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为小儿康复提供信息:创伤性脑损伤和动静脉畸形继发中风后的基于语言的神经心理学概况。

Informing pediatric rehabilitation: Language-based neuropsychological profile following traumatic brain injury and stroke secondary to arteriovenous malformation.

作者信息

Fabri Tracy L, Stewart Mary L, Stevens Sara A

机构信息

Brain Injury Rehabilitation Team, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.

Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.

出版信息

J Pediatr Rehabil Med. 2018;11(1):15-21. doi: 10.3233/PRM-160429.

Abstract

PURPOSE

To describe language-based neuropsychological outcomes following brain injury in two pediatric populations commonly treated in rehabilitation settings, namely severe traumatic brain injury (sTBI) and stroke secondary to arteriovenous malformation (AVM).

METHODS

Investigated were children between the ages of 6 and 16 who were admitted to a brain injury rehabilitation program in a pediatric rehabilitation hospital and who were diagnosed with a left-sided sTBI (n= 16; mean age = 13.2) or a left-hemispheric stroke secondary to AVM (n= 16, mean age = 10.7). Groups were compared on demographic information, as well as general cognitive and language-based neuropsychological measures, controlling for age.

RESULTS

Children in the AVM group presented with greater deficits, at trend levels, relative to the sTBI group on measures of working memory, verbal fluency, and an aphasia screening tool.

CONCLUSIONS

This study represents an initial step in understanding the language-based neuropsychological outcomes of children diagnosed with sTBI compared to those with stroke secondary to AVM, which will help inform the rehabilitation process. With this knowledge, clinicians, families, and educators will be better equipped to provide informed individual rehabilitation programs, recommendations, and education for children and adolescents with brain injuries.

摘要

目的

描述在康复环境中常见的两种儿科人群脑损伤后的语言相关神经心理学结果,即重度创伤性脑损伤(sTBI)和动静脉畸形(AVM)继发的中风。

方法

对6至16岁被收治到一家儿科康复医院的脑损伤康复项目且被诊断为左侧sTBI(n = 16;平均年龄 = 13.2)或AVM继发的左侧半球中风(n = 16,平均年龄 = 10.7)的儿童进行研究。对两组儿童的人口统计学信息以及一般认知和语言相关神经心理学指标进行比较,并对年龄进行控制。

结果

在工作记忆、言语流畅性和失语症筛查工具等指标上,AVM组儿童相对于sTBI组呈现出更大的缺陷(呈趋势水平)。

结论

本研究是了解诊断为sTBI的儿童与AVM继发中风的儿童在语言相关神经心理学结果方面的第一步,这将有助于为康复过程提供信息。有了这些知识,临床医生、家庭和教育工作者将能更好地为脑损伤儿童和青少年提供明智的个性化康复计划、建议和教育。

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