Credential · Certification

Certified Brain Injury Specialist

PTOTSLP41 citations · 3 lenses

BIAA CBIS certification. Standardized care protocols for TBI populations. No comparative outcome studies vs non-certified clinicians.

Scores · default weights
Clinical
51/100
Business
25/100
Academic Clinical
46/100

Each lens uses its own dimensions and default weights. Scores answer different questions across paths — they aren’t apples-to-apples. How scoring works →

Clinical breakdown
Clinical outcomes×35%
48/100

TBI rehabilitation evidence supports specialized, coordinated care; CBIS-specific outcomes not studied.

Caseload applicability×15%
50/100

Applicable in TBI and acquired brain injury programs; moderate applicability in neuro and acute care settings.

Billing & reimbursement×15%
55/100

TBI rehab billed under standard PT/OT/SLP codes; CBIS supports brain injury program authorization and quality documentation in some health systems.

Certification investment×20%
55/100

Online modules plus CBIS exam; moderate cost and time; accessible pathway.

Employer demand×10%
48/100

Moderate demand in TBI programs, inpatient rehab, and brain injury specialty clinics.

Patient experience×5%
50/100

TBI patients and families value clinicians who understand the unique challenges of brain injury.

Business breakdown
Cash-pay viability×25%
15/100

TBI rehab is overwhelmingly insurance/Medicaid/waiver funded; families rarely pay cash for brain injury services and case management is the dominant payer pathway.

Pricing leverage×20%
20/100

CBIS is recognized in post-acute and neuro settings but doesn't command premium DTC pricing — it's an employer-required credential, not a consumer brand.

Market differentiation×15%
30/100

Moderately uncommon among outpatient PTs but standard in neuro post-acute facilities, so differentiation depends heavily on local market.

Owner leverage×15%
25/100

Possible to build a concussion/TBI niche clinic around it, but most revenue still flows through insurance contracts limiting cash-pay scale.

Consumer demand×15%
15/100

Consumers don't search for 'CBIS' — they search for concussion clinics or neuro rehab; weak brand recognition.

Credential investment×10%
65/100

Relatively cheap (~$400) exam-based credential with no residency requirement, so ROI per dollar is reasonable.

Academic Clinical breakdown
Faculty recognition×25%
35/100

Held by some neuro faculty but not weighted heavily for tenure or hiring versus NCS or a residency; nice-to-have, not differentiating.

Scholarship signal×20%
40/100

Modest TBI literature among CBIS holders; the credential itself isn't a scholarship engine but aligns with a publishable clinical area.

Teaching value×15%
55/100

Useful content for neuro and acute care DPT/MOT courses, especially TBI/concussion modules.

Evidence depth×20%
55/100

TBI rehab has a growing but heterogeneous evidence base — RCTs exist for specific interventions, less for general rehab pathways.

Faculty demand×10%
30/100

Rarely listed as required or preferred in PT/OT faculty job ads; NCS is the dominant neuro credential sought.

Credential investment×10%
70/100

Low time/cost burden relative to a neuro residency, making it an efficient way to signal TBI competence.

Evidence base · 41 sources
  1. 01
    Lifespace and occupational participation following acquired brain injury during driving disruption: a mixed methods study
    L. Bassingthwaighte; L. Gustafsson; M. Molineux · Disability & Rehabilitation2025
    Otherdoi:10.1080/09638288.2024.2338192
  2. 02
    The effectiveness of digital cognitive intervention in patients with traumatic brain injury: systematic review and meta-analysis
    K. Chi; J. Chen; S. Zhou; Z. Han · Front Neurol2025
    Meta-analysisdoi:10.3389/fneur.2025.1651443
  3. 03
    The Importance of Cognitive Empathy Training in Speech-Language Pathology: A Perspective and Co-Constructed Illustration
    K. Hardin · American Journal of Speech-Language Pathology2025
    Narrative reviewdoi:10.1044/2025_AJSLP-24-00122
  4. 04
    Non‐pharmacological interventions to support the cognitive rehabilitation of patients admitted to the intensive care unit: An umbrella review
    A. Holm; L. Thorn; A. B. Alrø; H. K. Nedergaard; H. I. Jensen; P. Dreyer · Nursing in Critical Care2025
    Systematic reviewdoi:10.1111/nicc.13190
  5. 05
    Psychosocial Occupational Therapy Interventions for Pediatric Traumatic Brain Injury: A Scoping Review
    S. Khan; C. Edema · Open Journal of Occupational Therapy (OJOT)2025
    Systematic reviewdoi:10.15453/2168-6408.2276
  6. 06
    Non-Invasive Brain Stimulation for Cognitive Rehabilitation: A Brief Overview
    A. Lindsey; M. T. Ly; K. Lê · Brain Injury Professional2025
    Narrative reviewPMID 185500027
  7. 07
    Do Treatment Ingredients Targeting Working Alliance Improve Cognitive Rehabilitation Session Performance in Patients With Acquired Brain Injury?
    A. Rothbart; M. M. Sohlberg; S. Shune; J. Seeley; E. Berkman; J. Wright · American Journal of Speech-Language Pathology2025
    Otherdoi:10.1044/2024_AJSLP-24-00347
  8. 08
    A comprehensive review of rehabilitation approaches for traumatic brain injury: efficacy and outcomes
    Y. Shen; L. Jiang; J. Lai; J. Hu; F. Liang; X. Zhang; F. Ma · Front Neurol2025
    Otherdoi:10.3389/fneur.2025.1608645
  9. 09
    Brain injury medicine fellowship program growth and application rates: 2017 to 2024
    J. Silvestre; L. Mohney; A. S. Nagpal; J. P. Lawrence; R. A. Ravinsky · Brain Injury2025
    Otherdoi:10.1080/02699052.2025.2538553
  10. 10
    Attention Training After Moderate-to-Severe Traumatic Brain Injury in Adults: A Systematic Review
    A. C. Soule; T. J. Fish; K. G. F. Thomas; L. Schrieff-Brown · Archives of Physical Medicine & Rehabilitation2025
    Systematic reviewdoi:10.1016/j.apmr.2024.07.010
  11. 11
    Meta-analysis of Cognitive Rehabilitation Interventions in Veterans and Service Members With Traumatic Brain Injuries
    T. A. Austin; C. B. Hodges; M. L. Thomas; Y. Z. Szabo; S. Parr; B. D. Eschler; C. Lantrip; E. Twamley · Journal of Head Trauma Rehabilitation2024
    Meta-analysisdoi:10.1097/HTR.0000000000000924
  12. 12
    Traumatic Brain Injury and Neuromodulation Techniques in Rehabilitation: A Scoping Review
    A. Calderone; D. Cardile; A. Gangemi; R. De Luca; A. Quartarone; F. Corallo; R. S. Calabrò · Biomedicines2024
    Systematic reviewdoi:10.3390/biomedicines12020438
  13. 13
    Nonpharmacological interventions to improve the cognitive function among persons with traumatic brain injury: A systematic review
    U. Chuaykarn; R. Thato; E. A. Crago · Journal of Nursing Scholarship2024
    Systematic reviewdoi:10.1111/jnu.12992
  14. 14
    Efficacy of Intervention of Participation and Executive Functions (I-PEX) for Adults Following Traumatic Brain Injury: A Preliminary Pilot Randomized Controlled Trial
    R. Eliav; Y. Nadler Tzadok; S. Segal-Rotenberg; R. Kizony · Neurorehabilitation & Neural Repair2024
    RCTdoi:10.1177/15459683241231529
  15. 15
    Evidence-Based Review of Randomized Controlled Trials of Interventions for the Management of Behavioral Issues in Individuals With Moderate to Severe Traumatic Brain Injury
    H. M. MacKenzie; C. Flores-Sandoval; E. A. Bateman; A. McIntyre; U. Barua; S. Mehta; M. Bayley; R. Teasell · Journal of Head Trauma Rehabilitation2024
    RCTdoi:10.1097/HTR.0000000000000971
  16. 16
    Cognitive impairments in traumatic brain injuries: an overview of epidemiology, pathophysiology, assessment, and rehabilitation
    S. Zafarmandi; M. Safdarian; A. Mohamadi-Asl; M. Sharif-Alhoseini · Archives of Trauma Research2024
    Narrative reviewdoi:10.48307/ATR.2024.447238.1099
  17. 17
    INCOG 2.0 Guidelines for Cognitive Rehabilitation Following Traumatic Brain Injury: Methods, Overview, and Principles
    M. T. Bayley; S. Janzen; A. Harnett; R. Teasell; E. Patsakos; S. Marshall; P. Bragge; D. Velikonja; A. Kua; J. Douglas; L. Togher; J. Ponsford; A. McIntyre · Journal of Head Trauma Rehabilitation2023
    Narrative reviewdoi:10.1097/HTR.0000000000000838
  18. 18
    The Additive Benefits of Aerobic Exercise and Cognitive Training Postconcussion: Current Clinical Concepts
    C. E. Callahan; L. Stoner; G. H. Zieff; J. K. Register-Mihalik · Journal of Athletic Training (KnowledgeWorks Global, Ltd)2023
    Otherdoi:10.4085/1062-6050-0186.22
  19. 19
    The influence of information processing speed on benefit from learning and memory rehabilitation in TBI: a sub-analysis of the TBI-MEM trial
    N. D. Chiaravalloti; S. Costa; C. Armknecht; K. Costanza; A. Alexander; J. DeLuca · Brain Injury2023
    Otherdoi:10.1080/02699052.2023.2216024
  20. 20
    Update on the Efficacy of Cognitive Rehabilitation After Moderate to Severe Traumatic Brain Injury: A Scoping Review
    A. Julien; L. Danet; M. Loisel; D. Brauge; J. Pariente; P. Péran; M. Planton · Archives of Physical Medicine & Rehabilitation2023
    Systematic reviewdoi:10.1016/j.apmr.2022.07.007
  21. 21
    The impact of standardized balance measurement on physical therapist decision-making in acquired brain injury: a survey
    M. F. Lyon; K. Mitchell; A. Medley; T. Roddey; P. Gleeson · Taylor & Francis Ltd2023
    Cross-sectionaldoi:1469-1483
  22. 22
    INCOG 2.0 Guidelines for Cognitive Rehabilitation Following Traumatic Brain Injury, Part I: Posttraumatic Amnesia
    J. Ponsford; J. Trevena-Peters; S. Janzen; A. Harnett; S. Marshall; E. Patsakos; A. Kua; A. McIntyre; R. Teasell; C. Wiseman-Hakes; D. Velikonja; M. T. Bayley; A. McKay · Journal of Head Trauma Rehabilitation2023
    Otherdoi:10.1097/HTR.0000000000000840
  23. 23
    Occupational Therapy Curricula Patterns for Acquired Brain Injury-Related Vision Disorders for Entry-Level Programs: A Survey
    L. Schmeiser; A. Reiser; C. Foy · Open Journal of Occupational Therapy (OJOT)2023
    Cross-sectionaldoi:10.15453/2168-6408.2123
  24. 24
    INCOG 2.0 Guidelines for Cognitive Rehabilitation Following Traumatic Brain Injury, Part IV: Cognitive-Communication and Social Cognition Disorders
    L. Togher; J. Douglas; L. S. Turkstra; P. Welch-West; S. Janzen; A. Harnett; M. Kennedy; A. Kua; E. Patsakos; J. Ponsford; R. Teasell; M. T. Bayley; C. Wiseman-Hakes · Journal of Head Trauma Rehabilitation2023
    Otherdoi:10.1097/HTR.0000000000000835
  25. 25
    Effectiveness of interventions for the improvement of mental health and well-being post-concussion: a systematic review
    A. J. Tracey; A. G. Bateman; S. E. Baez; T. Covassin · Brain Injury2023
    Systematic reviewdoi:10.1080/02699052.2023.2219901
  26. 26
    Cognitive Rehabilitation: Mild Traumatic Brain Injury and Relevance of OTPF
    A. Vas; A. Luedtke; E. Ortiz; N. Mackie; S. Gonzalez · Occupational Therapy International2023
    Otherdoi:10.1155/2023/8135592
  27. 27
    INCOG 2.0 Guidelines for Cognitive Rehabilitation Following Traumatic Brain Injury, Part V: Memory
    D. Velikonja; J. Ponsford; S. Janzen; A. Harnett; E. Patsakos; M. Kennedy; L. Togher; R. Teasell; A. McIntyre; P. Welch-West; A. Kua; M. T. Bayley · Journal of Head Trauma Rehabilitation2023
    Otherdoi:10.1097/HTR.0000000000000837
  28. 28
    The Effects of Cognitive Rehabilitation on Pragmatic Language in Traumatic Brain Injury: A Meta-Analysis
    S. Vogel; A. H. Ciccia · Perspectives of the ASHA Special Interest Groups2023
    Meta-analysisdoi:10.1044/2023_PERSP-22-00115
  29. 29
    Efficacy of Prospective Memory Rehabilitation Plus Metacognitive Skills Training for Adults With Traumatic Brain Injury: A Randomized Controlled Trial
    J. Fleming; T. Ownsworth; E. Doig; C. Hogan; C. Hamilton; S. Swan; J. Griffin; M. Kendall; D. Shum · Neurorehabilitation & Neural Repair2022
    RCTdoi:10.1177/15459683221110886
  30. 30
    A Conceptual View of Cognitive Intervention in Older Adults With and Without Cognitive Decline-A Systemic Review
    L. Mendes; J. Oliveira; F. Barbosa; M. Castelo-Branco · Front Aging2022
    Otherdoi:10.3389/fragi.2022.844725
  31. 31
    Treatment and Rehabilitation for Traumatic Brain Injury: Current Update
    J. H. Min; Y. I. Shin · Brain Neurorehabil2022
    Otherdoi:10.12786/bn.2022.15.e14
  32. 32
    Vocational Outcomes of Service Members and Veterans After Traumatic Brain Injury: A Scoping Review
    M. V. Nguyen; D. E. Hackman; A. R. Truitt · Journal of Head Trauma Rehabilitation2022
    Systematic reviewdoi:10.1097/HTR.0000000000000747
  33. 33
    The effect of transcranial direct current stimulation on cognitive performance in youth with persistent cognitive symptoms following concussion: a controlled pilot study
    K. Quinn de Launay; S. T. Cheung; L. Riggs; N. Reed; D. S. Beal · Brain Injury2022
    Pilot/feasibilitydoi:10.1080/02699052.2022.2034179
  34. 34
    VR-based cognitive rehabilitation for children with traumatic brain injuries: Feasibility and safety
    J. Shen; J. P. Lundine; C. Koterba; S. Udaipuria; T. Busch; J. Rausch; K. O. Yeates; R. Crawfis; H. Xiang; H. G. Taylor · Rehabilitation Psychology2022
    Pilot/feasibilitydoi:10.1037/rep0000458
  35. 35
    Interprofessional collaboration and communication to facilitate implementation of cognitive rehabilitation in persons with brain injury
    B. Waldron-Perrine; R. Mudar; P. Mashima; K. Seagly; M. Sohlberg; K. T. Bechtold; D. Paul; L. Milman; T. Ashman; K. Peña; R. Dunn · Journal of Interprofessional Care2022
    Otherdoi:10.1080/13561820.2021.1971956
  36. 36
    Acquired Brain Injury in Adults: A Review of Pathophysiology, Recovery, and Rehabilitation
    N. Gilmore; D. I. Katz; S. Kiran · Perspectives of the ASHA Special Interest Groups2021
    Otherdoi:10.1044/2021_PERSP-21-00013
  37. 37
    Predictors of Intervention Adherence in Compensatory Cognitive Training for Veterans With a History of Mild Traumatic Brain Injury
    Z. Mahmood; J. M. R. Clark; A. J. Jak; M. Huckans; M. E. O'Neil; M. S. Roost; R. M. Williams; K. F. Pagulayan; A. P. Turner; D. Storzbach; E. W. Twamley · Journal of Head Trauma Rehabilitation2021
    Otherdoi:10.1097/HTR.0000000000000596
  38. 38
    A randomized clinical trial of plasticity-based cognitive training in mild traumatic brain injury
    H. W. Mahncke; J. DeGutis; H. Levin; M. R. Newsome; M. D. Bell; C. Grills; L. M. French; K. W. Sullivan; S.-J. Kim; A. Rose; C. Stasio; M. M. Merzenich · Brain: A Journal of Neurology2021
    RCTdoi:10.1093/brain/awab202
  39. 39
    Interprofessional Collaborative Management of Postconcussion Cognitive Symptoms
    P. A. Mashima; B. Waldron-Perrine; D. MacLennan; M. M. Sohlberg; L. Y. Perla; B. C. Eapen · American Journal of Speech-Language Pathology2021
    Otherdoi:10.1044/2021_AJSLP-20-00313
  40. 40
    Brain Injury Medicine Fellowship Applicant Survey: Trends in the Brain Injury Medicine Fellowship Application Process Between 2016 and 2019
    J. Weppner; K. Patel · American Journal of Physical Medicine & Rehabilitation2021
    Cross-sectionaldoi:10.1097/PHM.0000000000001611
  41. 41
    The Effects of Computer Based Cognitive Rehabilitation in Stroke Patients with Working Memory Impairment: A Systematic Review
    M. Niemeijer; K. W. Sværke; H. K. Christensen · Journal of Stroke & Cerebrovascular Diseases2020
    Systematic reviewdoi:10.1016/j.jstrokecerebrovasdis.2020.105265
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