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Journal of Head Trauma Rehabilitation:
doi: 10.1097/HTR.0000000000000070
Original Articles

INCOG Guidelines for Cognitive Rehabilitation Following Traumatic Brain Injury: Methods and Overview

Bayley, Mark Theodore MD; Tate, Robyn PhD; Douglas, Jacinta Mary PhD; Turkstra, Lyn S. PhD; Ponsford, Jennie PhD; Stergiou-Kita, Mary PhD, MSc, BSc OT; Kua, Ailene MSc; Bragge, Peter PhD

Section Editor(s): Bayley, Mark Theodore MD; Bragge, Peter PhD; Ponsford, Jennie PhD

Supplemental Author Material
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Abstract

Introduction:

Traumatic brain injury results in complex cognitive sequelae. However, clinicians have difficulty implementing the available evidence. An international group of researchers and clinicians (known as INCOG) convened to develop clinical practice guidelines for cognitive rehabilitation posttraumatic brain injury.

Methods:

The Guidelines Adaptation and Development cycle was used to derive the recommendations. Previously published cognitive rehabilitation recommendations were identified and tabulated. An expert panel met to select appropriate recommendations. Afterward, the team enhanced the recommendations by reviewing available literature. To address shortfalls of previous guidelines, the team developed decision algorithms incorporating the recommendations based on inclusion and exclusion criteria of published trials and expert opinion. The team then prioritized the recommendations for implementation and developed audit criteria to evaluate adherence to best practice.

Results:

The team recommends that individuals have detailed assessments of cognition after resolution of posttraumatic amnesia. Cognitive assessment and rehabilitation should be tailored to the patient's neuropsychological profile, premorbid cognitive characteristics, and goals for life activities and participation. Clinical algorithms and audit tools to evaluate current practice are provided.

Conclusion:

Cognitive rehabilitation should be offered to select individuals with traumatic brain injury. These guidelines provide assistance to clinicians who want to provide evidence-based care.

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins

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