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A neuropsychological model of functional disability after mild traumatic brain injury is presented that allows for selecting Individualized treatments for different patients depending on the particular dynamics of their disability. Neurological, psychological, and physical factors are seen as Interacting in complex ways. Objective and subjective cognitive deficits are differentiated. Functionally autonomous cognitive and pain loops are described that can operate after primary symptom resolution. Implications for individualized assessment and treatment for both early preventive intervention and later intervention after functional disability are presented.
Thomas Kay (1993) studied this question.