation programs, in bringing about positive social behavior changes. The specific benefits reported in this area are as follows: increased group cooperation, increased individual and group socialization, reduction of maladaptive behaviors, increased acceptance and quality of life for individuals with disabilities, and increased social adjustment and inclusion. These benefits coincide with the needs of the study population, and the results of this study suggest that further development in this area have potential for increasing the success of community transitions.


2020 ◽  
Vol 10 (12) ◽  
pp. 947
Author(s):  
Mona-Lisa Möller ◽  
Susanna Melkas ◽  
Jan Johansson

This case report describes the outcome of vision therapy for three patients who were referred to therapy due to visual symptoms after mild traumatic brain injury (MTBI). The criterion for inclusion was a high score (>21p) on the Convergence Insufficiency Symptom Survey (CISS) scale. The vision therapy program (VTP) included both face-to-face sessions and home-based tasks. Cases #1 and #2 had a substantial CISS scale evaluation improvement, and case #2 normalized the CISS scale score from 36 to 19. All patients agreed that vision therapy helped them understand their own vision and changes in their vision, which helped their overall recovery after MTBI. Rehabilitation professionals have an important role in screening for vision impairments and treating functional vision challenges after mild traumatic brain injury.


2019 ◽  
Vol 42 ◽  
Author(s):  
Colleen M. Kelley ◽  
Larry L. Jacoby

Abstract Cognitive control constrains retrieval processing and so restricts what comes to mind as input to the attribution system. We review evidence that older adults, patients with Alzheimer's disease, and people with traumatic brain injury exert less cognitive control during retrieval, and so are susceptible to memory misattributions in the form of dramatic levels of false remembering.


2020 ◽  
Vol 5 (1) ◽  
pp. 88-96
Author(s):  
Mary R. T. Kennedy

Purpose The purpose of this clinical focus article is to provide speech-language pathologists with a brief update of the evidence that provides possible explanations for our experiences while coaching college students with traumatic brain injury (TBI). Method The narrative text provides readers with lessons we learned as speech-language pathologists functioning as cognitive coaches to college students with TBI. This is not meant to be an exhaustive list, but rather to consider the recent scientific evidence that will help our understanding of how best to coach these college students. Conclusion Four lessons are described. Lesson 1 focuses on the value of self-reported responses to surveys, questionnaires, and interviews. Lesson 2 addresses the use of immediate/proximal goals as leverage for students to update their sense of self and how their abilities and disabilities may alter their more distal goals. Lesson 3 reminds us that teamwork is necessary to address the complex issues facing these students, which include their developmental stage, the sudden onset of trauma to the brain, and having to navigate going to college with a TBI. Lesson 4 focuses on the need for college students with TBI to learn how to self-advocate with instructors, family, and peers.


2019 ◽  
Vol 28 (3) ◽  
pp. 1363-1370 ◽  
Author(s):  
Jessica Brown ◽  
Katy O'Brien ◽  
Kelly Knollman-Porter ◽  
Tracey Wallace

Purpose The Centers for Disease Control and Prevention (CDC) recently released guidelines for rehabilitation professionals regarding the care of children with mild traumatic brain injury (mTBI). Given that mTBI impacts millions of children each year and can be particularly detrimental to children in middle and high school age groups, access to universal recommendations for management of postinjury symptoms is ideal. Method This viewpoint article examines the CDC guidelines and applies these recommendations directly to speech-language pathology practices. In particular, education, assessment, treatment, team management, and ongoing monitoring are discussed. In addition, suggested timelines regarding implementation of services by speech-language pathologists (SLPs) are provided. Specific focus is placed on adolescents (i.e., middle and high school–age children). Results SLPs are critical members of the rehabilitation team working with children with mTBI and should be involved in education, symptom monitoring, and assessment early in the recovery process. SLPs can also provide unique insight into the cognitive and linguistic challenges of these students and can serve to bridge the gap among rehabilitation and school-based professionals, the adolescent with brain injury, and their parents. Conclusion The guidelines provided by the CDC, along with evidence from the field of speech pathology, can guide SLPs to advocate for involvement in the care of adolescents with mTBI. More research is needed to enhance the evidence base for direct assessment and treatment with this population; however, SLPs can use their extensive knowledge and experience working with individuals with traumatic brain injury as a starting point for post-mTBI care.


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