Effect of cognitive rehabilitation on outcomes for persons with traumatic brain injury: A systematic review

Nancy Carney, Randall M. Chesnut, Hugo Maynard, N. Clay Mann, Patricia Patterson, Mark Helfand

Research output: Contribution to journalReview article

189 Scopus citations

Abstract

We evaluated evidence for the effectiveness of cognitive rehabilitation methods to improve outcomes for persons with traumatic brain injury (TBI). A search of MEDLINE, HealthSTAR, CINAHL, PsycINFO, and the Cochrane Library produced 600 potential references. Thirty-two studies met predetermined inclusion criteria and were abstracted; data from 24 were placed into evidence tables. Two randomized controlled trials and one observational study provided evidence that specific forms of cognitive rehabilitation reduce memory failures and anxiety, and improve self-concept and interpersonal relationships for persons with TBI. The durability and clinical relevance of these findings is not established. Future research utilizing control groups and multivariate analysis must incorparate subject variability and must include standard definitions of the intervention and relevant outcome measures that reflect health and function.

Original languageEnglish (US)
Pages (from-to)277-307
Number of pages31
JournalJournal of Head Trauma Rehabilitation
Volume14
Issue number3
DOIs
StatePublished - Jun 1999

Keywords

  • Cognitive rehabilitation
  • Evidence based
  • Systematic review

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Clinical Neurology

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