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February 1990

The Efficacy of Cognitive Rehabilitation in Patients With Traumatic Brain Injury

Author Affiliations

From the Department of Neurology, Cornell University Medical School, the Burke Rehabilitation Center, White Plains, NY.

Arch Neurol. 1990;47(2):220-222. doi:10.1001/archneur.1990.00530020128026

Does specific therapy for patients with cognitive disorders that occur after traumatic brain injury (TBI) produce a specific and obvious improvement in quality of life? The medical literature on this question is voluminous but this review is limited to 20 relevant publications.1-19

First there are chapters, reviews, and editorials that sound a clarion call for action. There can be no disagreement that the loss of intellect and subsequent personality changes in patients with TBI are catastrophic. Unlike other neurologic disease, TBI compounds the basic neurologic infirmity with the prospect of 30 to 40 more years of disabled life. The burden for families and in many cases the eventual burden to society has received attention from medical economists and

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