Author Affiliation: Burke Rehabilitation Hospital, White Plains, NY.
The efficacy of cognitive rehabilitation in the treatment of patients
with traumatic brain injury (TBI) has been a controversial issue.1- 3 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.
Jordan BD. Cognitive Rehabilitation Following Traumatic Brain Injury. JAMA. 2000;283(23):3123-3124. doi:10.1001/jama.283.23.3123