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Related Experiment Videos

Planning disorder after closed head injury: a case study.

K D Cicerone, J C Wood

    Archives of Physical Medicine and Rehabilitation
    |February 1, 1987
    PubMed
    Summary

    Traumatic brain injury can impair executive functions like planning and self-control. A self-instructional strategy improved these executive functions and real-world behaviors in a patient.

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    Area of Science:

    • Neuroscience
    • Cognitive Psychology
    • Rehabilitation Medicine

    Background:

    • Executive functioning deficits, including impaired planning and self-control, are common after traumatic brain injury (TBI).
    • These deficits significantly hinder social and vocational recovery, necessitating targeted interventions.

    Observation:

    • The study treated a client with executive dysfunction following a closed head injury.
    • The client exhibited difficulties with planning ability and self-control.

    Findings:

    • A self-instructional procedure, involving verbalizing plans before and during tasks, was implemented and gradually faded.
    • This intervention led to a reduction in off-task behaviors and problem-solving errors over eight weeks.
    • Pre- and post-intervention assessments indicated significant improvements in planning ability.
    • Self-control in daily activities also improved, demonstrating generalization of training effects.

    Implications:

    • Self-instructional strategies, particularly those focusing on planning and self-verbalization, show efficacy in remediating executive functions post-TBI.
    • Extended training can promote the generalization of these improved skills to real-life situations.
    • This approach offers a promising avenue for enhancing recovery and reintegration for individuals with TBI.

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