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Compensating for executive function impairments after TBI: a single case study of functional intervention.
Lyn S Turkstra1, Tracy L Flora
1Department of Communication Sciences, Case Western Reserve University, Cleveland, OH 44106, USA. lst2@po.cwru.edu
Journal of Communication Disorders
|November 22, 2002
Summary
Compensatory strategies effectively improved executive function and communication for a traumatic brain injury (TBI) client, enabling sustained employment. This highlights the value of tailored, real-world interventions post-TBI.
Area of Science:
- Neuroscience
- Rehabilitation Psychology
Background:
- Executive function deficits commonly follow traumatic brain injury (TBI), impacting vocational success.
- Developing targeted compensatory strategies is crucial for functional recovery and employment.
- Speech-language pathology plays a key role in addressing communication and executive function challenges post-TBI.
Observation:
- A single-subject research design was employed to train compensatory strategies.
- Strategies were developed and refined through individualized speech-language therapy sessions.
- Training included simulated workplace scenarios, such as mock interviews.
Findings:
- The client demonstrated significant improvements in report-writing accuracy.
- Self-reported stress levels during report-writing decreased notably.
- The client successfully obtained and maintained competitive professional employment.
Implications:
- Compensatory strategies can enhance executive function and improve performance on work-related verbal tasks.
- Intervention effectiveness is influenced by stress and self-perceived efficacy post-TBI.
- Real-world, supportive interventions can be beneficial even years after a TBI, promoting long-term vocational outcomes.