Perspectives on rehabilitation of individuals with cognitive impairment after brain injury: Rationale for reconsideration of theoretical paradigms

Mark Ylvisaker, Robin Hanks, Doug Johnson-Greene

Research output: Contribution to journalReview article

88 Scopus citations

Abstract

The frequency of cognitive impairment associated with traumatic brain injury (TBI) has led to the widespread use of cognitive rehabilitation as a discrete rehabilitative service. This service has become controversial in part because of disagreements regarding its theoretical base and implementation procedures, and in part because of insufficient experimental support. Objective: We outline two paradigms for cognitive rehabilitation that are interestingly different, both theoretically and procedurally. These paradigms are defined in relation to the goals of intervention, orientation to assessment, modalities of treatment, organization of treatment, and logistics of service delivery (setting, content, and provider). A rationale for each paradigm is described. Conclusion: We conclude with a call for (a) additional research into the effectiveness of interventions for individuals with cognitive impairment after TBI and (b) clinicians' thoughtful reflection on the foundations of their service.

Original languageEnglish (US)
Pages (from-to)191-209
Number of pages19
JournalJournal of Head Trauma Rehabilitation
Volume17
Issue number3
DOIs
StatePublished - 2002

Keywords

  • Cognitive impairment
  • Cognitive rehabilitation
  • Neuropsychological rehabilitation
  • Traumatic brain injury

ASJC Scopus subject areas

  • Rehabilitation
  • Clinical Neurology
  • Health Professions(all)

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