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Related Concept Videos

Traumatic Brain Injury l: Introduction01:28

Traumatic Brain Injury l: Introduction

25
DefinitionTraumatic brain injury, or TBI, is a disturbance of normal brain function induced by an external mechanical force, such as a direct blow to the head or a penetrating injury. It can affect both brain structure and function, producing a wide range of clinical outcomes. TBI is a heterogeneous condition, meaning its effects may differ based on the type, location, and severity of the injury.Basis of ClassificationTBI is classified based on severity, injury mechanism, or pathophysiology. In...
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Providing individualized services: a traumatic brain injury case study.

S Berde1, P Johnson1, H Rodrigues1

  • 1O'Berry Center, 400 Old Smithfield Road, Goldsboro, NC 27530-8464, USA.

Neurorehabilitation
|February 15, 2014
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Summary

This study improved a woman's computer task time and accuracy after traumatic brain injury (TBI) using a tailored rehabilitation program. Individualized adjustments in her environment led to significant gains, demonstrating rehabilitation potential years post-injury.

Keywords:
Computer instructionEmploymentRehabilitationTraumatic brain injury

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Human-Computer Interaction

Background:

  • Individuals with traumatic brain injury (TBI) often require specialized, individualized rehabilitation.
  • Lack of tailored programs can hinder recovery and skill development.
  • Long-term TBI survivors may still benefit from targeted interventions.

Purpose of the Study:

  • To enhance time on task and accuracy for a woman with a history of TBI.
  • To assess the effectiveness of an individualized, adaptive rehabilitation program.
  • To explore rehabilitation gains in a rural Adult Developmental Activity Program (ADAP) setting.

Main Methods:

  • A single-subject design was employed in a rural ADAP.
  • The participant used a computer workstation with a speech-generating device to respond to design prompts.
  • Environmental settings were systematically modified in phases to optimize success.

Main Results:

  • Mean time on task increased significantly from a baseline of 4.8 minutes to over 90 minutes (with breaks).
  • Accuracy improved dramatically from 0% to high percentages, including a 100% score.
  • The program demonstrated substantial improvements in both engagement and performance.

Conclusions:

  • Individually designed rehabilitation programs can yield significant gains for individuals with TBI, even years after injury.
  • Adaptive environmental modifications are crucial for enhancing rehabilitation outcomes.
  • The study highlights the potential for continued recovery and the resilience of individuals post-TBI.