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. 2016 Nov/Dec;31(6):419-433.
doi: 10.1097/HTR.0000000000000203.

Computerized Cognitive Rehabilitation of Attention and Executive Function in Acquired Brain Injury: A Systematic Review

Yelena Bogdanova  1 , Megan K Yee, Vivian T Ho, Keith D Cicerone
Affiliations

Computerized Cognitive Rehabilitation of Attention and Executive Function in Acquired Brain Injury: A Systematic Review

Yelena Bogdanova et al. J Head Trauma Rehabil. 2016 Nov/Dec.

Abstract

Objective: Comprehensive review of the use of computerized treatment as a rehabilitation tool for attention and executive function in adults (aged 18 years or older) who suffered an acquired brain injury.

Design: Systematic review of empirical research.

Main measures: Two reviewers independently assessed articles using the methodological quality criteria of Cicerone et al. Data extracted included sample size, diagnosis, intervention information, treatment schedule, assessment methods, and outcome measures.

Results: A literature review (PubMed, EMBASE, Ovid, Cochrane, PsychINFO, CINAHL) generated a total of 4931 publications. Twenty-eight studies using computerized cognitive interventions targeting attention and executive functions were included in this review. In 23 studies, significant improvements in attention and executive function subsequent to training were reported; in the remaining 5, promising trends were observed.

Conclusions: Preliminary evidence suggests improvements in cognitive function following computerized rehabilitation for acquired brain injury populations including traumatic brain injury and stroke. Further studies are needed to address methodological issues (eg, small sample size, inadequate control groups) and to inform development of guidelines and standardized protocols.

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Conflict of interest statement

The authors declare no conflicts of interest.

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References

    1. Ma VY, Chan L, Carruthers KJ. Incidence, prevalence, costs, and impact on disability of common conditions requiring rehabilitation in the United States: stroke, spinal cord injury, traumatic brain injury, multiple sclerosis, osteoarthritis, rheumatoid arthritis, limb loss, and back pain. Arch Phys Med Rehabil. 2014;95(5):986 e981–995 e981. - PMC - PubMed
    1. Su CY, Wuang YP, Lin YH, Su JH. The role of processing speed in poststroke cognitive dysfunction. Arch Clin Neuropsychol. 2015;30(2):148–160. - PubMed
    1. Jokinen H, Kalska H, Mantyla R, et al. White matter hyperintensities as a predictor of neuropsychological deficits poststroke. J Neurol Neurosurg Psychiatry. 2005;76(9):1229–1233. - PMC - PubMed
    1. Millis SR, Rosenthal M, Novack TA, et al. Long-term neuropsychological outcome after traumatic brain injury. J Head Trauma Rehabil. 2001;16(4):343–355. - PubMed
    1. Dikmen SS, Machamer JE, Powell JM, Temkin NR. Outcome 3 to 5 years after moderate to severe traumatic brain injury. Arch Phys Med Rehabil. 2003;84(10):1449–1457. - PubMed

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