was $51,840 (based on standard WRAMC physiatry service costs of $864 per day) whereas the home program rehabilitation total cost was $504 per patient (Salazar et al. 2000).

CONCLUSIONS: ADVERSE EVENTS OR HARM

The committee found that evidence about any potential downsides and risk for harm associated with CRT is scant. Although the limited available evidence suggests no great concern regarding risk for harm, future studies that evaluate CRT should include and report measures that assess such risks.

REFERENCES

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Ruff, R. M., and H. Niemann 1990. Cognitive rehabilitation versus day treatment in head-injured adults. Is there an impact on emotional psychosocial adjustment? Brain Injury 4:339–347.

Salazar, A. M., D. L. Warden, K. Schwab, J. Spector, S. Braverman, J. Walter, R. Cole, M. M. Rosner, E. M. Martin, J. Ecklund, and R. G. Ellenbogen. 2000. Cognitive rehabilitation for traumatic brain injury: A randomized trial. Journal of the American Medical Association 283(23):3075–3081.

Tiersky, L. A., V. Anselmi, M. V. Johnston, J. Kurtyka, E. Roosen, T. Schwartz, and J. Deluca. 2005. A trial of neuropsychologic rehabilitation in mild-spectrum traumatic brain injury. Archives of Physical Medicine and Rehabilitation 86(8):1565–1574.

Vanderploeg, R. D., K. Schwab, W. C. Walker, J. A. Fraser, B. J. Sigford, E. S. Date, S. G. Scott, G. Curtiss, A. M. Salazar, and D. L. Warden. 2008. Rehabilitation of traumatic brain injury in active duty military personnel and veterans: Defense and Veterans Brain Injury Center randomized controlled trial of two rehabilitation approaches. Archives of Physical Medicine and Rehabilitation 89(12):2227–2238.

Warden, D. L., A. M. Salazar, E. M. Martin, K. A. Schwab, M. Coyle, and J. Walter. 2000. A home program of rehabilitation for moderately severe traumatic brain injury patients. Journal of Head Trauma Rehabilitation 15(5):1092–1102.



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