Perspectives on Rehabilitation of Individuals with Cognitive Impairment After Brain Injury

Abstract

We conclude with a call for (a) additional research into the effectiveness of interventions for individuals with cognitive impairment after TBI and (b) clinicians' thoughtful reflection on the foundations of their service.

Efficacy of leisure intervention groups in rehabilitation of people with an acquired brain injury

“…During recent years, however, there has been a shift towards a more collaborative context-sensitive approach to rehabilitation that aims to help individuals achieve functional objectives and participate in chosen activities (Ylvisaker et al, 2002).…”

“…For several years now SWBIRS has made a conscious effort to adopt a more collaborative contextsensitive approach to rehabilitation as described by Ylvisaker et al (2002). This context-sensitive rehabilitation is more about helping the individual to achieve practical objectives in the real-world environment in comparison to more traditional cognitive rehabilitation that aims for improvement or behaviour change by improving knowledge base and skills (Walker et al, 2005).…”

Emotion perception deficits following traumatic brain injury: A review of the evidence and rationale for intervention

“…As emphasized by Wilson (2005) and others (Prigatano, 1999;Sohlberg & Mateer, 2001;Turkstra, 2001;Wilson et al, 2002;Ylvisaker et al, 2003), rehabilitation following TBI takes place amidst an array of social, institutional, medical, and personality factors that must be taken into consideration for a program to be successful in providing both short-term and long-term benefits for any one individual. Just as a major shortcoming of emotion remediation research in schizophrenia has been its failure to address emotion deficits in context, so too the diverse interplay of these factors has often been overlooked in TBI remediation in the past, to the detriment of the longterm outcome for individuals and their families (Turkstra, 2001;Wilson, 2002Wilson, , 2005Ylvisaker & Feeney, 1998Ylvisaker et al, 2002). A context-sensitive approach to rehabilitation, in contrast, makes clear and explicit the relevance of a rehabilitation program to the individual's personal goals, and aims to highlight the personal significance of gains achieved throughout the course of treatment Ylvisaker & Feeney, 1998).…”

Una revisión de escalas de evaluación para medir el cambio de conducta debido a la lesión cerebral y el tratamiento de estos cambios [A Review of Rating Scales for Measuring Behavior Change Due To Brain Injury and Treatment for These Changes]

“…La mezcla de psicoterapia, rehabilitación cognitiva y modificación de conducta son necesarias para la intervención de los problemas conductuales (Ylvisaker, 2002). No se puede separar de la rehabilitación neuropsicológica cognitiva, la conductual y la emocional ya que estas tres son un conjunto que va unido y que se interrelaciona.…”