Computerized Cognitive Rehabilitation of Attention and Executive Function in Acquired Brain Injury: A Systematic Review

Comprehensive review of the use of computerized treatment as a rehabilitation tool for attention and executive function in adults (aged 18 years or older) who suffered an acquired brain injury. Systematic review of empirical research. Two reviewers independently assessed articles using the methodolo...

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Published in:The journal of head trauma rehabilitation Vol. 31; no. 6; p. 419
Main Authors: Bogdanova, Yelena, Yee, Megan K, Ho, Vivian T, Cicerone, Keith D
Format: Journal Article
Language:English
Published: United States 01.11.2016
Subjects:
Attention
Brain Injuries - rehabilitation
Cognition
Executive Function
Humans
Randomized Controlled Trials as Topic
Therapy, Computer-Assisted
ISSN:1550-509X, 1550-509X
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Abstract Comprehensive review of the use of computerized treatment as a rehabilitation tool for attention and executive function in adults (aged 18 years or older) who suffered an acquired brain injury. Systematic review of empirical research. Two reviewers independently assessed articles using the methodological quality criteria of Cicerone et al. Data extracted included sample size, diagnosis, intervention information, treatment schedule, assessment methods, and outcome measures. A literature review (PubMed, EMBASE, Ovid, Cochrane, PsychINFO, CINAHL) generated a total of 4931 publications. Twenty-eight studies using computerized cognitive interventions targeting attention and executive functions were included in this review. In 23 studies, significant improvements in attention and executive function subsequent to training were reported; in the remaining 5, promising trends were observed. Preliminary evidence suggests improvements in cognitive function following computerized rehabilitation for acquired brain injury populations including traumatic brain injury and stroke. Further studies are needed to address methodological issues (eg, small sample size, inadequate control groups) and to inform development of guidelines and standardized protocols.
AbstractList Comprehensive review of the use of computerized treatment as a rehabilitation tool for attention and executive function in adults (aged 18 years or older) who suffered an acquired brain injury.OBJECTIVEComprehensive review of the use of computerized treatment as a rehabilitation tool for attention and executive function in adults (aged 18 years or older) who suffered an acquired brain injury.Systematic review of empirical research.DESIGNSystematic review of empirical research.Two reviewers independently assessed articles using the methodological quality criteria of Cicerone et al. Data extracted included sample size, diagnosis, intervention information, treatment schedule, assessment methods, and outcome measures.MAIN MEASURESTwo reviewers independently assessed articles using the methodological quality criteria of Cicerone et al. Data extracted included sample size, diagnosis, intervention information, treatment schedule, assessment methods, and outcome measures.A literature review (PubMed, EMBASE, Ovid, Cochrane, PsychINFO, CINAHL) generated a total of 4931 publications. Twenty-eight studies using computerized cognitive interventions targeting attention and executive functions were included in this review. In 23 studies, significant improvements in attention and executive function subsequent to training were reported; in the remaining 5, promising trends were observed.RESULTSA literature review (PubMed, EMBASE, Ovid, Cochrane, PsychINFO, CINAHL) generated a total of 4931 publications. Twenty-eight studies using computerized cognitive interventions targeting attention and executive functions were included in this review. In 23 studies, significant improvements in attention and executive function subsequent to training were reported; in the remaining 5, promising trends were observed.Preliminary evidence suggests improvements in cognitive function following computerized rehabilitation for acquired brain injury populations including traumatic brain injury and stroke. Further studies are needed to address methodological issues (eg, small sample size, inadequate control groups) and to inform development of guidelines and standardized protocols.CONCLUSIONSPreliminary evidence suggests improvements in cognitive function following computerized rehabilitation for acquired brain injury populations including traumatic brain injury and stroke. Further studies are needed to address methodological issues (eg, small sample size, inadequate control groups) and to inform development of guidelines and standardized protocols.
Comprehensive review of the use of computerized treatment as a rehabilitation tool for attention and executive function in adults (aged 18 years or older) who suffered an acquired brain injury. Systematic review of empirical research. Two reviewers independently assessed articles using the methodological quality criteria of Cicerone et al. Data extracted included sample size, diagnosis, intervention information, treatment schedule, assessment methods, and outcome measures. A literature review (PubMed, EMBASE, Ovid, Cochrane, PsychINFO, CINAHL) generated a total of 4931 publications. Twenty-eight studies using computerized cognitive interventions targeting attention and executive functions were included in this review. In 23 studies, significant improvements in attention and executive function subsequent to training were reported; in the remaining 5, promising trends were observed. Preliminary evidence suggests improvements in cognitive function following computerized rehabilitation for acquired brain injury populations including traumatic brain injury and stroke. Further studies are needed to address methodological issues (eg, small sample size, inadequate control groups) and to inform development of guidelines and standardized protocols.
Author Bogdanova, Yelena
Cicerone, Keith D
Ho, Vivian T
Yee, Megan K
Author_xml – sequence: 1
  givenname: Yelena
  surname: Bogdanova
  fullname: Bogdanova, Yelena
  organization: VA Boston Healthcare System, Psychology Research Service (Dr Bogdanova and Mss Yee and Ho); and Department of Psychiatry, Boston University School of Medicine (Dr Bogdanova and Ms Ho), and Boston University School of Public Health (Ms Yee), Boston, Massachusetts; Department of Neuropsychology, JFK-Johnson Rehabilitation Institute, Edison, New Jersey (Dr Cicerone); and Department of Physical Medicine and Rehabilitation, Rutgers Robert Wood Johnson Medical School, Edison, New Jersey (Dr Cicerone)
– sequence: 2
  givenname: Megan K
  surname: Yee
  fullname: Yee, Megan K
– sequence: 3
  givenname: Vivian T
  surname: Ho
  fullname: Ho, Vivian T
– sequence: 4
  givenname: Keith D
  surname: Cicerone
  fullname: Cicerone, Keith D
BackLink https://www.ncbi.nlm.nih.gov/pubmed/26709580$$D View this record in MEDLINE/PubMed
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SubjectTerms Attention
Brain Injuries - rehabilitation
Cognition
Executive Function
Humans
Randomized Controlled Trials as Topic
Therapy, Computer-Assisted
Title Computerized Cognitive Rehabilitation of Attention and Executive Function in Acquired Brain Injury: A Systematic Review
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