Association between the Wechsler Adult Intelligence Scale III and early return to work after traumatic brain injury

Work. 2021;68(4):1101-1111. doi: 10.3233/WOR-213440.

Abstract

Background: Residual capacity evaluation via neuropsychological testing can facilitate the development of a rehabilitation plan in patients following a traumatic brain injury (TBI).

Objective: This study aimed to confirm the tasks that patients must perform well for early return to work (RTW) following TBI using the Wechsler Adult Intelligence Scale III (WAIS-III).

Methods: In total, 40 male and 13 female patients who suffered from neurobehavioral disabilities following TBI were recruited and classified into two groups: the successfully returned to work group (SRTW-G; n = 22) and the unsuccessfully returned to work group (USRTW-G; n = 31). The outcomes assessed by WAIS-III and the time to RTW were compared between the SRTW-G and USRTW-G groups. Multiple logistic regression, multiple regression analysis, and Cox regression were employed to assess differences between the groups.

Results: The Comprehension and Letter-Number Sequencing subtests of the WAIS-III were significantly correlated with early RTW more than the other subtests.

Conclusions: We found that, as reflected in the two subtests, patients with TBI must be able to perform well in the following tasks for early RTW: Retention of information for short time periods, information processing, and social judgment based on the knowledge of the patient's experience.

Keywords: Vocational rehabilitation; neurobehavioral disability; supported reemployment.

MeSH terms

  • Adult
  • Brain Injuries, Traumatic* / complications
  • Cognition
  • Female
  • Humans
  • Intelligence
  • Male
  • Neuropsychological Tests
  • Return to Work*