To the Editor: The article by Dr Salazar and
colleagues1 on cognitive rehabilitation
for traumatic brain injury (TBI) leads to inaccurate conclusions because they
fail to place their findings and methods in the appropriate scientific context.
First, Salazar et al state that they compared an in-hospital cognitive
rehabilitation program modeled after my own milieu-oriented approach with
a limited home-rehabilitation program in a prospective randomized controlled
design. I have repeatedly emphasized, however, that my neuropsychological
rehabilitation program was intended for postacute patients with TBI who fail
to return to work after undergoing traditional rehabilitation procedures.2 Typically, patients were enrolled in this program
1 to 2 years after their injury. In contrast, the patients in the study by
Salazar et al were enrolled a mean of 38 days beyond their TBI—hardly
a group of patients in the postacute stage of injury.
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