Cognitive Rehabilitation
In: Gilhus, N. E., Barnes, M. P., Brainin, M., ed(s). European Handbook of Neurological Management. Second Edition. Oxford (UK): Wiley-Blackwell Publishing Ltd.
Cappa, S. F., Benke, T., et al. (2011).
In: Gilhus, N. E., Barnes, M. P., Brainin, M., ed(s). European Handbook of Neurological Management. Second Edition. Oxford (UK): Wiley-Blackwell Publishing Ltd., 545-567.
This is an update of a 2005 review and corresponding guideline from the European Federation of Neurological Societies. The guideline provides recommendations for the management of cognitive rehabilitation in individuals with acquired brain injuries, primarily as a result of stroke or traumatic brain injury (TBI). The target audience of this guideline is healthcare professionals providing acute and post-acute cognitive rehabilitation.
European Federation of Neurological Societies
For individuals with TBI or stroke, external memory treatments are recommended using non-electronic aids (e.g., memory books, diaries; Grade C Recommendation; Class III Evidence) and electronic aids (e.g., paging systems, portable devicesGrade B Recommendation).
Aphasia treatments are recommended for individuals with aphasia as a result of stroke or TBI (Grade B Recommendation; Class II and III Evidence). However further research is warranted to determine the effectiveness of specific aphasia treatment approaches.
Based on Class I Evidence, attention training is recommended in the post-acute phase of recovery for individuals with TBI (Grade A Recommendation; Class I Evidence). However, there is insufficient evidence to support the use of specific attention interventions during the acute phase of TBI recovery.
Memory treatments, specifically errorless learning, spaced recall techniques, self-instructional recall techniques, and process-oriented training, are recommended for individuals with TBI (Grade B Recommendation).
Memory treatments provided in virtual environments (i.e., telehealth) are recommended for individuals with TBI or stroke (Grade C Recommendation; Class III Evidence). However further research is warranted to determine the effectiveness of specific memory treatments delivered via this service delivery model.
<p>Visual scanning training (Grade A Recommendation; Class I Evidence), combined visual scanning, reading, copying, and figure description (Grade B Recommendation), and training sustained attention and alertness (Grade B-C Recommendation) are recommended for individuals with unilateral neglect following stroke or TBI.</p>
