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Computerized Brain Training for Traumatic Brain Injury: Feasibility and Efficacy

This study investigates the feasibility and effectiveness of computerized brain plasticity-based cognitive training (BPCT) as an intervention for individuals with traumatic brain injury (TBI). The results show that BPCT can be successfully implemented at home, with participants reporting subjective improvement in cognitive functioning and significant effect sizes on cognitive measures. These findings suggest that BPCT has the potential to be a valuable adjunct to comprehensive neurorehabilitation for TBI patients.

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Computerized Brain Training for Traumatic Brain Injury: Feasibility and Efficacy

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  1. Feasibility of computerized brain plasticity-based cognitive training after traumatic brain injury Matthew S. Lebowitz, AB; Kristen Dams-O’Connor, PhD; Joshua B. Cantor, PhD

  2. Aim • Investigate computerized brain plasticity-based cognitive training (BPCT) program as intervention for community-dwelling individuals with traumatic brain injury (TBI). • Relevance • TBI affects many cognitive functions, including attention, processing speed, memory, and executive functioning, which can affect daily functioning and cognitive efficiency. • Rehabilitation interventions can effectively treat these cognitive symptoms of brain injury.

  3. Methods • 10 individuals with mild to severe TBI who were 6 mo to 22 yr postinjury used computerized BPCT intervention at their homes in an urban community. • Outcome measures included objective neuropsychological and self-report measures of cognitive functioning.

  4. Results • All participants were able to use the software in their homes. • Some mild fatigue was reported, which tended to dissipate over time. • Few technical difficulties were reported. • Remote support was sufficient for what technical assistance was needed. • Participants reported subjective improvement in cognitive functioning. • Small to large effect sizes on self-report and neuropsychological measures are reported.

  5. Conclusion • BPCT may be viable intervention for TBI outpatients as adjunct to comprehensive neurorehabilitation. • Intervention can be delivered in patients’ homes with support provided remotely. • Results demonstrated potential for treatment-related improvements many years after injury.

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