While speaking about neuropsychological rehabilitation, Dr Barbara Wilson said, “Recent studies in brain computer interaction, computational modeling, fatigue, awareness, virtual reality, pharmacological studies are the new things in this arena. Also one should know new models, new assessment, and new ways of evaluating effectiveness of rehabilitation.” She also expressed her hope that rehabilitation experts will draw on wider range of theories and models.
While speaking about recognition of the need to evaluate rehabilitation in more appropriate ways, she said, “Neuropsychological rehabilitation is partnership between patients, families and staff.”
In reference to the same, she also quoted Dr McLellan, who said ‘It involves many complex processes aimed at enabling people who are disabled by injury or disease to achieve their optimum level of physical, psychological, social and vocational well-being.’
One of the slide in her presentation mentioned, “Because of great heterogeneity of patients receiving such rehabilitation and because of variety of aims and methods required to achieve ultimate goals; the measurement of treatment effectiveness and final outcomes resulting from rehabilitation are difficult to evaluate.”
While talking about randomised control trials (RCT) in rehabilitation, she said, “They are possible, but not easy and need to be carefully thought out, Double blind RCT is impossible in rehabilitation, but single RCT are possible. RCT’s are not the only way to evaluate rehabilitation.”
She also shared some of the references highlighting the fact that RCT’s are not the only way to evaluate rehabilitation.”
She said, “Rehabilitation is a question about an individual and we cannot answer that with a group study.
She then focused on single case experimental designs. “It provides complementary information to group studies and avoids many of the problems involved in group studies,” she added.