It is really difficult imagine a “standard of care” for neuropsychological rehabilitation, both in adults and in children. The main reason is that stroke lesions, as the lesions induced by other etiological causes, produce different dysfunctions profiles in every subject in relation to age, intellectual level, education, general knowledge, socio-economical and familial situation, and in relation to lesion’s size, depth, complexity, hemispheric side, functional areas involved, etc., and finally in relation to the definite cognitive functions involved and their reciprocal influence (functional and dysfunctional).

So the neuropsychological rehabilitation require, first of whole, a deep knowledge of every patient personal profile, a comprehensive individual cognitive examination (testing assessment and ecological observation), a definition of a intervention priorities and a combination of formal rehabilitation approaches (cognitive strategies, cognitive subsets, cognitive compensations, etc.) and occupational therapy concrete solicitation specific for every individual subject. Could this project-programme correspond a standard of care? In my opinion no.

Look at the ACRM evidence-based reviews on cognitive rehabilitation for stroke that are published in the Archives of Physical Medicine and Rehabiltiation. Those are the most authoritative references reviewed by the leaders in the field.

Thank you, both. I have looked at the Archives of Physical Medicine and Rehabilitation and found a lot of great information!