ABSTRACT
Tremendous expansion of rehabilitation services for survivors of traumatic brain injury (TBI) has occurred in the United States. The expansion is both vertical (through the course of the patients' continuum of recovery) as well as horizontal (geographically more complete). Until recently, data supporting the efficacy of such a continuum of rehabilitation interventions have been lacking. Over the past 5-10 years, such studies have appeared with increasing frequency, and they do support the efficacy of these treatments. The most salient of these studies are reviewed here. Although no blinded, prospective, random-assignment study has been done, the accumulation of other studies with "quasi-experimental" designs now makes it difficult to argue against a true and clinically important treatment effect.
