General

Physical Communication Cognitive Behavioural / Emotional

Cognition is the mental action or process of acquiring knowledge and understanding through thought, experience, and the senses. It includes processes such as knowledge, attention, memory and working memory, judgment and evaluationdecision making, comprehension and production of language.

Human cognition is both conscious and unconscious, concrete or abstract, as well as intuitive and conceptual. Cognitive processes involve the use of existing knowledge and the generation of new knowledge.

Unlike physical complaints, which are easily diagnosed, cognitive impairments can be very subtle. This is especially true with higher-level cognitive abilities which are referred to as executive functioning. The primary components of executive functioning are:

  • Analysing
  • Prioritizing
  • Planning
  • Sequencing
  • Organizing
  • Directing
  • Multi-tasking
  • Monitoring
  • Reasoning
  • Evaluating
  • Troubleshooting
  • Problem-solving

The most debilitating cognitive complaint is a lack of awareness of one’s deficits. Without this realization, the person sees no reason to work hard to recover their cognitive abilities and, therefore remain seriously impaired. They may be unable to understand why their life has become so difficult.

Problems in cognition may not be recognised until a person returns home or to education or work. During rehabilitation, cognitive abilities can improve dramatically.


"Brain development is complex and prolonged. Brain plasticity is influenced by a range of factors. Plasticity provides a base for neuro-rehab therapies and treatment"
Professor Bryan Kolb; Canada
"My colleague was blown away by the tremendous work your organisation is doing for society."  Social Worker
"Intensive and individualized approaches work. A one-size-fits-all approach doesn't. You have to make it relevant to the child."
Recolo; United Kingdom
"Different 'experts' involved in paediatric neuro-rehabilitation come from different organisational cultures which causes conflict and has a negative effect on the outcomes for the child."
Barbara O'Connell; Ireland
"Too often children and young people with ABI are discharged from hospital without specialist brain support that they and their families need to overcome lifelong challenges"
Andrew Ross; former Chief Executive of the Children's Trust
"Taking brain injured children home causes high stress for families. Disjointed services exacerbate family stress levels."
Deborah Andrews; New Zealand
"Pediatric neuro-rehabilitation cannot be delivered in isolation. The needs of the child have to be looked at both holistically and within the context of the family unit. Parents need to be empowered to be parents in post-acute pediatric neuro-rehabilitation following brain injury"
The Children's Trust; United Kingdom
"Rehabilitation interventions can lead to positive outcomes for children and their families if delivered in the familiar home environment and applied to everyday situations"
Cerebra; United Kingdom
"Positive and coordinated neuro-rehab interventions for children and young people is proven to bring health improvements; improve independence; reduces the need for sheltered living; decreases vulnerability; decreases drop-out rates in schools; decreases youth offending"
Eric Hermans; Netherlands
"We need to harness the power of brain plasticity for treating children and young people with brain injury, especially at the key ages of 0-3 and at ages 10-16"
Professor Bryan Kolb; Canada

OUR MISSION: To work to remove inequalities for children & young people affected by acquired brain injury; and provide effective support to their families that makes a real difference to their lives.

Council for Disabled Children Community Funded Charity Excellence Lottery Funded Youth Foundation BBC CiN