TBI-GENERAL COGNITIVE (NON PHARMACOLOGIC) MGM

SUMMARY

EFFECTIVE
1. Targeted hypnosis may transiently improve cognitive function in post TBI patients or stroke (level 1b).
2. Goal management training may be superior (compared to motor skills training or no treatment controls) for improving goal attainment or measures of intelligence following an ABI (level 2).
3. Touch screen-based games (which include components of reasoning and problem-solving) may be effective for improving self-awareness and social skills following an ABI (level 4).
4. General cognitive rehabilitation programs are effective for improving cognitive functioning following an ABI (level 1b).
5. There is limited evidence that mindfulness-based stress reduction is effective for improving cognitive functioning (level 4).
6. Corrective video feedback is more effective than verbal feedback alone for improving general cognitive function and self-awareness (level 1b).

7. Remedial and adaptive occupational therapy are equally effective for improving general cognitive functioning (level 1b).

INEFFECTIVE
1. Computer or smartphone software programs (BrainHQ, Parrot Software, ProSolv app) may not be superior to common interventions at improving memory, attention, and problem-solving skills in patients post TBI.

Reference(s)

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.

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