Return to work after traumatic brain injury: Systematic review

Saltychev, Mikhail; Eskola, Merja; Tenovuo, Olli; Laimi, Katri

doi:10.3109/02699052.2013.831131

Cited by 144 publications

(95 citation statements)

References 94 publications

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“…The quotes show participants' adjustment to their deficits in terms of making adaptations to their lives and relationships. Employment was shown to be an important marker of improvement, which is supported by research showing this to be a common goal of rehabilitation (Saltychev, Eskola, Tenovuo, & Laimi, 2013).…”

Section: Discussionmentioning

confidence: 84%

A meta-synthesis of qualitative research on perceptions of people with long-term neurological conditions about group-based memory rehabilitation

Nair

Martin

Sinclair

2014

Neuropsychological Rehabilitation

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A note on versions:The version presented here may differ from the published version or from the version of record. If you wish to cite this item you are advised to consult the publisher's version. Please see the repository url above for details on accessing the published version and note that access may require a subscription. AbstractThe effectiveness of memory rehabilitation based on randomised controlled trials and metaanalyses has been inconclusive, but patient reports based on qualitative studies have been largely positive. We conducted a meta-synthesis of qualitative studies of group-based memory rehabilitation programmes for people with neurological conditions. Based on systematic searches of electronic databases and reference lists, five papers (87 participants) were selected. Quality appraisal of papers was conducted by two independent reviewers using the Critical Appraisal Skills Programme tool. Data synthesis was guided by the meta-ethnography approach. Fiver higher order themes were elicited. These suggested that memory rehabilitation was associated with insight and acceptance of participants' neurological condition and resultant cognitive deficits. The therapeutic effects of the groups, with social support and leisure activities, helped with participants' confidence. There were improvements in memory related to better self-awareness and learning to use new skills and strategies to compensate for memory deficits. These improvements also related to other psychological effects, in terms of positively affected mood, confidence and fatigue. Ultimately, these changes had a positive impact on daily life, with changes seen in the personal, inter-personal and professional spheres. Therefore, this synthesis of qualitative studies suggests that memory rehabilitation offers positive outcomes for people with long-term neurological conditions.

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Section: Discussionmentioning

confidence: 84%

A meta-synthesis of qualitative research on perceptions of people with long-term neurological conditions about group-based memory rehabilitation

Nair

Martin

Sinclair

2014

Neuropsychological Rehabilitation

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“…These findings are supported by the results from Willmott et al (30), who reported that a return to study after a TBI was limited by fatigue and required reduced study hours and a need for far greater effort. It has been difficult to find predictors for the failure or success of a return to work after TBI (31,32). However, depression and anxiety measured with the Hospital Anxiety and Depression Scale (HADS) (33) and the subscales cognition (e.g.…”

Section: Discussionmentioning

confidence: 99%

Long-term mental fatigue after traumatic brain injury and impact on employment status

Palm

Rönnbäck²,

Johansson³

2017

J Rehabil Med

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Objective: Long-term mental fatigue following traumatic brain injury is endorsed as one of the most distressing symptoms, interfering considerably with return to work and social life. The objective of this cross-sectional study was to estimate the prevalence of long-term mental fatigue after traumatic brain injury and to evaluate its association with employment status. Methods: All patients (age range 19-65 years) diagnosed with traumatic brain injury irrespective of severity at Kungälv Hospital, Kungälv, Sweden, over a period of 5 years (n = 613) were invited by post to respond to questions about their injury, employment status and complete a questionnaire about mental fatigue, the Mental Fatigue Scale (MFS). Results: A response rate of 38% was achieved. Among respondents, 39% scored above the MFS cutoff of 10.5. Higher MFS scores were associated with decreased employment status (p < 0.001). Rating on the MFS was higher for women, for those with a longer initial duration of acute post-traumatic brain injury symptoms, and for those who had previously experienced a traumatic brain injury. No association was found between mental fatigue and age, severity of injury, or time since injury. Conclusion: Long-term mental fatigue was frequent among people who had experienced a traumatic brain injury, and a higher rating on the MFS was associated with decreased employment status.

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“…Matuseviciene et al tried to avoid this confound by offering an early intervention visit by a rehabilitation specialist compared to providing written information to estimated high-risk patients with three or more PCS after MTBI, but their studies showed no difference in return-to-work (RTW) between interventions [14]. Participation such as RTW is an important goal in rehabilitation because being unemployed affects various dimensions of physical, psychological and social health [15]. RTW has been stated to be a good indicator of patient well-being and adaption after MTBI [16].…”

Section: Introductionmentioning

confidence: 99%

Multidisciplinary outpatient treatment in patients with mild traumatic brain injury: A randomised controlled intervention study

et al. 2017

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Objective: To evaluate the efficacy of a multidisciplinary outpatient follow-up programme compared to follow-up by a general practitioner for patients being at risk or sick-listed with persistent post-concussion symptoms two months after a mild traumatic brain injury. Design: Randomised controlled trial.Patients: One hundred fifty-one patients, 16-56 years.Methods: Multidisciplinary outpatient rehabilitation with individual contacts and a psychoeducational group intervention at two outpatient rehabilitation clinics compared to follow-up by a general practitioner after a multidisciplinary examination. Primary outcome was sustainable return-to-work first year post-injury. Secondary outcomes were post-concussion symptoms, disability, the patient's impressions of change and psychological distress.Results: Days to sustainable return-to-work was 90 in the intervention and 71 in the control group (p=0.375). The number of post-concussion symptoms were fewer in the intervention (6) compared to the control group (8) at 12 months (p=0.041). No group differences were observed for disability (p=0.193), patients impression of change (p=0.285) or psychological distress (p=0.716).2 Conclusion:The multidisciplinary outpatient follow-up programme focusing on better understanding and reassurance of favourable outcome for mild traumatic brain injury did not improve return-to-work, but may have reduced the development of post-concussion symptoms.Additional studies should focus on which factors exhibit a direct impact on return-to-work.

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Return to work after traumatic brain injury: Systematic review

Cited by 144 publications

References 94 publications

A meta-synthesis of qualitative research on perceptions of people with long-term neurological conditions about group-based memory rehabilitation

A meta-synthesis of qualitative research on perceptions of people with long-term neurological conditions about group-based memory rehabilitation

Long-term mental fatigue after traumatic brain injury and impact on employment status

Multidisciplinary outpatient treatment in patients with mild traumatic brain injury: A randomised controlled intervention study

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