Cognition and return to work after mild/moderate traumatic brain injury: A systematic review

Work. 2017 Sep 14;58(1):51-62. doi: 10.3233/WOR-172597.

Abstract

Background: Approximately two percent of the United States population are traumatic brain injury (TBI) survivors. The unemployment rate among them is substantial. Cognitive skills are essential to perform any job.

Objective: We analyzed the literature on cognitive rehabilitation (CR) related to mild/moderate TBI to learn the influence of cognition on return to work (RTW) post TBI.

Methods: We conducted a systematic review of the studies on CR related to RTW post TBI that were published between 2000 and 2015.

Results: We critically reviewed 30 studies that met the inclusion criteria. Ten studies highlighted cognition as a predictor variable, seven studies demonstrated support for cognitive testing in RTW assessments, and 13 studies showed the efficacy of CR in facilitating RTW post TBI.

Conclusion: Cognition plays a significant role in predicting and facilitating RTW in patients with TBI.

Keywords: Cognitive rehabilitation; evidence-based review; vocational outcome.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Brain Injuries, Traumatic / complications*
  • Brain Injuries, Traumatic / etiology
  • Brain Injuries, Traumatic / psychology
  • Cognitive Dysfunction / etiology*
  • Cognitive Dysfunction / psychology
  • Employment / psychology
  • Employment / standards
  • Humans
  • Return to Work / psychology*
  • Survivors / psychology