The effectiveness of computer-assisted cognitive rehabilitation for persons with traumatic brain injury

Abstract

This study examined the efficacy of computer-assisted cognitive rehabilitation (CACR) in persons with traumatic brain injury (TBI). Twenty persons with TBI who received hierarchically based CACR following inpatient neurorehabilitation were compared to a group of 20 persons with TBI matched for age, education, days in coma and time between testing. The comparison group received various other therapies including speech therapy and occupational therapy. The difference between pre- and post-treatment neuropsychological test scores was used to measure improvements in the domains of attention, visual spatial ability, memory and problem-solving. CACR and the comparison group showed significant post-treatment gains on the neuropsychological test scores, with CACR making significant gains on 15 measures and the comparison group on seven measures. However, we found no significant differences between the groups on their post-treatment gains. Results from this preliminary study found that, though significant cognitive gains were obtained after CACR, the extent and nature of these gains remains to be shown in controlled, prospective group studies.

Computerized Cognitive Rehabilitation of Attention and Executive Function in Acquired Brain Injury: A Systematic Review

“…The training program—computer-assisted cognitive rehabilitation—arranged the trainings in a hierarchical manner with tasks increasing in complexity over time. 26 Similarly, Serino et al 45 demonstrated significant improvements in working memory, divided attention, and executive function compared with a general stimulation control group following a training program based on the PASAT. Ponsford and Kinsella 41 also utilized a computer program composed of tasks that measure both accuracy and speed of responses over time.…”

“…26,34,39,41,44,45,48 A class I study compared computerized attention training with a paper-and-pencil memory training control group. The computerized attention training program focused on visual, auditory, and divided attention, with task difficulty varying depending on number of stimuli, similarity between targets and distractors, and interstimulus intervals.…”

Cognitive remediation for adolescents with 22q11 deletion syndrome (22q11DS): A preliminary study examining effectiveness, feasibility, and fidelity of a hybrid strategy, remote and computer-based intervention

“…It is a child-friendly/adolescent version of the computerized CogRehab system (Chen et al, 1997) which was originally developed for adults with brain injury, but which has been used extensively with adults with schizophrenia (Bell et al, 2001; Hogarty et al, 2004; Kurtz et al, 2007) and individuals exhibiting learning disabilities/attention deficits (Bracy et al, 1999). …”

The synergistic effect of acupuncture and computer-based cognitive training on post-stroke cognitive dysfunction: a study protocol for a randomized controlled trial of 2 × 2 factorial design

“…At present, cognitive training mainly includes traditional cognitive retraining and computer-assisted cognitive training, e.g. [29]. Computer-assisted cognitive training allows automation of many cognitive training procedures, making it possible to meet demand for care, improve stimulation quality, increase patient record reliability and optimize performance in impaired functions [30, 31].…”