Traumatic Brain Injury (TBI)

Traumatic Brain Injury – A Traumatic Brain Injury (“TBI”) is an injury from the brain being damaged as a result of an accident, a fall or a sports related injury to the head. Many people who have a Traumatic Brain Injury experience physical and cognitive changes, communication difficulties, swallowing problems and other difficulties.


  • Weakness on one side of the body or both sides of the body
  • Impaired sensation on one side of the body or both sides of the body
  • Impaired muscle tone on one side of the body or both sides of the body
  • Visual difficulties
  • Impaired visual perception
  • Poor  sitting and/or standing balance
  • Difficulties transitioning to various positions
  • Decline in cognitive and emotional functioning
  • Inability to walk
  • Inability to care for themselves i.e. dressing, bathing, toileting, grooming etc.
  •  Urinary and or bowel incontinence
  • Decrease in community participation
  • An individual may experience cognitive changes depending on the type of TBI and the areas affected, the following areas of cognition may become impaired:
    • problem solving / reasoning
    • memory
    • attention
    • executive functioning
    • orientation
    • mood
    • personality changes


  • At Q Enrichment Center, our Occupational Therapist will conduct an extensive, comprehensive assessment to determine the type of difficulty, the severity, as well as the impact on Activities of Daily Living (“ADL”). A detailed report will be completed, along with a treatment plan specific to each individual’s needs.
  • Intervention can focus on:
    • finding alternative methods / compensatory strategies to perform activities of daily living (e.g. bathing, dressing, using the toileting)
    • addressing deficits such as weakness, sensory loss, and cognitive or visual impairments that limit engagement in ADLs and Instrumental ADLs (“IADLS”) (IADLS: carrying groceries, cooking a meal, managing money, parenting)
    • provide cognitive retraining exercises to address specific cognitive skills, such as attention, memory and executive functioning
    • assessing the home and work environment to identify potential hazards and to create a more functional environment specific to the clients’ needs
    • recommending special equipment or assistive devices / technology for use at home, school or work
    • teaching the client and caregiver how to properly use adaptive equipment, like orthotics, braces, or wheelchairs
    • recommending exercises to strengthen fine motor skills, coordination and cognition
    • teaching the client and/or caregiver on exercises and home programmes for carryover in the home.
    • educating the client and caregiver on energy effectiveness strategies and stress management techniques to promote well being
    • environmental and behavioural modifications (home and job-site)
    • home modifications may include accessible designs for all rooms in one’s house, ramps, wheelchair lifts or elevators and stair lifts
    • positioning to maintain range of motion, prevent contractures and minimize pain (e.g. splinting)


“What a fantastic team at Q Enrichment Center. I 100% recommend them for any family. They conduct themselves in the most professional attitude all around, they are welcoming and my son enjoyed the service thoroughly. Thanks again.”
– Jean (Mother of child client)

“Q Enrichment Center has “A brilliant speech therapist she single handily helped me overcome the difficulties of dysphagia. Her work truly is a vocation, her desire for me to make a full recovery was just as strong if not stronger than my own. By far the best therapist I was fortunate enough to deal with.”
– Chris (Male adult client)

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