Evidence-Based Cognitive Rehabilitation

Systematic Review of the Literature From 2009 Through 2014

Keith D. Cicerone, Yelena Goldin, Keith Ganci, Amy Rosenbaum, Jennifer Wethe, Donna M. Langenbahn, James F. Malec, Thomas Bergquist, Kristine Kingsley, Drew Nagele, Lance Trexler, Michael Fraas, Yelena Bogdanova, J. Preston Harley

Research output: Contribution to journalReview article

2 Citations (Scopus)

Abstract

Objectives: To conduct an updated, systematic review of the clinical literature, classify studies based on the strength of research design, and derive consensual, evidence-based clinical recommendations for cognitive rehabilitation of people with traumatic brain injury (TBI) or stroke. Data Sources: Online PubMed and print journal searches identified citations for 250 articles published from 2009 through 2014. Study Selection: Selected for inclusion were 186 articles after initial screening. Fifty articles were initially excluded (24 focusing on patients without neurologic diagnoses, pediatric patients, or other patients with neurologic diagnoses, 10 noncognitive interventions, 13 descriptive protocols or studies, 3 nontreatment studies). Fifteen articles were excluded after complete review (1 other neurologic diagnosis, 2 nontreatment studies, 1 qualitative study, 4 descriptive articles, 7 secondary analyses). 121 studies were fully reviewed. Data Extraction: Articles were reviewed by the Cognitive Rehabilitation Task Force (CRTF) members according to specific criteria for study design and quality, and classified as providing class I, class II, or class III evidence. Articles were assigned to 1 of 6 possible categories (based on interventions for attention, vision and neglect, language and communication skills, memory, executive function, or comprehensive-integrated interventions). Data Synthesis: Of 121 studies, 41 were rated as class I, 3 as class Ia, 14 as class II, and 63 as class III. Recommendations were derived by CRTF consensus from the relative strengths of the evidence, based on the decision rules applied in prior reviews. Conclusions: CRTF has now evaluated 491 articles (109 class I or Ia, 68 class II, and 314 class III) and makes 29 recommendations for evidence-based practice of cognitive rehabilitation (9 Practice Standards, 9 Practice Guidelines, 11 Practice Options). Evidence supports Practice Standards for (1) attention deficits after TBI or stroke; (2) visual scanning for neglect after right-hemisphere stroke; (3) compensatory strategies for mild memory deficits; (4) language deficits after left-hemisphere stroke; (5) social-communication deficits after TBI; (6) metacognitive strategy training for deficits in executive functioning; and (7) comprehensive-holistic neuropsychological rehabilitation to reduce cognitive and functional disability after TBI or stroke.

Original languageEnglish (US)
JournalArchives of Physical Medicine and Rehabilitation
DOIs
StatePublished - Jan 1 2019

Fingerprint

Rehabilitation
Stroke
Advisory Committees
Nervous System
Language
Communication
Evidence-Based Practice
Information Storage and Retrieval
Executive Function
Memory Disorders
Practice Guidelines
PubMed
Consensus
Research Design
Pediatrics
Traumatic Brain Injury
Practice (Psychology)

Keywords

  • Brain injuries
  • Practice guidelines as topic
  • Rehabilitation
  • Stroke

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

Evidence-Based Cognitive Rehabilitation : Systematic Review of the Literature From 2009 Through 2014. / Cicerone, Keith D.; Goldin, Yelena; Ganci, Keith; Rosenbaum, Amy; Wethe, Jennifer; Langenbahn, Donna M.; Malec, James F.; Bergquist, Thomas; Kingsley, Kristine; Nagele, Drew; Trexler, Lance; Fraas, Michael; Bogdanova, Yelena; Harley, J. Preston.

In: Archives of Physical Medicine and Rehabilitation, 01.01.2019.

Research output: Contribution to journalReview article

Cicerone, KD, Goldin, Y, Ganci, K, Rosenbaum, A, Wethe, J, Langenbahn, DM, Malec, JF, Bergquist, T, Kingsley, K, Nagele, D, Trexler, L, Fraas, M, Bogdanova, Y & Harley, JP 2019, 'Evidence-Based Cognitive Rehabilitation: Systematic Review of the Literature From 2009 Through 2014', Archives of Physical Medicine and Rehabilitation. https://doi.org/10.1016/j.apmr.2019.02.011
Cicerone, Keith D. ; Goldin, Yelena ; Ganci, Keith ; Rosenbaum, Amy ; Wethe, Jennifer ; Langenbahn, Donna M. ; Malec, James F. ; Bergquist, Thomas ; Kingsley, Kristine ; Nagele, Drew ; Trexler, Lance ; Fraas, Michael ; Bogdanova, Yelena ; Harley, J. Preston. / Evidence-Based Cognitive Rehabilitation : Systematic Review of the Literature From 2009 Through 2014. In: Archives of Physical Medicine and Rehabilitation. 2019.
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abstract = "Objectives: To conduct an updated, systematic review of the clinical literature, classify studies based on the strength of research design, and derive consensual, evidence-based clinical recommendations for cognitive rehabilitation of people with traumatic brain injury (TBI) or stroke. Data Sources: Online PubMed and print journal searches identified citations for 250 articles published from 2009 through 2014. Study Selection: Selected for inclusion were 186 articles after initial screening. Fifty articles were initially excluded (24 focusing on patients without neurologic diagnoses, pediatric patients, or other patients with neurologic diagnoses, 10 noncognitive interventions, 13 descriptive protocols or studies, 3 nontreatment studies). Fifteen articles were excluded after complete review (1 other neurologic diagnosis, 2 nontreatment studies, 1 qualitative study, 4 descriptive articles, 7 secondary analyses). 121 studies were fully reviewed. Data Extraction: Articles were reviewed by the Cognitive Rehabilitation Task Force (CRTF) members according to specific criteria for study design and quality, and classified as providing class I, class II, or class III evidence. Articles were assigned to 1 of 6 possible categories (based on interventions for attention, vision and neglect, language and communication skills, memory, executive function, or comprehensive-integrated interventions). Data Synthesis: Of 121 studies, 41 were rated as class I, 3 as class Ia, 14 as class II, and 63 as class III. Recommendations were derived by CRTF consensus from the relative strengths of the evidence, based on the decision rules applied in prior reviews. Conclusions: CRTF has now evaluated 491 articles (109 class I or Ia, 68 class II, and 314 class III) and makes 29 recommendations for evidence-based practice of cognitive rehabilitation (9 Practice Standards, 9 Practice Guidelines, 11 Practice Options). Evidence supports Practice Standards for (1) attention deficits after TBI or stroke; (2) visual scanning for neglect after right-hemisphere stroke; (3) compensatory strategies for mild memory deficits; (4) language deficits after left-hemisphere stroke; (5) social-communication deficits after TBI; (6) metacognitive strategy training for deficits in executive functioning; and (7) comprehensive-holistic neuropsychological rehabilitation to reduce cognitive and functional disability after TBI or stroke.",
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