BLOG: Work-Oriented Neurorehabilitation

Using Adjectives to Describe Ability Levels

The indication of ability levels by using adjectives is time honored but somewhat problematic. It was introduced by David Wechsler (Wechsler, 1958) and has been replicated in each of the examiner’s manuals for the various Wechsler scales in succeeding years. What is always mentioned by Dr. Wechsler and his colleagues and successors in the examiner’s [...]

Working Memory and Auditory Processing

When attention deficit disorder or attention deficit hyperactivity disorder has been identified, concomitant problems with phonologic or auditory processing when hearing tests are normal can lead to serious deficiencies in learning that will persist into adulthood. In my experience, these often are comorbid and can both mask and magnify each other. Attention deficits can mimic [...]

Executive Function: Development in Rehabilitation

After a brain injury, a useful alternative to the natural development of executive functions (EF) having to do with inhibition and emotional self-control is the reinforcement of rules that prohibit target behaviors. Using prohibitions to develop self-control is useful because it simulates the down-regulation of the limbic system by the orbital-frontal cortex (OFC). The OFC [...]

Cognitive Reserve

Three important concepts for us to consider are cognitive work capacity, cognitive work demand, and cognitive reserve, the person’s residual functional capacity. As a person is evaluated to return to work after experiencing a brain injury, a comparison will be made between his or her available work capacity and the job’s demands. If there is [...]

Executive Function: Maturational Development

During childhood and adolescence, the development of executive functions such as working memory follows the development of white matter tracts and associations among cortical and sub-cortical structures in the human brain (Nagy, Westerberg, & Klingberg, 2004). Full integration of white matter and gray matter does not conclude until early adulthood, with males and females differing [...]

Vert Mooney, MD

Vert Mooney died yesterday afternoon on his way home from work, apparently from a heart attack or stroke.  He was a pioneer in so many aspects of rehabilitation and one of the world's foremost spine surgeons, a wonderful husband and father, and a friend and mentor whose absence will be deeply felt. I woke up [...]