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Considerations for return to work following traumatic brain injury
Deborah M Little1, Andrew J Cook2, Sandra B Morissette2
1Baylor Scott and White Healthcare, Temple, TX, USA; Neuroscience Institute, Texas A&M Health Science Center College of Medicine, Temple, TX, USA.
Handbook of Clinical Neurology
|November 14, 2015
Summary
Traumatic brain injury (TBI) can cause cognitive and behavioral issues, impacting work. Early assessment and support can improve return-to-work outcomes for those with TBI.
Area of Science:
- Neuroscience
- Occupational Health
- Public Health
Background:
- Traumatic brain injury (TBI) is linked to cognitive impairment, behavioral changes, and pain.
- These TBI sequelae can affect occupational function and workplace safety.
- High-risk occupations like first responders and soldiers face increased lifetime brain injury risk.
Purpose of the Study:
- To review the risks associated with TBI.
- To identify factors optimizing functional recovery post-TBI.
- To discuss interventions supporting return to the workplace.
Main Methods:
- Literature review of population-based studies.
- Analysis of factors influencing occupational function.
- Examination of interventions for workplace re-entry.
Main Results:
- TBI history correlates with cognitive and behavioral deficits.
- Workplace safety and occupational function are significantly impacted by TBI.
- Risk mitigation strategies include capability assessment and phased return-to-work.
Conclusions:
- TBI poses significant risks to occupational function and long-term health.
- Proactive assessment and tailored interventions are crucial for successful return-to-work.
- Understanding TBI risks is vital for high-risk professions and managing cumulative injury effects.

