Computer-Based Cognitive Rehabilitation for Individuals With Traumatic Brain Injury: A Systematic Review

Abstract

PurposeThe purpose of this review is to evaluate the efficacy of computer-based cognitive rehabilitation (CCR) for improving cognitive and cognitive-communication skills in individuals with traumatic brain injury (TBI).MethodA systematic search using key words related to CCR and TBI was conducted in 11 databases. Studies investigating CCR in children, adolescents, and adults with TBI were identified using a set of predetermined clinical questions, inclusion/exclusion criteria, and search parameters. Studies were evaluated for methodological quality according to American Academy of Neurology guidelines (AAN, 2011).ResultsThirteen studies were included in this review. One study was classified as AAN Class II and 12 were rated as AAN Class III. Results across studies were inconsistent. In addition, studies contained a range of limitations that reduced the confidence of the reported findings.ConclusionAt this time, there is insufficient evidence to support or refute the efficacy of CCR in improving the cognitive or cognitive-communication skills of individuals with TBI. Additional, high-quality research is needed to determine if individuals with TBI will benefit from CCR. Until this occurs, clinicians are encouraged to review existing expert recommendations and engage in practice-based evidence to determine if CCR is appropriate for their individual clients with TBI.