| Vanderploeg et al. (2008)
USA
RCT
PEDro=7
N=360 |
Population: TBI; Mean Age=32.4yr; Gender: Male=335, Female=25.
Intervention: Patients were randomly assigned to specific cognitive-didactic therapy (n=180) or functional-experiential rehabilitation therapy (n=180) for 1.5-2.5 hrver 20-60 days.
Outcome Measure: Return to work/school. |
1. Return to work at 1yr post intervention for the cognitive group and functional group was 38.9% and 35.4%, respectively. The difference between groups was not significant (p=0.50). |
| Salazar et al. (2000)
USA
RCT
PEDro=6
N=120 |
Population: TBI; Hospital Group: Mean Age=25yr; Gender: Male=62, Female=5; Mean Time Post Injury=38 days; Mean GCS=9.4. Home Group: Mean Age=26yr; Gender: Male=51, Female=2; Mean Time Post Injury=39 days; Mean GCS=9.5.
Intervention: Patients were randomly assigned to intensive in-hospital cognitive rehabilitation (8 wk) or limited home rehabilitation.
Outcome Measure: Return to work and/or military duty. |
1. Return to work was achieved by 90% of the hospital group and 94% of the home group; there was no significant difference between groups (p=0.51).
2. After the intervention, 73% of the hospital group and 66% of the home group were fit for active military duty; there was no significant difference between groups (p=0.43).
|
| Schoenberg et al. (2008)
US
Case Control
N=39 |
Population: TBI; Teletherapy (TELE) Group (n=19): Mean Age=27.4yr; Gender: Male=18, Female=1; Mean Time Post Injury=58.7mo; Severity: Moderate-to-severe=19; Face-to-Face (FTF) Reference Group (n=20): Mean Age=33.1yr; Gender: Male=15, Female=5; Mean Time Post Injury=29.4mo; Severity: Moderate-to-Severe=20
Intervention: Participants in the TELE group received computer-based cognitive rehabilitation program via computers connected to the Internet at their home. The teletherapy program included individual exercises
ranging from simple attention and executive tasks to complex visuospatial memory tasks, as well as complex problem-solving and decision-making exercises. Participants in the FTF group received a minimum of six sessions of face-to-face outpatient cognitive and speech–language rehabilitation therapy
Outcome Measures: Independent living status, independent driving, return to work or school, total cost of the treatment and a measure of service costs per hour, hours of therapy. |
1. Self-reported hours of therapy ranged from 10 to 243 hours for the TELE group and 6 to 114 hours for the FTF group.
2. There were no participants in the TELE group or the FTF group who were working or attending school, living independently, or driving at the start of the study
3. Within-groups analysis of change from baseline to post-intervention revealed that the proportion of participants living independently, driving, and working significantly improved for both groups (p<.01).
4. There were no significant differences between groups in the proportion of participants living independently, driving, or returning to school or work at the conclusion of intervention (p>.05). |
