caa a22 4500 445299185 CHVBK 20180317142551.0 cr unu---uuuuu 170323e20100901xx s 000 0 eng 10.1007/s11940-010-0085-6 doi (NATIONALLICENCE)springer-10.1007/s11940-010-0085-6 Cognitive Rehabilitation in Traumatic Brain Injury [Elektronische Daten] [Alison Cernich, Shira Kurtz, Kristen Mordecai, Patricia Ryan] Opinion statement: Traumatic brain injury (TBI) is a major public health problem with neurobehavioral sequelae contributing to the long-term disability that is often associated with the moderate to severe levels of injury. Rehabilitation of cognitive skills is central to encouraging the full participation of the individual in home, vocational, and social roles. The review of available evidence points to four major recommendations for the rehabilitation of cognition following brain injury: 1) Access to subacute rehabilitation that is holistic in nature and involves a multidisciplinary or transdisciplinary team to work in an integrated fashion to support physical, cognitive, and social skill retraining is vital to support positive outcome following TBI. The collaborative effort of these individuals allows for continual reinforcement and evaluation of treatment goals and will often involve the family and/or important others in the individual's life to prepare for community re-entry. 2) Trials of medication, especially methylphenidate, to assist individuals with significant attention and memory impairment appear well supported by the available evidence. Though some data suggest that the use of cholinesterase inhibitors may be of use for individuals with memory impairments, there is less support for this practice and there are indications that it may worsen the behavioral sequelae of the injury. 3) Randomized controlled trials demonstrate the utility of specific rehabilitation approaches to attention retraining and retraining of executive functioning skills. Future research is needed on rehabilitation techniques in other domains of cognition. 4) Training in the use of supportive devices (either a memory book or more technologically enhanced compensatory devices) to support the individual's daily activities remains central to the independent function of the individual in the community. Though emerging treatments (eg, virtual reality environments) show relative degrees of promise for inclusion in the rehabilitation of the individual with TBI, these need further evaluation in systematic trials. US Government, 2010 Cernich Alison VA Maryland Health Care System, 10 North Greene Street, BT/116/MH, 21201, Baltimore, MD, USA aut Kurtz Shira VA Maryland Health Care System, 10 North Greene Street, BT/116/MH, 21201, Baltimore, MD, USA aut Mordecai Kristen VA Maryland Health Care System, 10 North Greene Street, BT/116/MH, 21201, Baltimore, MD, USA aut Ryan Patricia VA Maryland Health Care System, 10 North Greene Street, BT/116/MH, 21201, Baltimore, MD, USA aut Current Treatment Options in Neurology Current Science Inc. 12/5(2010-09-01), 412-423 1092-8480 12:5<412 2010 12 11940 https://doi.org/10.1007/s11940-010-0085-6 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11940-010-0085-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Cernich Alison VA Maryland Health Care System, 10 North Greene Street, BT/116/MH, 21201, Baltimore, MD, USA aut NATIONALLICENCE 700 1- Kurtz Shira VA Maryland Health Care System, 10 North Greene Street, BT/116/MH, 21201, Baltimore, MD, USA aut NATIONALLICENCE 700 1- Mordecai Kristen VA Maryland Health Care System, 10 North Greene Street, BT/116/MH, 21201, Baltimore, MD, USA aut NATIONALLICENCE 700 1- Ryan Patricia VA Maryland Health Care System, 10 North Greene Street, BT/116/MH, 21201, Baltimore, MD, USA aut NATIONALLICENCE 773 0- Current Treatment Options in Neurology Current Science Inc 12/5(2010-09-01), 412-423 1092-8480 12:5<412 2010 12 11940 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer