Effect of Cognitive Rehabilitation on Outcomes for Persons with Traumatic Brain Injury: A Systematic Review

Carney, Nancy; Chesnut, Randall M.; Maynard, Hugo; Mann, Nancy R.; Patterson, Patricia; Helfand, Mark

doi:10.1097/00001199-199906000-00008

Cited by 243 publications

(103 citation statements)

References 32 publications

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“…However, as Evans 10 asserted, this view is 'largely based on the absence of evidence rather than evidence of absence of an effect of restitution oriented therapies' (p. 520). While there has been substantial growth in the number of memory rehabilitation studies, 11 systematic reviews of the effectiveness of memory rehabilitation following stroke, 12 multiple sclerosis 13 and traumatic brain injury 14 have concluded that there is insufficient evidence to support or refute the use of such rehabilitation strategies. These reviews have pointed to the poor quality and quantity of randomized trials in this area, and the diverse manner in which outcomes are assessed, leading to difficulties in converging data into a meta-analysis.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Rehabilitation of Memory in Neurological Disabilities (ReMiND): a randomized controlled trial

Nair

Lincoln

2012

Clin Rehabil

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Objective: The evidence for the effectiveness of memory rehabilitation is inconclusive. The aim was to compare the effectiveness of two group memory rehabilitation programmes with a self -help group control. Design: Single-blind randomized controlled trial. Participants: Participants with memory problems following traumatic brain injury, stroke or multiple sclerosis were recruited from community settings. Interventions: Participants were randomly allocated, in cohorts of four, to compensation or restitution group treatment programmes or a self-help group control. All programmes were manual-based and comprised two individual and ten weekly group sessions. Main measures: Memory functions, mood, and activities of daily living were assessed at baseline and five and seven months after randomization. Results: There were 72 participants (mean age 47.7, SD 10.2 years; 32 men). There was no significant effect of treatment on the Everyday Memory Questionnaire (P = 0.97). At seven months the mean scores were comparable (restitution 36.6, compensation 41.0, self-help 44.1). However, there was a significant difference between groups on the Internal Memory Aids Questionnaire (P = 0.002). The compensation and restitution groups each used significantly more internal memory aids than the self -help group (P < 0.01). There were no statistically significant differences between the groups on me asures of mood, adjustment and activities of daily living (P > 0.05). Conclusions:There results show few statistically significant effects of either compensation or restitution memory group treatment as compared with a self-help group control. Further randomized trials of memory rehabilitation are needed.

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Section: Introductionmentioning

confidence: 99%

Evaluation of Rehabilitation of Memory in Neurological Disabilities (ReMiND): a randomized controlled trial

Nair

Lincoln

2012

Clin Rehabil

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“…They cautioned that long term benefit and clinical relevance were not well established. 11 In this study we have documented the time course and magnitude of cognitive recovery during the first six months and first one year and functional outcome after one year of TBI in a group of 70 patients. There were twelve drop outs, therefore 58 patients with moderate (n = 27) and severe (n = 31) TBI, were included in the study.…”

Section: Discussionmentioning

confidence: 99%

Cognitive Recovery and its Correlation with Functional Status One Year After Traumatic Brain Injury

Agrawal¹

2015

AJNS

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Abstract:Objectives: To examine the impact of multi faceted rehabilitation services on functional outcomes after traumatic brain injury (TBI) for individuals with moderate and severe TBI. Design: Cohort, non-randomized, interventional study, pre-test, post-test design. Setting: Community integrated post acute rehabilitation centre. Main outcome measures: Galvenston Orientation and Amnesia Test (GOAT), Mini Mental Status Examination (MMSE), Functional Independence Measure (FIM), Glasgow outcome scale extended (GOSE). Results: Mean change in MMSE scores from admission to twelve months was 23.48 in moderate injury group and 21.26 in severe injury group. This change was significant in both the severity groups. Mean change in GOAT scores from admission to twelve months was 74.85 in moderate injury group and 70.71 in the severe injury group which also was significant. Predictors such as Length of stay (LOS) in acute care (B=-0.913), GCS at the time of acute admission (B=0.402), FIM at the time of discharge (B=.241), injury severity (B=0.221) and LOS in rehabilitation (B=0.168) explained 85.7% of the variation in the value of FIM at 12 months after injury. Conclusion: Impairment of cognitive function and its socio-economic impact is vast such that it affects the socio economic status of a community and country as a whole. Cognitive rehabilitation remains central to the management of persons with TBI.

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“…Esta perspectiva é interessante, pois pode ser aplicada nos diferentes ambientes naturais das crianças e adolescentes, portanto, gerando resultados não apenas nas sessões individuais de consultório, mas facilitando sua incorporação aos hábitos rotineiros dos clientes. Carney et al (1999) realizaram uma extensa revisão bibliográfica buscando determinar quais as práticas mais eficazes em reabilitação cognitiva para pessoas com traumatismo crânio encefálico. No entanto, diante do número reduzido das amostras, das definições diferentes utilizadas pelos estudos e pela variedade dos instrumentos utilizados para avaliar as funções antes e depois das intervenções os resultados foram inconclusivos.…”

Section: Implicações Para Reabilitaçãounclassified

Avaliação neuropsicológica das funções executivas: considerações metodológicas

Hamdan

Pereira

2009

Psicol. Reflex. Crit.

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ResumoO interesse pelo estudo das funções executivas tem crescido nos últimos anos. O objetivo deste artigo é revisar algumas questões metodológicas e conceituais relacionadas à avaliação neuropsicológica das funções executivas. As principais limitações e dicotomias relacionadas às funções executivas são apresentadas e a importância de um modelo teórico que fundamente os instrumentos de avaliação e suas interpretações clinicas analisada. Conclui-se que as evidências provenientes da investigação das funções executivas ainda não permitem a compreensão satisfatória desses processos. Sugere-se, a adoção de um modelo específico para o estudo das funções executivas. Palavras-chave: Neuropsicologia; Testes neuropsicológicos; Lobo frontal. AbstractThe article aims to review methodological and conceptual issues related to neuropsychological assessment of executive functions. The main limitations and dichotomies of current studies related to executive functions are presented and the importance of theoretical support to validate the instruments and their clinical interpretation are discussed. There is still the need of additional evidences on executive functions that allow a complete understanding of all the processes involved. Finally, it is suggested the adoption of a specific model that may guide the study of the executive functions.

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Effect of Cognitive Rehabilitation on Outcomes for Persons with Traumatic Brain Injury: A Systematic Review

Cited by 243 publications

References 32 publications

Evaluation of Rehabilitation of Memory in Neurological Disabilities (ReMiND): a randomized controlled trial

Evaluation of Rehabilitation of Memory in Neurological Disabilities (ReMiND): a randomized controlled trial

Cognitive Recovery and its Correlation with Functional Status One Year After Traumatic Brain Injury

Avaliação neuropsicológica das funções executivas: considerações metodológicas

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