Hostname: page-component-76fb5796d-x4r87 Total loading time: 0 Render date: 2024-04-30T04:03:06.532Z Has data issue: false hasContentIssue false
  • English
  • Français

Efficacy of Postacute Neuropsychological Rehabilitation for Patients with Acquired Brain Injuries is Maintained in the Long-Term

Published online by Cambridge University Press:  27 January 2020

Tal Shany-Ur Open the ORCID record for Tal Shany-Ur [Opens in a new window] ,
Ayala Bloch ,
Tali Salomon-Shushan ,
Narkis Bar-Lev ,
Limor Sharoni  and
Dan Hoofien
Tal Shany-Ur*
Affiliation:
The National Institute for the Rehabilitation of the Brain Injured, Recanati Rehabilitation Center, 89 Itzhak Sadeh St. Tel Aviv 6722820, Israel Department of Psychology, The Hebrew University of Jerusalem, Mount Scopus, Jerusalem 91905, Israel
Ayala Bloch
Affiliation:
The National Institute for the Rehabilitation of the Brain Injured, Recanati Rehabilitation Center, 89 Itzhak Sadeh St. Tel Aviv 6722820, Israel The Department of Behavioral Sciences, Ariel University, 65 Ramat HaGolan St, Ariel, Israel
Tali Salomon-Shushan
Affiliation:
The National Institute for the Rehabilitation of the Brain Injured, Recanati Rehabilitation Center, 89 Itzhak Sadeh St. Tel Aviv 6722820, Israel
Narkis Bar-Lev
Affiliation:
The National Institute for the Rehabilitation of the Brain Injured, Recanati Rehabilitation Center, 89 Itzhak Sadeh St. Tel Aviv 6722820, Israel
Limor Sharoni
Affiliation:
The National Institute for the Rehabilitation of the Brain Injured, Recanati Rehabilitation Center, 89 Itzhak Sadeh St. Tel Aviv 6722820, Israel
Dan Hoofien
Affiliation:
The National Institute for the Rehabilitation of the Brain Injured, Recanati Rehabilitation Center, 89 Itzhak Sadeh St. Tel Aviv 6722820, Israel Department of Psychology, The Hebrew University of Jerusalem, Mount Scopus, Jerusalem 91905, Israel The Israeli Academic College, 87 Pinhas Rotenberg St., Ramat-Gan 52275, Israel
*
*Correspondence and reprint requests to: Tal Shany-Ur, Recanati Rehabilitation Center, 89 Itzhak Sadeh St, Tel Aviv, Israel. E-mail: shany-ur.tal@mail.huji.ac.il
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives:

We examined the long-term maintenance of treatment outcomes in patients with acquired brain injuries who participated in community-based neuropsychological rehabilitation (NR) programs, in a prospective, within-subject, longitudinal, partial double-blind cohort study.

Methods:

One hundred forty-three patients (39 females, mean age 33.5 years) who had experienced a brain injury (BI) (mean time since injury 3.95 years) were referred to a postacute community-based NR institute. Patients participated in one of the three programs aimed at improving their functional outcome: comprehensive–holistic neuropsychological rehabilitation, vocational-focused neuropsychological rehabilitation, and individual neuropsychological rehabilitation. Self-reported data regarding employment, community integration, perceived quality of life (PQoL), and mood were collected at program start and end, and annually for 3 years post program completion. Group placement was based on clinical considerations, such that the study did not aim to compare the programs, but rather to assess their long-term benefits.

Results:

Employment status and stability, community integration, and PQoL improved significantly after program completion and continued to improve for the following 3 years. The proportion of individuals with mood disturbances did not change during or after the programs.

Conclusions:

A clear consensus regarding BI rehabilitation is that long-term maintenance of treatment outcomes is imperative to its efficacy. Our findings suggest that postacute NR programs provide participants with various tools, skills, and psychological perspectives that they continue to gain from and generalize to real life after program completion, reflecting transformational processes with stable long-term benefits.

Keywords

EffectivenessNeuropsychologyTherapyTBIMaintenanceFunctioning
Type
Regular Research
Information
Journal of the International Neuropsychological Society , Volume 26 , Special Issue 1: Rehabilitation , January 2020 , pp. 130 - 141
Copyright
Copyright © INS. Published by Cambridge University Press, 2020. 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Ahman, S., Saveman, B.I., Styrke, J., Björnstig, U., & Stålnacke, B.M. (2013). Long-term follow-up of patients with mild traumatic brain injury: a mixed-method study. Journal of Rehabilitation Medicine, 45(8), 758–764. DOI: 10.2340/16501977-1182 CrossRefGoogle Scholar
Ben-Yishay, Y. (2000). Postacute Neuropsychological Rehabilitation. In Christensen, A.-L. & Uzzell, B.P. (Eds.), International Handbook of Neuropsychological Rehabilitation (pp. 127–135). DOI: 10.1007/978-1-4757-5569-5_8 CrossRefGoogle Scholar
Ben-Yishay, Y. & Diller, L. (1993). Cognitive remediation in traumatic brain injury: update and issues. Archives of Physical Medicine and Rehabilitation, 74(2), 204–213.Google Scholar
Bowen, A., Chamberlain, M.A., Tennant, A., Neumann, V., & Conner, M. (1999). The persistence of mood disorders following traumatic brain injury: a 1 year follow-up. Brain Injury, 13(7), 547–553. DOI: 10.1080/026990599121449 Google Scholar
Cattelani, R., Zettin, M., & Zoccolotti, P. (2010). Rehabilitation treatments for adults with behavioral and psychosocial disorders following acquired brain injury: a systematic review. Neuropsychology Review, 20(1), 52–85. DOI: 10.1007/s11065-009-9125-y CrossRefGoogle Scholar
Cicerone, K.D. (2004). Participation as an outcome of traumatic brain injury rehabilitation. The Journal of Head Trauma Rehabilitation, 19(6), 494–501.CrossRefGoogle Scholar
Cicerone, K.D. (2007). Cognitive Rehabilitation. In N. D. Zasler, D. I. Katz, & R. D. Zafonte (Eds.). Brain Injury Medicine Principles and Practice (pp. 765–777). New York: Demos Medical Publishing.Google Scholar
Cicerone, K.D., Dahlberg, C., Kalmar, K., Langenbahn, D.M., Malec, J.F., Bergquist, T.F., Felicetti, T., Giacino, J.T., Harley, J.P., Harrington, D.E., Herzog, J., Kneipp, S., Laatsch, L., & Morse, P.A. (2000). Evidence-based cognitive rehabilitation: recommendations for clinical practice. Archives of Physical Medicine and Rehabilitation, 81(12), 1596–1615. DOI: 10.1053/apmr.2000.19240 CrossRefGoogle Scholar
Cicerone, K.D., Mott, T., Azulay, J., Sharlow-Galella, M.A., Ellmo, W.J., Paradise, S., & Friel, J.C. (2008). A randomized controlled trial of holistic neuropsychologic rehabilitation after traumatic brain injury. Archives of Physical Medicine and Rehabilitation, 89(12), 2239–2249. DOI: 10.1016/j.apmr.2008.06.017 CrossRefGoogle Scholar
Corrigan, J.D., Bogner, J.A., Mysiw, W.J., Clinchot, D., & Fugate, L. (2001). Life satisfaction after traumatic brain injury. The Journal of Head Trauma Rehabilitation, 16(6), 543–555.CrossRefGoogle Scholar
Coughlan, A.K. & Storey, P. (1988). The Wimbledon Self-Report Scale: emotional and mood appraisal. Clinical Rehabilitation, 2(3), 207–213. DOI: 10.1177/026921558800200305 CrossRefGoogle Scholar
Cullen, N., Chundamala, J., Bayley, M., Jutai, J., & Group, Erabi. (2007). The efficacy of acquired brain injury rehabilitation. Brain Injury, 21(2), 113–132. DOI: 10.1080/02699050701201540 CrossRefGoogle Scholar
Cuthbert, J.P., Pretz, C.R., Bushnik, T., Fraser, R.T., Hart, T., Kolakowsky-Hayner, S.A., Malec, J.F., O’Neil-Pirozzi, T.M., & Sherer, M. (2015). Ten-year employment patterns of working age individuals after moderate to severe traumatic brain injury: A National Institute on Disability and Rehabilitation Research Traumatic Brain Injury Model Systems Study. Archives of Physical Medicine and Rehabilitation, 96(12), 2128–2136. DOI: 10.1016/j.apmr.2015.07.020 CrossRefGoogle Scholar
Doering, B. & Exner, C. (2011). Combining neuropsychological and cognitive-behavioral approaches for treating psychological sequelae of acquired brain injury. Current Opinion in Psychiatry, 24(2), 156–161. DOI: 10.1097/YCO.0b013e328343804e CrossRefGoogle Scholar
Forslund, M.V., Roe, C., Sigurdardottir, S., & Andelic, N. (2013). Predicting health-related quality of life 2 years after moderate-to-severe traumatic brain injury. Acta Neurologica Scandinavica, 128(4), 220–227. DOI: 10.1111/ane.12130 CrossRefGoogle Scholar
Gordon, W.A., Zafonte, R., Cicerone, K., Cantor, J., Brown, M., Lombard, L., Goldsmith, R., & Chandna, T. (2006). Traumatic Brain Injury Rehabilitation: State of the Science. American Journal of Physical Medicine & Rehabilitation, 85(4), 343–382. DOI: 10.1097/01.phm.0000202106.01654.61 CrossRefGoogle Scholar
Gracey, F., Palmer, S., Rous, B., Psaila, K., Shaw, K., O’Dell, J., Cope, J., & Mohamed, S. (2008). “Feeling part of things”: personal construction of self after brain injury. Neuropsychological Rehabilitation, 18(5–6), 627–650. DOI: 10.1080/09602010802041238 CrossRefGoogle Scholar
Hibbard, M.R., Ashman, T.A., Spielman, L.A., Chun, D., Charatz, H.J., & Melvin, S. (2004). Relationship between depression and psychosocial functioning after traumatic brain injury1. Archives of Physical Medicine and Rehabilitation, 85, 43–53. DOI: 10.1016/j.apmr.2003.08.116 CrossRefGoogle Scholar
Hibbard, M.R., Uysal, S., Kepler, K., Bogdany, J., & Silver, J. (1998). Axis I psychopathology in individuals with traumatic brain injury. The Journal of Head Trauma Rehabilitation, 13(4), 24–39.CrossRefGoogle Scholar
Ho, M.R. & Bennett, T.L. (1997). Efficacy of neuropsychological rehabilitation for mild-moderate traumatic brain injury. Archives of Clinical Neuropsychology: The Official Journal of the National Academy of Neuropsychologists, 12(1), 1–11.CrossRefGoogle Scholar
Hoofien, D., Gilboa, A., Vakil, E., & Barak, O. (2004). Unawareness of Cognitive Deficits and Daily Functioning Among Persons With Traumatic Brain Injuries. Journal of Clinical & Experimental Neuropsychology, 26(2), 278–290. DOI: 10.1076/jcen.26.2.278.28084 CrossRefGoogle Scholar
Hoofien, D., Gilboa, A., Vakil, E., & Donovick, P.J. (2001). Traumatic brain injury (TBI) 10-20 years later: a comprehensive outcome study of psychiatric symptomatology, cognitive abilities and psychosocial functioning. Brain Injury, 15(3), 189–209. DOI: 10.1080/026990501300005659 Google Scholar
Horn, S.D., DeJong, G., Ryser, D.K., Veazie, P.J., & Teraoka, J. (2005). Another look at observational studies in rehabilitation research: going beyond the holy grail of the randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 86(12 Suppl 2), S8–S15. DOI: 10.1016/j.apmr.2005.08.116 CrossRefGoogle Scholar
Katz, D.I., Zasler, N.D., & Zafonte, R.D. (2007). Clinical Continuum of Care and Natural History. In Zasler, N.D., Katz, D.I., & Zafonte, R.D. (Eds.), Brain Injury Medicine Principles and Practice (pp. 3–14). New York: Demos Medical publishing.Google Scholar
Klonoff, P.S. (2010). Psychotherapy after brain injury: Principles and techniques. New York, NY: Guilford Press.Google Scholar
Klonoff, P.S., Watt, L.M., Dawson, L.K., Henderson, S.W., Gehrels, J.-A., & Wethe, J.V. (2006). Psychosocial outcomes 1-7 years after comprehensive milieu-oriented neurorehabilitation: the role of pre-injury status. Brain Injury, 20(6), 601–612. DOI: 10.1080/02699050600744301 CrossRefGoogle Scholar
Koponen, S., Taiminen, T., Portin, R., Himanen, L., Isoniemi, H., Heinonen, H., Hinkka, S., & Tenovuo, O. (2002). Axis I and II psychiatric disorders after traumatic brain injury: a 30-year follow-up study. American Journal of Psychiatry, 159(8), 1315–1321. DOI: 10.1176/appi.ajp.159.8.1315 CrossRefGoogle Scholar
Kreuter, M., Sullivan, M., Dahllöf, A.G., & Siösteen, A. (1998). Partner relationships, functioning, mood and global quality of life in persons with spinal cord injury and traumatic brain injury. Spinal Cord, 36(4), 252–261.CrossRefGoogle Scholar
Langlois, J.A., Rutland-Brown, W., & Wald, M.M. (2006). The epidemiology and impact of traumatic brain injury: a brief overview. The Journal of Head Trauma Rehabilitation, 21(5), 375–378.CrossRefGoogle Scholar
Lidal, I.B., Huynh, T.K., & Biering-Sørensen, F. (2007). Return to work following spinal cord injury: a review. Disability and Rehabilitation, 29(17), 1341–1375. DOI: 10.1080/09638280701320839 CrossRefGoogle Scholar
Malec, J.F. (2001). Impact of comprehensive day treatment on societal participation for persons with acquired brain injury. Archives of Physical Medicine and Rehabilitation, 82(7), 885–895. DOI: 10.1053/apmr.2001.23895 CrossRefGoogle Scholar
Malec, J.F. & Basford, J.S. (1996). Postacute brain injury rehabilitation. Archives of Physical Medicine and Rehabilitation, 77(2), 198–207.CrossRefGoogle Scholar
Malec, J.F. & Degiorgio, L. (2002). Characteristics of successful and unsuccessful completers of 3 postacute brain injury rehabilitation pathways. Archives of Physical Medicine and Rehabilitation, 83(12), 1759–1764. DOI: 10.1053/apmr.2002.36072 CrossRefGoogle Scholar
Malec, J.F. & Moessner, A.M. (2006). Replicated positive results for the VCC model of vocational intervention after ABI within the social model of disability. Brain Injury, 20(3), 227–236. DOI: 10.1080/02699050500488124 CrossRefGoogle Scholar
Mar, J., Arrospide, A., Begiristain, J.M., Larrañaga, I., Elosegui, E., & Oliva-Moreno, J. (2011). The impact of acquired brain damage in terms of epidemiology, economics and loss in quality of life. BMC Neurology, 11, 46. DOI: 10.1186/1471-2377-11-46 CrossRefGoogle Scholar
McLellan, D.L. (1991). Functional recovery and the principles of disability medicine. In Swash, M. & Oxbury, J. (Eds.), Clinical Neurology (pp. 768–790). Edinburgh, UK: Churchill Livingstone.Google Scholar
Morton, M.V. & Wehman, P. (1995). Psychosocial and emotional sequelae of individuals with traumatic brain injury: a literature review and recommendations. Brain Injury, 9(1), 81–92.CrossRefGoogle Scholar
NIH Consensus Development Panel on Rehabilitation of Persons With Traumatic Brain Injury. (1999). Rehabilitation of persons with traumatic brain injury. JAMA, 282(10), 974–983. DOI: 10.1001/jama.282.10.974 CrossRefGoogle Scholar
Ownsworth, T., Fleming, J., Strong, J., Radel, M., Chan, W., & Clare, L. (2007). Awareness typologies, long-term emotional adjustment and psychosocial outcomes following acquired brain injury. Neuropsychological Rehabilitation, 17(2), 129–150. DOI: 10.1080/09602010600615506 CrossRefGoogle Scholar
Patrick, D.L., Kinne, S., Engelberg, R.A., & Pearlman, R.A. (2000). Functional status and perceived quality of life in adults with and without chronic conditions. Journal of Clinical Epidemiology, 53(8), 779–785. DOI: 10.1016/S0895-4356(00)00205-5 CrossRefGoogle Scholar
Powell, J., Heslin, J., & Greenwood, R. (2002). Community based rehabilitation after severe traumatic brain injury: a randomised controlled trial. Journal of Neurology, Neurosurgery, and Psychiatry, 72(2), 193–202.CrossRefGoogle Scholar
Prigatano, G.P. & Wong, J.L. (1999). Cognitive and affective improvement in brain dysfunctional patients who achieve inpatient rehabilitation goals. Archives of Physical Medicine and Rehabilitation, 80(1), 77–84.CrossRefGoogle Scholar
Salter, K., McClure, J.A., Foley, N.C., & Teasell, R. (2011). Community integration following TBI: an examination of community integration measures within the ICF framework. Brain Injury, 25(12), 1147–1154. DOI: 10.3109/02699052.2011.613088 CrossRefGoogle Scholar
Sandhaug, M., Andelic, N., Langhammer, B., & Mygland, A. (2015). Community integration 2 years after moderate and severe traumatic brain injury. Brain Injury, 29(7–8), 915–920. DOI: 10.3109/02699052.2015.1022880 CrossRefGoogle Scholar
Seale, G.S., Caroselli, J.S., High, W.M., Becker, C.L., Neese, L.E., & Scheibel, R. (2002). Use of community integration questionnaire (CIQ) to characterize changes in functioning for individuals with traumatic brain injury who participated in a post-acute rehabilitation programme. Brain Injury, 16(11), 955–967.CrossRefGoogle Scholar
Szczepanski, S.M. & Knight, R.T. (2014). Insights into human behavior from lesions to the prefrontal cortex. Neuron, 83(5), 1002–1018. DOI: 10.1016/j.neuron.2014.08.011 CrossRefGoogle Scholar
Teasell, R., Bayona, N., Marshall, S., Cullen, N., Bayley, M., Chundamala, J., Villamere, J., Mackie, D., Rees, L., Hartridge, C., Lippert, C., Hilditch, M., Welch-West, P., Weiser, M., Ferri, C., McCabe, P., McCormick, A., Aubut, J.A., Comper, P., Salter, K., Van Reekum, R., Collins, D., Foley, N., Nowak, J., Jutai, J., Speechley, M., Hellings, C., & Tu, L. (2007). A systematic review of the rehabilitation of moderate to severe acquired brain injuries. Brain Injury, 21(2), 107–112. DOI: 10.1080/02699050701201524 CrossRefGoogle Scholar
Turner-Stokes, L., Pick, A., Nair, A., Disler, P.B., & Wade, D.T. (2015). Multi-disciplinary rehabilitation for acquired brain injury in adults of working age. The Cochrane Database of Systematic Reviews, (12), CD004170. DOI: 10.1002/14651858.CD004170.pub3 Google Scholar
Vakil, E. & Hoofien, D. (2016). Clinical neuropsychology in Israel: history, training, practice and future challenges. The Clinical Neuropsychologist, 30(8), 1267–1277. DOI: 10.1080/13854046.2016.1175667 CrossRefGoogle Scholar
Valk-Kleibeuker, L., Heijenbrok-Kal, M.H., & Ribbers, G.M. (2014). Mood after Moderate and Severe Traumatic Brain Injury: A Prospective Cohort Study. PLoS ONE, 9(2), e87414. DOI: 10.1371/journal.pone.0087414 CrossRefGoogle Scholar
van Velzen, J.M., van Bennekom, C.A., Edelaar, M.J., Sluiter, J.K., & Frings-Dresen, M.H. (2009). How many people return to work after acquired brain injury? A systematic review. Brain Injury, 23(6), 473–488. DOI: 10.1080/02699050902970737 CrossRefGoogle Scholar
West, M., Targett, P., Yasuda, S., & Wehman, P. (2007). Return to Work Following TBI. In Zasler, N.D., Katz, D.I., & Zafonte, R.D. (Eds.), Brain Injury Medicine Principles and Practice (pp. 1131–1150). New York: Demos Medical publishing.Google Scholar
Willer, B., Ottenbacher, K.J., & Coad, M.L. (1994). The community integration questionnaire. A comparative examination. American Journal of Physical Medicine & Rehabilitation, 73(2), 103–111.CrossRefGoogle Scholar
Willer, B., Rosenthal, M., Kreutzer, J.S., Gordon, W.A., & Rempel, R. (1993). Assessment of community integration following rehabilitation for traumatic brain injury. The Journal of Head Trauma Rehabilitation, 8(2), 75–87. DOI: 10.1097/00001199-199308020-00009 CrossRefGoogle Scholar
Wilson, B.A. (2008). Neuropsychological rehabilitation. Annual Review of Clinical Psychology, 4, 141–162. DOI: 10.1146/annurev.clinpsy.4.022007.141212 CrossRefGoogle Scholar
Yeates, K.O., Levin, H.S., & Ponsford, J. (2017). The Neuropsychology of Traumatic Brain Injury: Looking Back, Peering Ahead. Journal of the International Neuropsychological Society: JINS, 23(9–10), 806–817. DOI: 10.1017/S1355617717000686 CrossRefGoogle Scholar