Paediatric TBI Occupational Therapy
What Is a Paediatric Traumatic Brain Injury (TBI)
Paediatric traumatic brain injury (TBI) occurs when the brain stops executing normal functions in children due to an external force. These injuries often come from falls, road traffic incidents, or sports accidents. Unlike adults, a child’s brain is still developing, making it both vulnerable to injury and more capable of a full recovery post brain injury.
TBI in children can impact a range of cognitive, physical, and emotional functions. The severity can vary widely, from mild concussions to severe brain trauma.
Types & Severity of Paediatric TBIs
Brain injuries are assessed based on their severity and classified into the below:
Mild (e.g. concussion)
Short-term loss of function, possible headaches, and difficulty concentrating.Moderate
Longer periods of unconsciousness, with possible physical and cognitive impairments.Severe
Extended unconsciousness and significant long-term disabilities.
Occupational Therapy in Paediatric TBI
At Brain Injury Group, we advocate for early and sustained occupational therapy as a key component of recovery after a paediatric traumatic brain injury. Occupational therapists are vital members of any rehab team, helping with the recovery of a brain injury. The rehabilitation team focuses on helping children regain independence in daily activities, such as dressing, writing, eating, and attending school.
The role of OT also includes the cognitive, sensory, emotional, and behavioural aspects of functioning in children’s daily life, which is vital for reintegrating into home and school environments.
Functions of Paediatric OT After a TBI
OT Focus Area | Example Activities |
Cognitive Rehabilitation | Memory games, attention tasks, problem-solving exercises |
Fine Motor Skills | Handwriting tasks, grasp and release training |
Sensory Integration | Activities to manage overstimulation or sensory-seeking behaviours |
Daily Living Skills | Practising hygiene, meal prep, dressing, and toileting |
Emotional Regulation | Coping strategies, behavioural modelling |
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Potential Challenges Children Have Post-TBI
Children recovering from a traumatic brain injury may experience a wide range of challenges that differ depending on the location and severity of the injury, as well as their developmental stage at the time of their injury. These challenges can snowball and often become more noticeable over time, especially as their schooling demands increase with age.
At Brain Injury Group, we recognise that no two brain injuries are the same, and an understanding of these common issues is crucial for an effective occupational therapy plan.
Common Paediatric Brain Issues in Children
Cognitive
Trouble with attention, memory, and problem-solving.Physical
Weakness, poor coordination, fatigue, and reduced motor control.Sensory
Heightened sensitivity to noise, light, or touch.Emotional & Behavioural
Mood swings, impulsivity, anxiety, and frustration.Social
Difficulty making or maintaining friendships and interpreting social cues.
Occupational Therapy Approaches & Interventions
Effective occupational therapy for paediatric TBIs involves targeted recovery plans designed to help children regain functional skills and promote independence. At Brain Injury Group, we prioritise personalised care, ensuring that therapy aligns with each child’s developmental stage, abilities, and long-term needs.
Occupational therapists use structured activities to address both visible and invisible effects of brain injury, including deficits in cognition, movement, and social participation.
OT Approaches Commonly Used in Paediatric TBI
Intervention Type | Description |
Task-Specific Training | Repetitive practice of tasks like writing or tying shoelaces |
Cognitive-Behavioural Strategies | Helping children develop attention and memory strategies |
Sensory Modulation | Activities to regulate responses to sensory stimuli |
Play-Based Therapy | Engaging young children through structured, therapeutic play |
Environmental Adaptation | Recommending classroom or home modifications to reduce barriers |
Conclusion
At Brain Injury Group, we recognise the importance of coordinated, accessible care. Our nationwide directory of trusted rehabilitation providers ensures that individuals and families can find the proper support, wherever they are and whatever their needs may be.
Through a holistic, multidisciplinary approach, we help guide the rehabilitation process with a clear focus on achieving the best possible outcomes.
