Article

Traumatic brain injury results in complex cognitive sequelae.
Impairments in memory are among the most common sequelae resulting in significant
functional problems. An international team of researchers and clinicians (known
as INCOG) was formed to develop recommendations for the management of impairments
in memory. METHODS: The experts met to select appropriate recommendations and
then reviewed available literature to ensure recommendations were current.
Decision algorithms incorporating the recommendations based on inclusion and
exclusion criteria of published trials were developed. The team then prioritized
recommendations for implementation and developed audit criteria to evaluate
adherence to the best practice recommendations. RESULTS: The recommendations for
rehabilitation of memory impairments support the integration of internal and
external compensatory strategies implemented using appropriate instructional
techniques that consider functional relevance and important patient
characteristics. Restorative strategies have regained significant popularity,
given broader access to computer technology; however, evidence for efficacy of
these techniques remains weak and the choice in using these should be guided by
special considerations. CONCLUSION: There is good evidence for the integration of
internal and external compensatory memory strategies that are implemented using
instructional procedures for rehabilitation for memory impairments. The evidence
for the efficacy of restorative strategies currently remains weak.

Langue : ANGLAIS