Strengthening the quality of longitudinal research into cognitive-communication recovery after traumatic brain injury: A systematic review.

Abstract:

PURPOSE:(i) To systematically review longitudinal and prognostic studies relating to the trajectory of cognitive-communication recovery after TBI and (ii) to provide recommendations to strengthen future research. METHOD:Thirteen health literature databases were accessed up until July 2014. MAIN MEASURES:Articles were screened systematically against pre-determined inclusion and exclusion criteria. Quality reviews were performed on the selected articles using a modified Downs & Black Rating Scale. Two independent reviewers performed the reviews. RESULT:Sixteen longitudinal and prognostic articles met the inclusion criteria. There was evidence of either maintenance or improvement of cognitive-communication skills during the first 3 years post-injury. However, the studies did not provide detailed recovery trajectories, by failing to evaluate numerous data points over time. No studies evaluated recovery beyond 3 years post-injury. Injury severity, lesion location, brain volume loss and conversation skills may predict specific cognitive-communication outcomes. There was high variability in study characteristics and measures. CONCLUSION:There is currently scarce evidence regarding cognitive-communication recovery and prognosis. People with TBI may recover or maintain pre-morbid cognitive-communication skills during the early rehabilitation stage. Further research detailing the recovery trajectory with a view to evaluating predictive factors is strongly indicated. Guidelines for future research are provided.

authors

Elbourn E,Togher L,Kenny B,Power E

doi

10.1080/17549507.2016.1193896

subject

Has Abstract

pub_date

2017-02-01 00:00:00

pages

1-16

issue

1

eissn

1754-9507

issn

1754-9515

journal_volume

19

pub_type

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