TY - JOUR
T1 - Use of the Dynamic Interactional Model in self-care and motor intervention after traumatic brain injury
T2 - Explanatory case studies
AU - Zlotnik, Sharon
AU - Sachs, Dalia
AU - Rosenblum, Sara
AU - Shpasser, Raluka
AU - Josman, Naomi
PY - 2009
Y1 - 2009
N2 - PURPOSE. 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 and 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.
AB - PURPOSE. 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 and 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.
KW - Adolescent
KW - Brain injuries
KW - Cognitive therapy
KW - Consciousness
KW - Mobility limitation
KW - Self-care
UR - http://www.scopus.com/inward/record.url?scp=70350292381&partnerID=8YFLogxK
U2 - 10.5014/ajot.63.5.549
DO - 10.5014/ajot.63.5.549
M3 - Article
C2 - 19785254
AN - SCOPUS:70350292381
SN - 0272-9490
VL - 63
SP - 549
EP - 558
JO - American Journal of Occupational Therapy
JF - American Journal of Occupational Therapy
IS - 5
ER -