Affiliation:
1. Centre hospitalier universitaire vaudois (CHUV)
2. Université de Genève
3. Clinique Romande de Réadaptation
Abstract
Despite the disabling consequences of severe traumatic brain injury (TBI) in daily life, very few studies focused on the re-education of specific “instrumental activities” in these patients. In this qualitative study, we present an ecological rehabilitation of a patient victim of an extremely severe TBI and presenting severe and diffuse cognitive impairment. The rehabilitation program, focused on the preparation of a vegetable soup, was structured in three steps conjugating various strategies: a phase of acquisition of basic knowledge and procedures, a phase of application to the actual preparation of the soup, and an adaptation phase devoted to making the activity a purposeful part of the patient’s life. Results showed that it is possible to increase the abilities of severely impaired patients in a daily task, as well as their self-awareness, by means of an individualized, contextualized and intensive rehabilitation. However, several limitations must be considered.
Publisher
Neuropsychologie Clinique et Appliquee
Reference92 articles.
1. Alvarez, J. A. & Emory, E. (2006). Executive Function and the Frontal Lobes: A Meta-Analytic Review. Neuropsychology Review, 16, 17-42. doi: 10.1007/s11065-006-9002-x
2. Andelic, N., Hammergren, N., Bautz-Holter, E., Sveen, U., Brunborg, C., & Roe, C. (2009). Functional outcome and health-related quality of life 10 years after moderate-to-severe traumatic brain injury. Acta Neurologica Scandinavica, 120, 16–23. doi: 10.1111/j.1600-0404.2008.01116.x
3. Arnould, A., Dromer, E., Rochat, L., Van der Linden, M., & Azouvi, P. (2016). Neurobehavioral and self-awareness changes after traumatic brain injury: Towards new multidimensional approaches. Annals of Physical and Rehabilitation Medicine, 59, 18-22. doi: 10.1016/j.rehab.2015.09.002
4. Ayllon, T. & Azrin, N. H. (1968). The token economy: a motivational system for therapy and rehabilitation. New York, NY: Appleton-Century-Crofts.
5. Babbage, D. R., Yim, J., Zupan, B., Neumann, D., Tomita, M. R., & Willer, B. (2011). Meta-analysis of facial affect recognition difficulties after traumatic brain injury. Neuropsychology, 25, 277–285. doi: 10.1037/a0021908