Colorado Chiropractic Journal Vol. Colorado Chiropractic Journal - Vol. Putting aside the issues of diagnosis, treatment can be even more controversial.
Cognitive rehabilitation can be lengthy, costly and demonstrate only minor changes.
Criticism has centered around an inability to transfer the learning into everyday circumstances. Computer programs were developed to speed the rehabilitation process, but have failed to demonstrate sufficient overall improvement. Insurance carriers are concerned with throwing large dollar amounts on treatments that appear to offer little change. It appears that current guidelines will be recommending only Compensatory Strategies training in an effort to help the patient work around their deficits. While it offers no curative value, it does provide techniques which mitigate the effects of the injury on daily life.