Cochrane · systematic review · CD007935
Cognitive rehabilitation for adults with traumatic brain injury to improve occupational outcomes
Kumar, KS, Samuelkamaleshkumar, S, Viswanathan, A, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library
WorkAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
10
current version
GRADE rated
10
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 20%Low 5 · 50%Moderate 3 · 30%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Cognitive rehabilitation compared to no treatment for occupational outcomes after traumatic brain injury
Population: traumatic brain injury ‐ mild, moderate or severe
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Return to work Assessed by attainment of work within 14 weeks (medium‐term) of initiating intervention Cognitive rehabilitation vs no treatment | RR 1.8 [0.74, 4.39] | 1 study · 50 participants | Very low Downgraded: risk of bias |
Community integration Cognitive rehabilitation vs no treatment | no estimate extracted | 1 study · 12 participants | Low Downgraded: risk of bias |
Quality of life Cognitive rehabilitation vs no treatment | no estimate extracted | 1 study · 98 participants | Low Downgraded: risk of bias |
Cognitive rehabilitation compared to conventional treatment for people with traumatic brain Injury
Population: people with traumatic brain injury
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Return to work Return to work status Cognitive rehabilitation vs conventional treatment | RR 1.43 [0.87, 2.33] | 1 study · 68 participants | Low Downgraded: imprecision |
Independence in ADL FIM, with 18 items in basic and psychosocial functional activities. Score ranges from 0 to 126; higher scores indicate higher functional independence. Assessment of motor and process skills, score ranges from 4 to 144; higher s... Cognitive rehabilitation vs conventional treatment | no estimate extracted | 2 studies · 41 participants | Very low Downgraded: risk of bias, imprecision |
Community integration Community Integration Questionnaire. Score ranges from 0 to 29, higher scores indicate better community integration. Cognitive rehabilitation vs conventional treatment | no estimate extracted | 3 studies · 123 participants | Low Downgraded: risk of bias, imprecision |
Quality of life Perceived Quality of Life scale. Scores range from 10 to 100, higher scores indicate better quality of life. Cognitive rehabilitation vs conventional treatment | no estimate extracted | 1 study · 68 participants | Moderate Downgraded: imprecision |
Hospital‐based cognitive rehabilitation compared to home programme for people with traumatic brain injury
Population: active duty military personnel within 3 months of moderate‐to‐severe traumatic brain injury
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Return to work Return to work status Hospital‐based cognitive rehabilitation vs home programme | RR 0.95 [0.85, 1.05] | 1 study · 120 participants | Moderate Downgraded: imprecision |
Cognitive didactic therapy compared to functional experiential therapy for people with traumatic brain injury
Population: adult veterans or active duty military service personnel with moderate‐to‐severe traumatic brain injury
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Return to work Return to work status Cognitive didactic therapy vs functional experiential therapy | RR 1.1 [0.83, 1.46] | 1 study · 366 participants | Moderate Downgraded: imprecision |
Independence in ADL Structured interview Cognitive didactic therapy vs functional experiential therapy | RR 0.9 [0.75, 1.08] | 1 study · 366 participants | Low Downgraded: imprecision |