The INCOG 2.0 guidelines produced by the University of Toronto, Monash University in Australia, and the INCOG International Expert Panel for Cognitive Rehabilitation reflect a rapid shift toward assisted rehabilitation with new tools for clinical practice. The 2022 update addresses critical issues in cognitive rehabilitation after traumatic brain injury (TBI), mirroring the issues addressed in the original INCOG guidelines.
The overview presents the general principles of cognitive rehabilitation, including an enhanced section on telerehabilitation.
New and emerging evidence on the management of post-traumatic amnesia, including new findings on structured error-controlled and procedural learning approaches.
Rehabilitation of attention and processing speed, reflecting current limitations in the evidence for behavioral interventions.
New approaches to executive function, including evolving and strengthening evidence on metacognitive strategy instruction and the use of telerehabilitation to promote recovery.
Revised and updated recommendations for cognitive-communicative disorders. A key focus is the growing appreciation of the important role of social cognition in the formation and maintenance of relationships after traumatic brain injury (TBI).
Strategies for the rehabilitation of memory impairment, which remain the most widely used cognitive rehabilitation interventions.
The new document incorporates improved guidance for clinicians and healthcare administrators and revised clinical algorithms to support decision-making and individualized interventions.
The members of the Expert Panel reaffirm their commitment to prioritize and continuously improve advances in research and clinical practice in cognitive rehabilitation.
The new guidelines were published in the Journal of Head Trauma Rehabilitation.