Cognitive Rehabilitation for the Treatment of Traumatic Brain Injury
Schoelles, K., Uhl, S., et al. (2009).
Plymouth Meeting (PA): ECRI Institute, i-191.
This health care technology assessment includes a systematic review that investigates the effects of cognitive rehabilitation therapy (CRT) on specific cognitive deficits (e.g., deficits of attention, memory, or communication) in adults, 18 years and older, with traumatic brain injury (TBI).
TRICARE Management Activity, Department of Defense
Not stated
Randomized controlled trials
18
<div>For adults with moderate to severe TBI, there is insufficient evidence to determine the efficacy of CRT for improving deficits in attention, memory, executive functioning, or other patient-oriented outcomes. Additionally, there is insufficient evidence to determine whether CRT used to treat multiple cognitive deficits is more effective than alternative treatment focused on general or functional activities.</div>
<div>There is evidence that social skill training improves performance on measures of social communication compared to no treatment for adults with moderate to severe TBI (strength of evidence: low). There is insufficient evidence to determine if social skills training improves community/social integration or other patient-oriented outcomes.</div>
<div>There is evidence that comprehensive, holistic CRT improves measures of quality of life compared to less intensive treatment for individuals with TBI (strength of evidence: low). More research is needed to determine if CRT is more effective than standard care for this population.</div>
