Executive functioning, awareness, and participation in daily life after mild traumatic brain injury: a preliminary study. The American journal of occupational therapy. : official publication of the American Occupational Therapy Association [Am J Occup Ther] Journal article

Title	Executive functioning, awareness, and participation in daily life after mild traumatic brain injury: a preliminary study.
Author(s)	Erez AB, Rothschild E, Katz N, Tuchner M, Hartman-Maeir A
Institution	Occupational Therapy Department, School of Occupational Therapy, Faculty of Medicine, Hadassah and Hebrew University, Mount Scopus, PO 24026, Jerusalem 91240 Israel. aaerez@zahav.net.il
Source	Am J Occup Ther 2009 Sep-Oct; 63(5):634-40.
MeSH	Activities of Daily Living Adult Awareness Brain Injuries Cognition Disorders Female Humans Male Middle Aged Recovery of Function
Abstract	OBJECTIVE: 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.
Language	eng
Pub Type(s)	Journal Article
PubMed ID	19785263