Article

The highest proportion of traumatic brain injuries (TBIs) occurs among
adolescents. This study examines the effectiveness of a therapeutic protocol for
rehabilitation of adolescents with TBI. This protocol is based on Toglia's (1998,
2005) Dynamic Interactional Model and Expanded Awareness Model (Toglia & Kirk,
2000). METHOD: Explanatory case studies presenting 2 adolescents (ages 16-17)
with mild to moderate TBI are combined with qualitative and quantitative data
assessing self-care, mobility, and graphomotor abilities as well as deficit
awareness in these domains. Outcome measures include the FIM, the Canadian
Occupational Performance Measure, the Computerized Penmanship Object Evaluation
Tool, and the Awareness of Mobility Deficits Questionnaire. Graphic data analysis
compared outcome measures before, during, and after intervention. RESULTS: The
Dynamic Interactional Model was effective in improving self-care, mobility, and
graphomotor abilities and identified awareness of deficits in these domains.
CONCLUSION: These research findings contribute to our theoretical knowledge in
rehabilitation and promote adopting this approach for rehabilitation of
adolescents with TBI.

Langue : ANGLAIS