TBI-EXECUTIVE FUNCTION (NON PHARMACOLOGIC) MGM

SUMMARY

EFFECTIVE
1. Targeted hypnosis may improve memory, attention, and cognitive function in post TBI patients or stroke (level 1b).
2. General cognitive training programs (e.g. ProSolv) which include problem-solving appear to be effective (level 1b).
3. Goal orientated group interventions are successful at improving cognitive and executive function in patients post ABI (level 1b).
4. Emotional regulation group interventions are effective at improving executive function post TBI (level 1b).
5. The Strategic Memory and Reasoning Training (SMART) program is more effective than a brain health workshop for improving executive function, metacognition, and comprehension following ABI (level 1b).
6. Touch screen-based games which include components of metacognition may be effective for improving self-awareness (level 4).

INEFFECTIVE
1. Attention training programs likely do not improve executive functioning.

2. Virtual reality does not improve executive functioning.

3. Computer or smartphone software programs (BrainHQ, Parrot Software, ProSolv app) may not be superior to common interventions.

Ref: Marshall S, Harnett A, Welch-West P, Ferri C, Janzen S, Togher L, Teasell R. (2021). Rehabilitation of Problem Solving, Executive and General Cognitive Functioning 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.

Reference(s)

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.