A Home Program of Rehabilitation for Moderately Severe Traumatic Brain Injury Patients

Warden, Deborah L.; Salazar, Andrés M.; Martin, Elisabeth Moy; Schwab, Karen; Coyle, Mary; Walter, Joan

doi:10.1097/00001199-200010000-00003

Cited by 56 publications

(47 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Indeed, telerehabilitation for MANUSCRIPT ACCEPTED -BRAIN INJURY: 02 FEBRUARY 2017 17 people with TBI featured in 38 of the included papers (see Table 2), comprising 2 systematic reviews [39,79], 22 group comparison trials [23][24][25]30,35,52,58,74,77,82,84,[98][99][100][104][105][106][108][109][110][111]113], 9 case series [28,50,80,83,93,97,101,102,107] Importantly, no statistically significant differences were found between the tele-practice and face-to-face intervention delivery methods [39,79].…”

Section: Telerehabilitationmentioning

confidence: 99%

Technology and its role in rehabilitation for people with cognitive-communication disability following a traumatic brain injury (TBI)

et al. 2017

View full text Add to dashboard Cite

distinct from motor speech impairments or primary language impairments (e.g. aphasia), in that the impairments arise from the diffuse axonal injuries which occur in frontal and prefrontal areas of the brain [6]. These impairments can be defined as any aspect of communication that result from underlying deficits in cognition [4,5,7].Communication difficulties after a TBI can affect how a person hears, listens, understands, speaks, reads, writes, and how they engage in conversation and social communication [5]. The underlying deficits of cognition that affect these communicative functions can include slowed information processing; impaired working memory and attention; disorientation and disorganisation; executive function problems including rigidity, poor conceptualization, planning, and problem solving; and poor self-control or selfregulation of cognition or behaviour [4,5]. As a result of these changes in cognitivecommunicative processes, people with TBI have been described as 'overtalkative, inefficient, tangential or drifting from topic to topic, or lacking in language output. ' [4] (p.354). These cognitive-communication impairments can restrict a person's ability to communicate, live independently, return to work or education, participate in society, and build or maintain relationships after their TBI [8].The International Cognitive (INCOG) guidelines for the management of a person's cognitive rehabilitation following TBI highlight that assessment of cognitive-communication skills should incorporate performance in everyday social activities [4]. Adolescents and young adults, the group most at risk of TBI, use digital and online communication MANUSCRIPT ACCEPTED -BRAIN INJURY: 02 FEBRUARY 2017 4 technologies from a young age [9] and, following TBI, involvement in social, academic, and societal situations may be reduced with difficulties using technology and social media [5]. As a result, people with cognitive-communication impairments resulting from a TBI face challenges in accessing information independently and engaging effectively in social networks [8]. However, little is known about how people with cognitive-communication impairments after TBI use and experience digital communication and the internet.Furthermore, clinical guidelines for the assessment of cognitive-communication skills following a TBI do not provide guidance on the use of social media, or of assistive technologies (AT) to support cognitive-communication rehabilitation [4,5].In order to review the existing literature on technology it is essential to consider which types of technology appear in relation to TBI and cognitive-communication. In this study, we considered three major categories of technology: (i) Assistive Technology (AT), being 'any item, piece of equipment, or product, whether it is acquired commercially, includes technology such as email, the internet, and mobile phones [13] which enable users to access, store, transmit, and manipulate information [14]. The multiple purposes of the different types of technology selected ...

show abstract

Section: Telerehabilitationmentioning

confidence: 99%

Technology and its role in rehabilitation for people with cognitive-communication disability following a traumatic brain injury (TBI)

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Outcome measures of return to work; fitness for military duty; and cognitive, behavioral, and quality of life measures were similar between the home-based CIR and hospital-based cognitive rehabilitation groups. More detailed analyses of fitness for duty at 1 year indicated that the more severely injured participants fared better when treated in the hospital-based cognitive rehabilitation setting and the less severely injured participants fared better when treated at home [6].…”

Section: Community-integrated Rehabilitation Program Outcome Overviewmentioning

confidence: 98%

“…Typically, CIR does not include subacute brain injury rehabilitation programs that specialize in coma management or the treatment of behaviors that actively pose a risk of serious endangerment [7]. The most common delineation of CIR programs has followed the framework proposed by Malec and Basford [7], including neurobehavioral programs, residential programs, comprehensive holistic (day treatment) programs, and home-based programs [6][7][8][9] (Table).…”

Section: Approaches To Community-integrated Rehabilitationmentioning

confidence: 99%

“…Behavioral approaches using self-monitoring and cueing are employed, as well as models wherein family members or in-home paraprofessionals are engaged as therapeutic change agents. Additionally, home-based CIR involves participant education and the growing use of telephonic, Web-based, and technological aides [6,8].…”

Section: Home-based Programmentioning

confidence: 99%

“…Military personnel and veterans receiving CIR services through DVBIC and programs such as VANC will provide us with practical data for the continued development of a variety of postacute rehabilitation services [6].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Community-integrated brain injury rehabilitation: Treatment models and challenges for civilian, military, and veteran populations

Trudel

Nidiffer²,

Barth³

2007

JRRD

View full text Add to dashboard Cite

Abstract-Traumatic brain injury (TBI) is a major health problem in civilian, military, and veteran populations. Individuals experiencing moderate to severe TBI require a continuum of care involving acute hospitalization and postacute rehabilitation, including community reintegration and, one would hope, a return home to function as a productive member of the community. In the military, the goal is to help individuals with TBI return to active duty or make an optimal return to civilian life if the extent of their injuries necessitates a "medical board" discharge. Whether civilian, military, or veteran with TBI, individuals who move beyond the need to live in a facility must be reintegrated back into the community. This article discusses four treatment models for community reintegration, reviews treatment standardization and outcome issues, and describes a manualized rehabilitation pilot program designed to provide community reintegration and return to duty/work for civilians, veterans, and military personnel with TBI.

show abstract

Multi-disciplinary rehabilitation for acquired brain injury in adults of working age

Turner-Stokes

Disler²,

Nair³

et al. 2005

Cochrane Database of Systematic Reviews

199

181

View full text Add to dashboard Cite

Problems following ABI vary; different services are required to suit the needs of patients with different problems. Patients presenting acutely to hospital with moderate to severe brain injury should be routinely followed up to assess their need for rehabilitation. Intensive intervention appears to lead to earlier gains. The balance between intensity and cost-effectiveness has yet to be determined. Patients discharged from in-patient rehabilitation should have access to out-patient or community-based services appropriate to their needs. Those with milder brain injury benefit from follow-up, and appropriate information and advice. Not all questions in rehabilitation can be addressed by traditional research methodologies. There are important questions still to be answered and future research should employ the most appropriate methodology.

show abstract

A Home Program of Rehabilitation for Moderately Severe Traumatic Brain Injury Patients

Cited by 56 publications

References 14 publications

Technology and its role in rehabilitation for people with cognitive-communication disability following a traumatic brain injury (TBI)

Technology and its role in rehabilitation for people with cognitive-communication disability following a traumatic brain injury (TBI)

Community-integrated brain injury rehabilitation: Treatment models and challenges for civilian, military, and veteran populations

Multi-disciplinary rehabilitation for acquired brain injury in adults of working age

Contact Info

Product

Resources

About