Return to Work for Persons with Traumatic Brain Injury

Yasuda, Satoko; Wehman, Paul; Targett, Pam; Cifu, David X.; West, Michael

doi:10.1097/00002060-200111000-00011

Cited by 130 publications

(72 citation statements)

References 68 publications

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“…Matheson et al added that the demand for executive functioning on a job was positively associated with job complexity and negatively associated with job organization. Other cognitive skills (attention, memory, information processing, and verbal skills) that surfaced in this review as predictive cognitive skills were identified in the RTW literature as essential cognitive skills for effective job performance [42,54,55]. It is interesting to note that these skills were also reported to be significantly affected in patients with mild TBI [56,57].…”

Section: Discussionmentioning

confidence: 88%

Cognition and return to work after mild/moderate traumatic brain injury: A systematic review

Mani¹,

Cater

Hudlikar

2017

WOR

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Abstract. BACKGROUND:Approximately two percent of the United States population are traumatic brain injury (TBI) survivors. The unemployment rate among them is substantial. Cognitive skills are essential to perform any job. OBJECTIVE: We analyzed the literature on cognitive rehabilitation (CR) related to mild/moderate TBI to learn the influence of cognition on return to work (RTW) post TBI. METHODS:We conducted a systematic review of the studies on CR related to RTW post TBI that were published between 2000 and 2015. RESULTS: We critically reviewed 30 studies that met the inclusion criteria. Ten studies highlighted cognition as a predictor variable, seven studies demonstrated support for cognitive testing in RTW assessments, and 13 studies showed the efficacy of CR in facilitating RTW post TBI. CONCLUSION: Cognition plays a significant role in predicting and facilitating RTW in patients with TBI.

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Section: Discussionmentioning

confidence: 88%

Cognition and return to work after mild/moderate traumatic brain injury: A systematic review

Mani¹,

Cater

Hudlikar

2017

WOR

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“…Thus, this population consists predominately of young males with a potential for employment. However, postinjury employment outcomes are disappointing [3][4][5][6]. Standardized tests of psychological distress confirm the common clinical impression that family caregivers of persons with TBI feel alienated, isolated, overwhelmed, and mentally preoccupied [6].…”

Section: Introductionmentioning

confidence: 81%

Constraint-induced movement therapy for recovery of upper-limb function following traumatic brain injury

Shaw

Morris

Uswatte

et al. 2005

JRRD

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Abstract-A volunteer sample of 22 participants with chronic traumatic brain injury (TBI) (onset >1 year) and relative hemiplegia that revealed moderate disability in the more-affected upper limb (UL) participated. Constraint-induced (CI) movement therapy (CI therapy) was employed for a 2-week period; treatments included massed practice, shaping of the moreaffected UL, behavioral contracts, and other behavioral techniques for affecting transfer to a real-world setting. We used the Wolf Motor Function Test, the Fugl-Meyer Motor Performance Assessment, and the Motor Activity Log to measure outcomes. All outcome measures improved significantly as a result of the intervention. More-adherent participants had more improvement compared with less-adherent participants. These preliminary results suggest that CI therapy may be effective for improving UL motor function following chronic TBI.

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“…A brief review of return to work (RTW) literature reveals contradicting findings regarding the effect of injury severity on RTW [11][12][13]. RTW rates have been tied to injury severity [9,[13][14], although not all investigators have found a relationship between injury severity and RTW [12,[15][16].…”

Section: Introductionmentioning

confidence: 99%

Minimizing the effect of TBI-related physical sequelae on vocational return

McNamee

Walker²,

Cifu³

et al. 2009

JRRD

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Abstract-This article evaluated the common physical sequelae that affect return to work (RTW) after traumatic brain injury (TBI). We performed a Medline search and evaluation of current TBI rehabilitation texts. The information presented is a combination of published literature and clinical guidelines. The limitations faced by many patients with TBI can best be overcome through clever job search, job redesign, and community linkages with business and industry that are willing to partner in helping the patient with TBI regain employment. The physician plays a key role in communicating suggestions to the vocational specialist. The comorbidities described represent challenges to successful RTW. These problems are recurrent, long-term, and clearly affect job procurement, nature of job, level of required support, and likelihood of job retention. Conversely, these challenges should not be viewed as impenetrable obstacles. With appropriate supports such as compensatory strategies, job coaching, assistive technology, medical management, and job restructuring, successful RTW is viable option. Physicians must focus on employment outcomes in real jobs and not settle for volunteer work, sheltered work, or assessment and planning. Individuals should be placed in real work for real pay. Through close collaboration between the survivor of TBI, the physician, the vocational specialist, and community resources, successful employment for survivors of TBI is possible and must be prescribed a high value.

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Return to Work for Persons with Traumatic Brain Injury

Cited by 130 publications

References 68 publications

Cognition and return to work after mild/moderate traumatic brain injury: A systematic review

Cognition and return to work after mild/moderate traumatic brain injury: A systematic review

Constraint-induced movement therapy for recovery of upper-limb function following traumatic brain injury

Minimizing the effect of TBI-related physical sequelae on vocational return

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