Impact of neuropsychological rehabilitation on activities of daily living and community reintegration of patients with traumatic brain injury

OBJECTIVES: The present study was targeted to observe the impact of neuropsychological rehabilitation on activities of daily living (ADL) and community reintegration of patients with traumatic brain injury (TBI). SETTINGS AND PARTICIPANTS: Based on purposive sampling technique, ten patients with TBI falling in the age range of 20–40 years and fulfilling the inclusion and exclusion criteria were chosen from All India Institute of Speech and Hearing, Mysuru, India. DESIGN: A quasi-experimental design, i.e., nonequivalent control group design was chosen for the study. MATERIALS AND METHODS: Patients were assessed on Luria–Nebraska Neuropsychological Battery for Adults, Cognitive Symptoms Checklist, and Community Integration Questionnaire. Patients in experimental group were given neuropsychological rehabilitation for 6 months. Brainwave-R and Talking Pen were used as rehabilitative tools. RESULTS: Patients with TBI have significant neuropsychological deficits observed in memory, visuo-spatial organization, arithmetic, spelling, writing, fine motor coordination, and executive functioning. Neuropsychological deficits have a major impact on ADL and community reintegration. Neuropsychological rehabilitation is effective in rehabilitating neuropsychological deficits, which in turn leads to improvement in ADL and community reintegration. CONCLUSION: Neuropsychological rehabilitation should be one of the major goals in rehabilitation procedures for patients with TBI in order to bring overall improvement in them.