Cognitive and emotional consequences of TBI: Intervention strategies for vocational rehabilitation

Authors: McDonnall, M. C., & Cmar, J.
Year Published 2006
Publication NeuroRehabilitation
Volume 21
Number 4
Pages 315-326
Publisher IOS Press

Traumatic Brain Injury (TBI) negatively impacts successful return to work for many individuals. Training individuals to use effective interventions to compensate for common deficits like attention, memory and executive functioning post injury should improve return to work outcomes.


The purpose of this study was to describe examples of effective cognitive rehabilitation strategies through the use of 3 case studies and a review of literature. Professionals in the field need this type of information to better serve individuals with TBI who are returning to work.


The study sample included three people with TBI.

Data Collection

Various scales were used to measure improvements specifically related to the cognitive ability that was being treated (i.e.. attention deficits, memory problems, executive deficits) in each of the 3 case studies.


There are numerous strategies that can be taught to individuals after TBI to help them compensate for common cognitive deficits (ie. attention, memory, executive functioning). Therapists must understand the possibilities and be able to implement specific interventions for each person and be able to use effective teaching strategies to train the individual. It is also important to be aware of ways to support a person who is particularly "challenging" by becoming aware of ways to improve social behaviors and self awareness.


Intervention strategies must be individualized. Other considerations include considering the nature and degree of the disability and environmental context. Therapist must be able to think outside the box and use creative problem solving to assist individuals with TBI with using strategies to improve employment outcomes.

Disabilities Traumatic brain injury (TBI)
Populations Male & Female
Outcomes Return to work
NIDILRR Funded Not Reported
Research Design Case reports
Peer Reviewed Yes