Cognitive rehabilitation for adults with traumatic brain injury to improve occupational outcomes

Abstract

Cognitive rehabilitation' is the term used to refer to the training given to people with brain injury to address and improve the specific mental abilities that are impaired. This is usually done to improve return to work, independence in managing daily routines, and quality of life. Review question Does cognitive rehabilitation for people with traumatic brain injury improve their return to work, independence in daily activities, community integration and quality of life? Study characteristics We included nine studies with 790 participants. Seven of the studies were conducted in the US, and one each in Australia and China. Followup (monitoring) duration in the studies ranged between two weeks and two years. Key findings Cognitive rehabilitation for adults with traumatic brain injury to improve occupational outcomes (Review)

Does cognitive rehabilitation improve occupational outcomes including employment and activities of daily living, as well as quality of life and community integration in individuals with traumatic brain injury? - A Cochrane Review summary with commentary

“…The types and content of cognitive rehabilitation offered to TBI patients varied across studies. Cognitive rehabilitation strategies ranged from interventions for self-awareness, interventions for emotional perception, categorization training, specific therapies targeting emotional regulation, problem solving, and attention training or multi-modal compensatory cognitive training to more comprehensive cognitive rehabilitation strategies (Kumar et al, 2017). Therefore, the data generated by this review relate to the effectiveness of aforementioned cognitive rehabilitation interventions on outcomes specified above and not to the efficacy of cognitive rehabilitation in persons with TBI in a broader context.…”

“…This Cochrane review (Kumar et al, 2017) studied return-to-work as the primary outcome as well as independence in ADL, QoL, and community integration in relation to cognitive rehabilitation in TBI. All of these are very important outcomes relevant to functioning and consequently for TBI neurorecovery rehabilitation.…”

“…To decrease shortcomings in research and to increase the rigor of evidence, there is a need for a common definition and standardization of cognitive rehabilitation and the outcomes (Institute of Medicine, 2011). Furthermore, suggestions by the review authors for future studies include recruitment of study participants with similar severity and duration of TBI as well as factoring the baseline differences by stratification at the recruitment phase, prioritizing outcome measures related to occupational endpoints along with follow-ups longer than a year, studying the effects or possible advantages of intervention in different settings including resourceconstrained settings, and using the TIDieR checklist (Hoffmann, 2014) when reporting to allow the assessment of the homogeneity of similar studies (Kumar et al, 2017).…”

“…Cognitive rehabilitation for adults with traumatic brain injury to improve occupational outcomes (Kumar, Samuelkamaleshkumar, Viswanathan, & Macaden, 2017).…”

Feasibility of creating an enriched environment and subsequent impact on activity levels for stroke patients in an acute stroke unit

“…While this intervention requires further investigation, it encompassed the stroke survivor's ability to observe, assess and change their own behaviour, and to generate strategies to encounter difficulties in real life situations (Skidmore et al, 2015). Looking into the field of traumatic brain injury, a recent systematic review (n=9) investigating cognitive rehabilitation showed insufficient evidence to support cognitive rehabilitation (Kumar et al, 2017).…”