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A Review of Evidence-Based Treatments for Moderate To Severe Brain Injury

evidence_based_review_tbi_cover“The Evidence-Based Review of Moderate To Severe Acquired Brain Injury*” provides a comprehensive and authoritative review of research that pertains to traumatic brain injury (TBI). The author have generously posted their work online for free as as PDF document. The Departments of Physical Medicine and Rehabilitation, St. Joseph’s Health Care, London, Toronto Rehabilitation Institute, Toronto, and The Rehabiliation Centre, Ottawa collaborated to produce this important document for those who treat traumatic brain injury. This is an absolute must have document for psychologists, physicians, and other TBI rehabilitation specialists. Check the end of this review for a link to download the complete article.

The Evidence-Based Review of Moderate To Severe Acquired Brain Injury (ABIEBR) research team describe their work as

“a joint project to develop an evidence-based review of the literature for rehabilitation or rehabilitation-related interventions for ABI [acquired brain injury]. The principle of the ABIEBR is to improve the quality of ABI rehabilitation by synthesizing the current literature into a utilizable format and laying the foundation for effective knowledge transfer to improve programs and services” (pg. 2).

The authors scanned thousands of TBI articles to obtain 579 usable studies that spans 90 pages in this 4th edition of this publication. TBI treatments are classified using a hierarchical ranking system that ranges from Level 1 (highest level of evidence) to Level 5 (lowest level of evidence), plus one additional category of “conflicting evidence.” The authors do a great job to break up various treatments into logical categories and provide a fantastic 19 page “at a glance” type summary chart (starts on page 46). A wide range of interventions are covered, such as physical, occupational, pharmacological, behavioral, and alternative treatments; however, a complete overview of each treatment is well beyond the scope of this article so please download and review the freely available PDF document.

Of interest to many of our readers, biofeedback achieved Level 4 evidence in the treatment of “augmentative and alternative communication” and “motor aprosodia” and Level 5 evidence for anxiety. Neurofeedback for TBI did not receive a ranking (I suspect that there were no studies to review as I seem to recall that neurofeedback was included in the 3rd edition). Music therapy for the treatment of agitation in the post traumatic amnesia phase of TBI achieved a Level 2 evidence classification.

Download The Evidence-Based Review of Moderate To Severe Acquired Brain Injury here.

Robert Teasell MD FRCPC, Shawn Marshall MSc MD FRCPC, Nora Cullen MSc MD FRCPC, Mark Bayley MSc MD FRCPC, Laura Rees PhD, Margaret Weiser PhD, Corbin Lippert BScN, Pat McCabe, Anna McCormick MD FRCPC, Jo-Anne Aubut BA, Matthew Meyer BA (Hons), Lilia Golverk MBSc, Cheryl Hartridge PhD, Maureen Hilditch RN CRRN, Penny Welch-West SLP, Connie Ferri SLP, Paul Comper PhD, Charles Leclerc PhD, Linh Tu BHSc (Hons), Katherine Salter BA, Norine Foley MSc, David Collins PhD, Josie Chundamala MA, Nestor Bayona MSc, Jeff Jutai PhD, & Mark Speechley PhD. The Evidence-Based Review of Moderate To Severe Acquired Brain Injury, 4th Edition, downloaded from:

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