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June 21, 2000

Cognitive Rehabilitation Following Traumatic Brain Injury

Author Affiliations

Author Affiliation: Burke Rehabilitation Hospital, White Plains, NY.

JAMA. 2000;283(23):3123-3124. doi:10.1001/jama.283.23.3123

The efficacy of cognitive rehabilitation in the treatment of patients with traumatic brain injury (TBI) has been a controversial issue.13 A 1999 review of the evidence suggested that selected cognitive and behavioral rehabilitation techniques are effective in the treatment of TBI.4 However, in the current era of evidence-based medicine and increased scientific scrutiny of common medical practices, the efficacy of therapeutic interventions needs to be supported by class I evidence (eg, randomized controlled trials). To date, there is limited class I evidence documenting the efficacy of cognitive rehabilitation after TBI.5 The study by Salazar and colleagues6 in this issue of THE JOURNAL represents a capable attempt to rectify this paucity of scientific data for this important clinical problem.

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