Case Histories:
Traumatic Brain Injury

JF is a professional lady who was involved in an RTA in which she received serious head injuries, amputation of several fingers on one hand and compromised dexterity in the other. She had difficulties using a computer as she had become a one-fingered typist with her non-dominant left hand and also had dexterity difficulties with a standard mouse. She is ambulant but had difficulties unlocking and opening outer doors, and opening some windows and curtains.

I recommended the use of speech recognition software to increase her speed of text entry, along with a rollerball mouse alternative, and also a compact keyboard for occasional typing using one finger. I also recommended some environmental control solutions to resolve her difficulties with doors, windows, curtains, and telephones.


SS is a young man who received serious head injuries in an RTA resulting in cognitive and vision impairments, and no useful use in his left hand. Although ambulant, he has some mobility difficulties, and also memory difficulties.


I recommended a computer with a large high-resolution monitor and a high contrast keyboard to accommodate his vision impairments, and an electronic memory aid to accommodate his memory difficulties. I also specified a comprehensive environmental control system to give him full independence of his environment in his future accommodation.