| Abstract: |
Study reviewed the research on 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. A literature search conducted using PubMed, EMBASE, Ovid, Cochrane, PsychINFO, and CINAHL generated a total of 4,931 publications. Twenty-eight studies using computerized cognitive interventions targeting attention and executive functions were included in this review. 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. In 23 studies, significant improvements in attention and executive function subsequent to training were reported; in the remaining 5, promising trends were observed. 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 (e.g., small sample size, inadequate control groups) and to inform development of guidelines and standardized protocols. |
| Plain Language Summary: |
Plain Language Title
The use of computer programs to deliver cognitive rehabilitation to individuals with acquired brain injury: A systematic planned out, orderly, regular review
Review go over, check Question
Can computerized rehabilitation programs improve cognitive outcomes for individuals with acquired brain injury?
Background
Individuals with acquired brain injury (ABI)?including traumatic shocking, upsetting injury and stroke?often experience feel, have, go through changes in cognitive functioning, especially executive functioning, attention, and learning. Computer programs have become a popular way to address cognitive functioning, but there is no standard computerized rehabilitation tool used for ABI. Understanding the effectiveness of these programs is important to guide the use of computerized methods of rehabilitation in the ABI population.
Search Date
The review go over, check includes articles published before or during April 2015.
Study Characteristics
The study focused on adults (ages 18 or older) who have experienced ABI. Studies had to use a cognitive intervention care targeting attention or executive function. Interventions had to involve interacting with a computer program, not just using online video chats or virtual reality programs.
Twenty-eight studies were included in the review. go over, check In total, there were 768 participants. The sample size for each study varied widely from 1 to 103 participants. Studies covered a wide variety of interventions. Most used treatment action, medicine, therapy programs that were specifically created or modified for the study.
NIDILRR Affiliation
None
Key Results
The review go over, check provides encouraging evidence that computerized cognitive rehabilitation can improve attention and executive functioning in survivors of ABI. Common outcome measures included tests and questionnaires focusing on attention, executive function, activities of daily living, and self-efficacy. Studies found improvements in these outcomes for both individuals with traumatic shocking, upsetting brain injury and individuals who have experienced stroke. However, there are currently now, at this moment, right now no standardized guidelines for using computerized cognitive rehabilitation interventions with ABI.
Use of Statistics
The review go over, check does not report detailed statistical analysis.
Quality of Evidence
Twelve studies were randomized controlled trials, the highest standard of evidence. Nine studies were of moderate medium, mild, controllable quality, including studies that compared participants to a control manage, have power over, take care of group but did not randomly assign people to these groups. The remaining seven studies were in the lowest quality category. A key limitation is that most studies had small sample sizes. Differences in control manage, have power over, take care of groups, outcome measures, and treatment action, medicine, therapy programs also limit what the review go over, check can establish about the effects of computerized cognitive rehabilitation.
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