Remediation of Executive Function Deficits After Traumatic Brain Injury

Issue title: Cognitive Rehabilitation

Guest editors: Wayne A. Gordon

Article type: Research Article

Authors: Cicerone, Keith D.^{; *} | Giacino, Joseph T.^{; *}

Affiliations: JFK-Johnson Rehabilitation Institute, Edison, NJ

Note: [*] The authors thank Kathleen Kalmar, PhD, for her assistance during preparation of this manuscript. Mae Klebous provided her usual invaluable support and assistance.

Abstract: Disturbances in executive functioning in patients with traumatic brain injury reduce the capacity for behavioral adaptation and regulation, although specific cognitive abilities are often preserved in these patients. In rehabilitation, the spontaneous and self-directed use of strategies is a hallmark of effective executive control. This article describes several interventions directed at the remediation of executive functioning: self-prediction for treatment of anticipatory deficits, self-instructional training for planning deficits, and self-monitoring training. Training may result in either the implementation of specific behavioral routines to compensate for disturbed executive control or, less often, the reestablishment of internally mediated self-regulatory processes.

DOI: 10.3233/NRE-1992-2304

Journal: NeuroRehabilitation, vol. 2, no. 3, pp. 12-22, 1992