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Executive functioning, awareness, and participation in daily life after mild traumatic brain injury

H
EREZ AB; ROTHSCHILD E; KATZ N; TUCHNER M; MAEIR A
AM J OCCUP THER , 2009, vol. 63, n° 5, p. 634-640
Doc n°: 142807
Localisation : Documentation IRR
Descripteurs : KB3 - ACTIVITES DE LA VIE QUOTIDIENNE, AF3 - TRAUMATISME CRANIEN Url : http://ajot.aota.org/issue.aspx#issueid=930101

We investigated the relationship of executive functioning and
self-awareness to participation in daily life of people after mild traumatic
brain injury (mTBI) referred to occupational therapy in the postacute phase.
METHOD: Thirteen participants who sustained mTBI (average time since injury = 4.7
months, mean age = 43.4 years) were evaluated with the Behavioral Assessment of
the Dysexecutive Syndrome, the Dysexecutive Questionnaire, the Self-Awareness of
Deficits Interview, and the Participation Index (PI) of the Mayo-Portland
Adaptability Inventory. RESULTS: Analysis revealed high frequencies of deficits
in executive functions such as planning and shifting. However, self-awareness of
the executive deficits was intact. A significant percentage
(62%-85%) of
participants experienced restrictions in everyday life activities, and PI scores
were significantly correlated with measures of executive functioning.
CONCLUSIONS: After mTBI, people may be at significant risk for persistent
executive deficits and restrictions in participation that warrant occupational
therapy intervention.

Langue : ANGLAIS

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