Functional outcome: a case for mild traumatic brain injury

The purpose of this case study was to demonstrate the successful incorporation of the strengths of process-specific and functional treatment approaches within a therapy programme for a patient with a MTBI. A patient with MTBI and deficits in attention, executive functioning, memory, reasoning and problem solving participated in a 4-month treatment programme. The interactions between the patient's cognitive deficits and problematic activities of daily living were identified. Treatment focused on teaching the patient compensatory strategies to offset the cognitive deficits following a cognitive framework within the context of hierarchically arranged activities of daily living. At the end of this programme, the patient consistently used his compensatory strategies to independently complete activities of daily living that were problematic prior to the receipt of treatment. Implications of this study for the treatment of patients with MTBI suggest that a combined approach is most beneficial in maximizing the recovery of these patients.