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J Neurol Neurosurg Psychiatry. 1984 May; 47(5): 505–513.
PMCID: PMC1027828

Neuropsychological rehabilitation after closed head injury in young adults.


Cognitive and personality disturbances following severe closed head injury in young adults are associated with poor rehabilitation outcome. Yet systematic programmes for dealing with these disturbances have generally not appeared. The present report briefly describes the Neuropsychological Rehabilitation Program (NRP) at Presbyterian Hospital in Oklahoma City and the initial outcome data on eighteen closed head injury patients and seventeen untreated controls. Greater improvement in neuropsychological functioning occurred in the NRP patient group on selected variables, but generally the effects were modest. Emotional distress, however, substantially decreased in treated patients. Fifty percent of the NRP patients maintained productivity 75% of the time or more following rehabilitation, compared to 36% of the controls. Treatment successes showed less personality disturbances than treatment failures and better learning and memory scores post-treatment.

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Selected References

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  • Levin HS, Grossman RG, Rose JE, Teasdale G. Long-term neuropsychological outcome of closed head injury. J Neurosurg. 1979 Apr;50(4):412–422. [PubMed]
  • Fordyce DJ, Roueche JR, Prigatano GP. Enhanced emotional reactions in chronic head trauma patients. J Neurol Neurosurg Psychiatry. 1983 Jul;46(7):620–624. [PMC free article] [PubMed]
  • Prigatano GP, Stahl ML, Orr WC, Zeiner HK. Sleep and dreaming disturbances in closed head injury patients. J Neurol Neurosurg Psychiatry. 1982 Jan;45(1):78–80. [PMC free article] [PubMed]
  • Weddell R, Oddy M, Jenkins D. Social adjustment after rehabilitation: a two year follow-up of patients with severe head injury. Psychol Med. 1980 May;10(2):257–263. [PubMed]
  • Bruckner FE, Randle AP. Return to work after severe head injuries. Rheumatol Phys Med. 1972 Aug;11(7):344–348. [PubMed]
  • Gilchrist E, Wilkinson M. Some factors determining prognosis in young people with severe head injuries. Arch Neurol. 1979 Jun;36(6):355–359. [PubMed]
  • Rosenbaum M, Lipsitz N, Abraham J, Najenson T. A description of an intensive treatment project for the rehabilitation of severely brain-injured soldiers. Scand J Rehabil Med. 1978;10(1):1–6. [PubMed]
  • Lishman WA. Brain damage in relation to psychiatric disability after head injury. Br J Psychiatry. 1968 Apr;114(509):373–410. [PubMed]
  • Prigatano GP, Parsons O, Wright E, Levin DC, Hawryluk G. Neuropsychological test performance in mildly hypoxemic patients with chronic obstructive pulmonary disease. J Consult Clin Psychol. 1983 Feb;51(1):108–116. [PubMed]
  • Braakman R, Gelpke GJ, Habbema JD, Maas AI, Minderhoud JM. Systematic selection of prognostic features in patients with severe head injury. Neurosurgery. 1980 Apr;6(4):362–370. [PubMed]
  • Jennett B, Teasdale G, Galbraith S, Pickard J, Grant H, Braakman R, Avezaat C, Maas A, Minderhoud J, Vecht CJ, et al. Severe head injuries in three countries. J Neurol Neurosurg Psychiatry. 1977 Mar;40(3):291–298. [PMC free article] [PubMed]
  • Lewin W, Marshall TF, Roberts AH. Long-term outcome after severe head injury. Br Med J. 1979 Dec 15;2(6204):1533–1538. [PMC free article] [PubMed]
  • Parsons OA, Prigatano GP. Methodological considerations in clinical neuropsychological research. J Consult Clin Psychol. 1978 Aug;46(4):608–619. [PubMed]
  • Prigatano GP. Wechsler Memory Scale: a selective review of the literature. J Clin Psychol. 1978 Oct;34(4):816–832. [PubMed]
  • Hogarty GE, Katz MM. Norms of adjustment and social behavior. Arch Gen Psychiatry. 1971 Nov;25(5):470–480. [PubMed]
  • Heaton RK, Pendleton MG. Use of Neuropsychological tests to predict adult patients' everyday functioning. J Consult Clin Psychol. 1981 Dec;49(6):807–821. [PubMed]

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