Measuring clinical change in cognitive rehabilitation of patients with brain damage.

The purpose of this article is to demonstrate the use of the Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) as a measure of clinical change in the cognitive rehabilitation of brain damaged patients. Two cases are presented, one a traumatic brain injured (TBI) young male patient and the second an elderly male patient suffering from cerebral vascular accident (CVA). Evaluation and treatment combined sensoly motor stimulation, cognitive remediation and functional approaches. Profiles of cognitive performance to follow-up progress during the process of recovery are presented. Recommendations are made to utilize occupational therapy ongoing assessments for documenting clinical change.