Neuropsychological rehabilitation of mild traumatic brain injury

Brain Inj. 1996 Apr;10(4):277-86. doi: 10.1080/026990596124458.


A significant minority of patients who have sustained a mild traumatic brain injury (MTBI) may exhibit persistent disability. There have been few attempts to describe and evaluate the effectiveness of neurorehabilitation for these patients. We conducted a retrospective analysis of the results of a neuropsychological rehabilitation programme for 20 patients with MTBI. Based upon the ability to resume productive functioning after treatment, 10 patients were determined to exhibit a good outcome and 10 patients were considered to exhibit a poor outcome. Patients with good outcome exhibited significant pre-post-treatment improvements on both neuropsychological measures of cognitive functioning and self-reported post-concussive symptoms. Patients with poor outcome demonstrated little improvement in either area, and in some cases showed a decline in functioning. The results are consistent with the view that there may be significant variability in recovery and response to treatment after MTBI. There is a continued need to identify which patients may benefit from neurorehabilitation, develop specially tailored interventions, and conduct controlled, prospective studies in this area.

MeSH terms

  • Adult
  • Brain Concussion / psychology
  • Brain Concussion / rehabilitation
  • Brain Damage, Chronic / psychology
  • Brain Damage, Chronic / rehabilitation*
  • Cognition Disorders / psychology
  • Cognition Disorders / rehabilitation
  • Disability Evaluation
  • Female
  • Head Injuries, Closed / psychology
  • Head Injuries, Closed / rehabilitation*
  • Humans
  • Male
  • Middle Aged
  • Neuropsychological Tests*
  • Patient Care Team*
  • Prognosis
  • Rehabilitation, Vocational / psychology
  • Retrospective Studies
  • Treatment Outcome