The aim of this study was to determine the reliability and discriminant validity of the Dutch version of the life satisfaction questionnaire (Lisat-9 DV) to assess patients with an acquired brain injury. The reliability study used a test-retest design, and the validity study used a cross-sectional design. The setting was the general rehabilitation…

For the rehabilitation process, the treatment of patients surviving brain injury in a vegetative state is still a serious challenge. The aim of this study was to investigate patients exhibiting severely disturbed consciousness using functional magnetic resonance imaging. Five cases of posttraumatic vegetative state and one with minimal…

This study explored the relative strength of five neuropsychological tests in correlating with productivity 1 year after traumatic brain injury (TBI). Six moderate-to-severe TBI patients who returned to work at 1-year post-injury were matched with six controls who were unemployed after 1 year based on age, severity of injury, and Functional…

Visual attention and visual search are the features of visual perception, essential for attending and scanning one's environment while engaging in daily occupations. This study describes the development of a novel web-based test of visual search. The development information including the format of the test will be described. The test was designed…

The objectives of this study were to describe psychosocial adjustment and outcome over time for severely brain-injured patients and to find suitable outcome measures for clinical practice during the rehabilitation process and for individual rehabilitation planning after discharge from hospital. The methods include a descriptive, prospective,…

Describes pilot studies of the Edinburgh Extended Glasgow Outcome Scale (EEGOS), designed to retain the advantages of the GOS (a measure commonly used in head injury research) but to allow comparison of recovery patterns in behavioral, cognitive, and physical function. Studies show that the interrater reliability of the EEGOS is comparable to that…

Supported employment was utilized in the vocational rehabilitation of two people with traumatic brain injury and one with a traumatic spinal cord injury. Supported employment was found to yield real work outcomes, though it required substantial amounts of money to return the three patients to relatively low-paying jobs. Funding issues are…

A study involving 10 adults with traumatic brain injury (TBI) and 10 controls found subjects had problems with procedural function, descriptive function, cohesion relations, and narrative function. They also showed problems in functional communication and in general pragmatic ability. Discrete problems in comprehension and in presuppositional…

A case-study approach illustrates how three survivors of severe traumatic brain injury were able to gain and maintain employment with the assistance of a supported employment program. Emphasis is on types of accommodations, including design and implementation of compensatory strategies. The steps to enhance use of compensatory strategies on the…

This pilot study estimated the incidence of nondysphasic language and communication problems following right cerebral hemisphere damage (RHD) in 11 subjects who completed language assessments within 2 weeks of onset and again 3 months later. Results found some language impairment for 50% of the sample and marked difficulties for 20%. (Author/DB)

Forty neuropsychologists, neurologists, psychiatrists, and physiatrists identified neurologically relevant items (NRIs) in the Minnesota Multiphasic Personality Inventory-2 (MMPI-2). Raters identified four sets of NRIs: one for brain damage in general and three partially overlapping sets for stroke, traumatic brain damage, and whiplash.…

A broad spectrum behavior therapy approach was used to treat physical aggression in 5 brain-injured males (ages 18-28). The approach employed high density reinforcement, reinforcer sampling, environmental control, selection of appropriate responses, inconvenience review, self-control training, and self-monitoring. All five subjects showed…

Fifteen families seeking family counseling after a traumatic brain injury (TBI) were monitored over a two-year period. Findings indicated decreased distress for both individuals with TBI and their caretakers, reduced burdens carried by family members, reduced conflict, and increased family cohesion and adjustment. However, reported anger levels,…

This study of 54 individuals with head injuries compares a commonly used measure of physical disability, the Barthel Index, with three measures designed to assess intellectual functioning, communication, behavior, and mobility. The results indicate support for using scales other than the Barthel Index when describing disability following traumatic…

This paper assesses the psychometric features of instruments used in assessing outcomes for survivors of traumatic brain injury, and describes a test development framework based on the principles of construct validity. This approach is seen to avoid common measurement difficulties. Emphasis is on cognitive and social dimensions of recovery.…