TBI-ATTENTION (NON PHARMACOLOGIC) MGM

SUMMARY

EFFECTIVE
1. Dual-task training has been shown to improve measures of attention (level 2 & 3 evidence).
2. Repetitive virtual reality tasks which include repetition are effective in improving attention (level 4 evidence).
3. Goal management training is effective in assisting those who sustain an ABI learning to manage life goals through improved attention (level 2 evidence).
4. Non-specific attentional training programs are effective: summation tasks (level 4), working memory training (level 4).
5. The addition of a therapy animal to an attentional training program may enhance concentration gains (level 1b).
6. Tasks that involve mathematical skills may be effective at improving attention post ABI.
7. Transcranial direct current stimulation may be effective when combined with computer assisted training in ABI populations.

INEFFECTIVE
1. Drill & practice training may not be effective for the remediation of attention following an ABI.

2. Therapies which focus on emotional regulation do not appear to be effective, while mindfulness may improve some areas.
3. Computer-based interventions are no more effective than no intervention.
4. Repeated magnetic transcranial stimulation may not be effective in remediating attentional deficits following an ABI.

Reference(s)

Marshall S, Harnett A, Welch-West P, Ferri C, Janzen S, Togher L, Teasell R. (2021). Attention, Concentration and Information Processing Post Acquired Brain Injury. In Teasell R, Cullen N, Marshall S, Bayley M, Harnett A editors. Evidence-Based Review of Moderate to Severe Acquired Brain Injury. Version 14.0: p1-64.

Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.