Small Group Training for Patients with Higher Brain Dysfunction : A Rehabilitation Class to prepare them for their return to Society
10.2490/jjrmc.47.728
- VernacularTitle:高次脳機能障害者に対する社会復帰準備のための小集団訓練「リハビリテーション学級」の試み
- Author:
Manabu HASHIMOTO
;
Tetsuya OKAZAKI
;
Kenji HACHISUKA
- Publication Type:Journal Article
- Keywords:
traumatic brain injury;
higher brain dysfunction;
small group training;
self awareness;
return to society
- From:The Japanese Journal of Rehabilitation Medicine
2010;47(10):728-734
- CountryJapan
- Language:Japanese
-
Abstract:
Small group training, that is “A rehabilitation class to prepare patients for their return to society,” was created for 5 patients with higher brain dysfunction who had not yet returned to normal daily life after undergoing individual cognitive training, in order to provide them with a better insight into their disease, and to improve their communication abilities and interpersonal skills. The class consisted of 10 sessions (each session lasting 2 hours and 30 minutes) over a 4-month period, which consisted of an opening address, a short lecture, social skills training, tea time, and recreation. Before and after the class, the patients and their families were asked to complete the Dysexecutive Questionnaire, and any decrease in the difference in the scores between the patients and families suggested that the class had enhanced the patients' self awareness. The Baum test showed the patients having an increased interest in the outside world and a tendency to also have more internal energy. The Clinical Global Impression, as evaluated by the patients' families, indicated an improvement in all patients. We therefore consider this rehabilitation class to help prepare patients for their return to society to be useful as one step to encourage an increased social participation in patients suffering from a higher brain dysfunction.
