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FocusReview

Training to rebuild thinking skills may give small gains in attention after brain injury.

HelpedThe short version

In nine studies, attention and executive training helped more than other groups did.

A calm man in a striped cardigan sits in an armchair and taps one dot on a large board across his knees, searching its grid.
9
studies pooled
2,014
people with brain injury or stroke
1 tool
tested

The review

  1. Who took part

    The review covered 115 studies with 2,014 people who had a brain injury, from a head injury or a stroke.

  2. What they did

    Each study trained people to rebuild thinking skills, like attention or memory, for about 13 weeks. Some studies compared this with a group that got no treatment, usual care or a dummy task. The rest only checked people before and after.

  3. What happened

    Attention and executive skills gained a little more than other groups did, in nine studies. Other groups also improved a bit from retaking the tests, and stroke groups gained more overall. Head injury groups showed no clear gain overall, though the summary says attention training worked there.

What the review found

  1. Helped

    In nine studies, attention and executive training helped more than other groups did.

    Pooled analysis of 9 studies · vs groups with no treatment, usual care or a dummy task · ⚠ whole programmes were tested, so no single part can be credited; mixes trials with other kinds of study

How solid is this?

  • Large group
  • Summary claims more than the results show
  • Whole programmes were tested, so no single part can be credited
  • Mixes trials with other kinds of study
  • The review didn't check the studies' quality or look for missing studies

Source

Effectiveness of Cognitive Rehabilitation Following Acquired Brain Injury: A Meta-Analytic Re-Examination of Cicerone et al.'s (2000, 2005) Systematic Reviews (2009)

DOI: 10.1037/a0013659 (opens in a new tab)

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