Ryu Won Hyung A, Cullen Nora K, Bayley Mark T
University of Toronto, Ontario, Canada.
Int J Rehabil Res. 2010 Mar;33(1):84-7. doi: 10.1097/MRR.0b013e32832e6b4b.
This study explored the relative strength of five neuropsychological tests in correlating with productivity 1 year after traumatic brain injury (TBI). Six moderate-to-severe TBI patients who returned to work at 1-year post-injury were matched with six controls who were unemployed after 1 year based on age, severity of injury, and Functional Independence Measure scores. Five neuropsychological tests were administered to patients during inpatient rehabilitation. Two of the five tests (Symbol Digit and Block Design) discriminated TBI patients based on employment outcome. Symbol Digit and Rey Auditory Verbal Learning Test were significantly correlated with follow-up Functional Independence Measure scores. Results indicate that neuropsychological measures of visual perception (Block Design), and attention and mental speed (Symbol Digit) may be useful predictors of employment productivity after TBI; whereas attention and mental speed, learning and memory ability (Symbol Digit and Rey Auditory Verbal Learning Test) may predict functional outcomes.
本研究探讨了五项神经心理学测试与创伤性脑损伤（TBI）后1年生产力之间的关联强度。六名中度至重度TBI患者在受伤1年后重返工作岗位，将其与六名在1年后失业的对照者进行匹配，匹配依据为年龄、损伤严重程度和功能独立性测量得分。在住院康复期间，对患者进行了五项神经心理学测试。五项测试中的两项（符号数字测试和积木设计测试）根据就业结果区分了TBI患者。符号数字测试和雷伊听觉词语学习测试与随访时的功能独立性测量得分显著相关。结果表明，视觉感知（积木设计测试）以及注意力和心理速度（符号数字测试）的神经心理学测量可能是TBI后就业生产力的有用预测指标；而注意力和心理速度、学习和记忆能力（符号数字测试和雷伊听觉词语学习测试）可能预测功能结果。
