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Specific Disorder-Linked Determinants: Traumatic Brain Injury

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Handbook of Work Disability

Abstract

Traumatic brain injury (TBI) is a significant clinical and public health issue due to its rising incidence worldwide. While most patients with mild TBI will recover, some develop persistent cognitive, psychosocial, and physical impairments that significantly affect employment outcomes. Evidence suggests that age, education, cognitive, psychosocial and functional status, and work history are among important return to work determinants. TBI survivors who are having difficulty returning to work should undergo a thorough vocational evaluation to determine employability and facilitate return to work. Several studies report varying rates of return to work after TBI due to the heterogeneity of patient samples (e.g., different injury aetiologies and severities, and different occupational demands). Multidisciplinary rehabilitation programs should be tailored to individual needs and make use of innovative assistive technologies to improve employment opportunities. Further long-term research is needed to better understand the determinants of return to work after TBI, and to develop effective vocational rehabilitation interventions to improve employment outcomes.

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Author information

Authors and Affiliations

  1. Division of Health Care and Outcomes Research , Toronto Western Research Institute, University Health Network, University of Toronto, LuCliff Place, 700 Bay Street, Suite 2201, Toronto, ON, Canada, M5G 1Z6

    Carol Cancelliere DC, MPH

  2. Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, Odense, M 5230, Denmark

    J. David Cassidy Ph.D., DrMedSc

  3. Division of Epidemiology, Dalla Lana School of Public Health, University of Toronto, 155 College Street, Toronto, ON, Canada, M5T 3M7

    J. David Cassidy Ph.D., DrMedSc

  4. Saunderson Family Chair in Acquired Brain Injury Research, Toronto Rehabilitation Institute, University Health Network, University of Toronto, Toronto, ON, Canada

    Angela Colantonio B.Sc.OT, Ph.D.

  5. Department of Occupational Science and Occupational Therapy, University of Toronto, 100-500 University Avenue, Toronto, ON, Canada, M5G 1V7

    Angela Colantonio B.Sc.OT, Ph.D.

Authors
  1. Carol Cancelliere DC, MPH
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  2. J. David Cassidy Ph.D., DrMedSc
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  3. Angela Colantonio B.Sc.OT, Ph.D.
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Corresponding author

Correspondence to Carol Cancelliere DC, MPH .

Editor information

Editors and Affiliations

  1. University of Toronto, College Street 155, Toronto, M5T 3M7, Ontario, Canada

    Patrick Loisel

  2. EMGO Institute for Health and Care Resea, Department of Public and Occupational He, VU University Medical Center, AMC-UMCG-UWV-VUmc, Amsterdam, NL-1081 BT, Netherlands

    Johannes R. Anema

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Cancelliere, C., Cassidy, J.D., Colantonio, A. (2013). Specific Disorder-Linked Determinants: Traumatic Brain Injury. In: Loisel, P., Anema, J. (eds) Handbook of Work Disability. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6214-9_19

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  • DOI: https://doi.org/10.1007/978-1-4614-6214-9_19

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