American Speech-Language-Hearing Association

EBP Compendium: Summary of Systematic Review

Blue Cross and Blue Shield Association; Kaiser Permanente
Cognitive Rehabilitation for Traumatic Brain Injury in Adults

(2008).
Technology Evaluation Center (TEC) Assessments, 25(5), 1-27.

Indicators of Review Quality:

The review addresses a clearly focused question Yes
Criteria for inclusion of studies are provided Yes
Search strategy is described in sufficient detail for replication Yes
Included studies are assessed for study quality No
Quality assessments are reproducible No

Description: This is a review of randomized controlled trials and previous systematic reviews examining the impact of cognitive rehabilitation on health outcomes (e.g. instruments assessing daily functioning or quality of life). Performance on cognitive tests was not considered a health outcome.

Question(s) Addressed:

  1. Does the available evidence demonstrate that cognitive rehabilitation improves the health outcomes of adults with traumatic brain injury?
  2. Does the available evidence demonstrate that cognitive rehabilitation improves the results of cognitive test performance in adults with traumatic brain injury?

Population: Adults with traumatic brain injury

Intervention/Assessment: Cognitive rehabilitation

Number of Studies Included: 11

Years Included: 2004-2008

Findings:

Conclusions:

  • Treatment
    • Cognitive-Communication
      • General Findings
        • Based on the findings from this review, the authors did not find “strong evidence for efficacy in the treatment of traumatic brain injury" (p. 2).
        • Studies were limited by heterogeneity of health outcomes used, small number of participants and lack of follow up. Although not considered a health outcome, many studies reported positive outcomes on cognitive tests after cognitive rehabilitation.
        • Further research is warranted with studies that employ validated health outcome measures. 

Keywords: Brain Injury, Cognitive Rehabilitation

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Added to Compendium: April 2012

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