Skip to main content
Original Articles and Reviews

Conceptualization and Rehabilitation of Executive Functions

A Review of the Literature

Published Online:https://doi.org/10.1027/1016-9040/a000196

Publications on executive functions have increased in the last few years, reflecting the importance of this area of study. The scientific output on executive functions is now extremely diverse, comprising variations around terminology, assessment, and rehabilitation practices, and ranging in topics from neuroanatomical correlates of executive functions to effects of executive dysfunction. This review seeks to explore this diversity around executive functions in order to provide an integrative overview of the topic that systematizes the current knowledge in this area, and to point to trends and future directions for research and practice. The literature review was conducted in the ISI Web of Knowledge databases. The analysis was conducted in NVivo9. Two independent coders applied an inductive analysis to all relevant papers, building a hierarchical model with categories and subcategories of themes emerging from the literature. A confirmatory analysis followed, with the same independent coders applying the model to the papers. The process was validated by a third expert researcher. Out of 187 titles and abstracts, 91 were analyzed. The outcomes were structured in six main categories: central nervous system, diagnosis, population, assessment, intervention, and theoretical models. Key findings included promising trends in executive function assessment and rehabilitation as well as potential implications for current health approaches and future research.

References

  • Baddeley, A. D. (1986). Working memory. New York, NY/Oxford, UK: Oxford University Press. First citation in articleGoogle Scholar

  • Baddeley, A. D. , Wilson, B. B. (1988). Frontal amnesia and dysexecutive syndrome. Brain and Cognition, 7, 212–230. First citation in articleCrossrefGoogle Scholar

  • Bechara, A. , Damasio, H. , Damasio, A. R. (2000). Emotion, decision making and the orbitofrontal cortex. Cerebral Cortex, 10, 295–307. First citation in articleCrossrefGoogle Scholar

  • Cernich, A. N. , Kurtz, S. M. , Mordecai, K. L. , Ryan, P. B. (2010). Cognitive rehabilitation in traumatic brain injury. Current Treatment Options in Neurology, 12, 412–423. doi: 10.1007/s11940-010-0085-6. First citation in articleCrossrefGoogle Scholar

  • Cicerone, K. D. , Langenbahn, D. M. , Braden, C. , Malec, J. F. , Kalmar, K. , Fraas, M. , Ashman, T. (2011). Evidence-based cognitive rehabilitation: Updated review of the literature from 2003 through 2008. Archives of Physical Medicine and Rehabilitation, 92, 519–530. doi: 10.1016/j.apmr.2010.11.015. First citation in articleCrossrefGoogle Scholar

  • Creswell, J. W. (2003). Research design: Qualitative, quantitative and mixed methods approaches. Thousand Oaks, CA: Sage. First citation in articleGoogle Scholar

  • Di Perri, C. , Dalaker, T. O. , Beyer, M. K. , Zivadinov, R. (2009). Neuroimaging of cognitive impairments in vascular disease. Neurobiology of Dementia, 84, 49–80. doi: 10.1016/s0074-7742(09)00404-8. First citation in articleCrossrefGoogle Scholar

  • Dodson, M. B. (2010). A model to guide the rehabilitation of high-functioning employees after mild brain injury. Work – a Journal of Prevention Assessment & Rehabilitation, 36, 449–457. doi: 10.3233/wor-2010-1044. First citation in articleGoogle Scholar

  • Donders, J. , DenBraber, D. , Vos, L. (2010). Construct and criterion validity of the behaviour rating inventory of executive function (BRIEF) in children referred for neuropsychological assessment after paediatric traumatic brain injury. Journal of Neuropsychology, 4, 197–209. doi: 10.1348/174866409x478970. First citation in articleCrossrefGoogle Scholar

  • Fish, J. , Wilson, B. A. , Manly, T. (2010). The assessment and rehabilitation of prospective memory problems in people with neurological disorders: A review. Neuropsychological Rehabilitation, 20, 161–179. doi: 10.1080/09602010903126029. First citation in articleCrossrefGoogle Scholar

  • Fuster, J. (1997). The prefrontal cortex: Anatomy, physiology, and neuropsychology of the frontal lobes (3rd ed.). New York, NY: Raven Press. First citation in articleGoogle Scholar

  • Galvin, J. , Mandalis, A. (2009). Executive skills and their functional implications: Approaches to rehabilitation after childhood TBI. Developmental Neurorehabilitation, 12, 352–360. doi: 10.1080/17518420903087293. First citation in articleCrossrefGoogle Scholar

  • Gioia, G. A. , Kenworthy, L. , Isquith, P. K. (2010). Executive function in the real world: BRIEF lessons from Mark Ylvisaker. Journal of Head Trauma Rehabilitation, 25, 433–439. doi: 10.1097/HTR.0b013e3181fbc272. First citation in articleCrossrefGoogle Scholar

  • Hanna-Pladdy, B. (2007). Dysexecutive syndromes in neurologic disease. Journal of Neurologic Physical Therapy, 31, 119–127. First citation in articleCrossrefGoogle Scholar

  • Kenworthy, L. , Yerys, B. E. , Anthony, L. G. , Wallace, G. L. (2008). Understanding executive control in autism spectrum disorders in the lab and in the real world. Neuropsychology Review, 18, 320–338. doi: 10.1007/s11065-008-9077-7. First citation in articleCrossrefGoogle Scholar

  • Lewis, M. W. , Babbage, D. R. , Leathem, J. M. (2011). Assessing executive performance during cognitive rehabilitation. Neuropsychological Rehabilitation, 21, 145–163. doi: 10.1080/09602011.2010.543867. First citation in articleCrossrefGoogle Scholar

  • Lezak, M. D. (1982). The problem of assessing executive functions. International Journal of Psychology, 17, 281–297. First citation in articleCrossrefGoogle Scholar

  • Lezak, M. D. (1987). Relationship between personality disorders, social disturbances and physical disability following traumatic brain injury. Journal of Head Trauma Rehabilitation, 2, 57–69. First citation in articleCrossrefGoogle Scholar

  • Luria, A. R. (1973). In Haigh, B. (Ed.), The working brain: An introduction to neuropsychology. New York, NY: Basic Books. First citation in articleGoogle Scholar

  • Luria, A. R. (1980). Higher cortical functions in man (2nd ed.). New York, NY: Basic Books. First citation in articleCrossrefGoogle Scholar

  • Masterman, D. L. , Cummings, J. L. (1997). Frontal-subcortical circuits: The anatomic basis of executive, social and motivated behaviors. Journal of Psychopharmacology, 11, 107–114. First citation in articleCrossrefGoogle Scholar

  • Mateer, C. A. (1999). Executive function disorders: Rehabilitation challenges and strategies. Seminars in Clinical Neuropsychiatry, 4, 50–59. First citation in articleGoogle Scholar

  • McCabe, D. P. , Roediger, H. L. III , McDaniel, M. A. , Balota, D. A. , Hambrick, D. Z. (2010). The relationship between working memory capacity and executive functioning: Evidence for a common executive attention construct. Neuropsychology, 24, 222–243. First citation in articleCrossrefGoogle Scholar

  • Medley, A. R. , Powell, T. (2010). Motivational Interviewing to promote self-awareness and engagement in rehabilitation following acquired brain injury: A conceptual review. Neuropsychological Rehabilitation, 20, 481–508. doi: 10.1080/09602010903529610. First citation in articleCrossrefGoogle Scholar

  • Miotto, E. C. , Evans, J. J. , de Lucia, M. C. S. , Scaff, M. (2009). Rehabilitation of executive dysfunction: A controlled trial of an attention and problem solving treatment group. Neuropsychological Rehabilitation, 19, 517–540. doi: 10.1080/09602010802332108. First citation in articleCrossrefGoogle Scholar

  • Norman, D. , Shallice, T. (1986). Attention to action: Willed and automatic control of behavior. In Davidson, R. , Schwartz, G. E. , Shapiro, D. (Eds.), Consciousness and self-regulation: Advances in research and theory (pp. 1–18). New York: Plenum Press. First citation in articleCrossrefGoogle Scholar

  • Papazian, O. , Alfonso, I. , Luzondo, R. J. (2006). Executive function disorders. Revista de Neurologia, 42, S45–S50. First citation in articleGoogle Scholar

  • Pennington, B. F. (1997). Dimensions of executive functions in normal and abnormal development. In Krasnegor, N. A. , Lyon, G. R. , Goldman-Rakic, P. S. (Eds.), Development of the prefrontal cortex: Evolution, neurobiology, and behavior (pp. 265–281). Baltimore, MD: Brookes. First citation in articleGoogle Scholar

  • Peterson, D. B. (2005). International classification of functioning, disability and health: An introduction for rehabilitation psychologists. Rehabilitation Psychology, 50, 15–112. First citation in articleCrossrefGoogle Scholar

  • Robbins, T. W. (1996). Dissociating executive functions of the prefrontal cortex. Philosophical Transactions of the Royal Society of London (B), 351, 1463–1471. First citation in articleCrossrefGoogle Scholar

  • Roberts, R. J. , Pennington, B. F. (1996). An interactive framework for examining prefrontal cognitive processes. Developmental Neuropsychology, 12, 105–126. First citation in articleCrossrefGoogle Scholar

  • Schroeder, J. H. , Desrocher, M. , Bebko, J. M. , Cappadocia, M. C. (2010). The neurobiology of autism: Theoretical applications. Research in Autism Spectrum Disorders, 4, 555–564. doi: 10.1016/j.rasd.2010.01.004. First citation in articleCrossrefGoogle Scholar

  • Serruya, M. D. , Kahana, M. J. (2008). Techniques and devices to restore cognition. Behavioural Brain Research, 192, 149–165. doi: 10.1016/j.bbr.2008.04.007. First citation in articleCrossrefGoogle Scholar

  • Simblett, S. K. , Bateman, A. (2011). Dimensions of the dysexecutive questionnaire (DEX) examined using Rasch analysis. Neuropsychological Rehabilitation, 21, 1–25. doi: 10.1080/09602011.2010.531216. First citation in articleCrossrefGoogle Scholar

  • Stuss, D. T. , Benson, D. F. (1984). Neuropsychological studies of the frontal lobes. Psychological Bulletin, 95, 3–28. First citation in articleCrossrefGoogle Scholar

  • Stuss, D. T. , Benson, D. F. (1986). The frontal lobes. New York, NY: Raven Press. First citation in articleGoogle Scholar

  • Stuss, D. T. , Levine, B. (2002). Adult clinical neuropsychology: Lessons from studies of the frontal lobes. Annual Review of Psychology, 53, 401–433. First citation in articleCrossrefGoogle Scholar

  • Tirapu-Ustárroz, J. , García-Molina, A. , Luna-Lario, P. , Roig-Rovira, T. , Pelegrín-Valero, C. (2008). Modelos de funciones y control ejecutivo (I) [Models of executive control and functions]. Revista de Neurología, 46, 684–692. First citation in articleCrossrefGoogle Scholar

  • Tirapu-Ustárroz, J. , García-Molina, A. , Luna-Lario, P. , Roig-Rovira, T. , Pelegrín-Valero, C. (2008). Modelos de funciones y control ejecutivo (II) [Models of executive control and functions]. Revista de Neurología, 46, 742–750. First citation in articleCrossrefGoogle Scholar

  • Ylvisaker, M. (1998). Traumatic brain injury rehabilitation: Children and adolescents. Boston, MA: Butterworth Heineman. First citation in articleGoogle Scholar