Article

The article by Brasure et al represents a systematic review of the literature on
effectiveness of multidisciplinary rehabilitation for traumatic brain injury
using rigorous methodology and focusing on participation as an outcome. The
review assumes that rehabilitation "seeks to restore an individual's functioning
and participation to preinjury levels" and that participation is a preferentially
valued outcome. Each of these assumptions can be challenged on clinical and/or
methodologic grounds. For example, holistic neuropsychologic rehabilitation seeks
to promote changes in a patient's social identity as much as their social
participation. Participation may not be directly related to changes in patients'
activity limitations or well-being, and will not be the appropriate outcome for
all studies of treatment effectiveness. The emphasis on methodologic rigor needs
to be balanced by the search for relevance and reliance on the best available
evidence to guide clinical practice.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS