儿童创伤性脑损伤的认知沟通障碍：范围综述。
Cognitive Communication Impairments in Children With Traumatic Brain Injury: A Scoping Review.
机构信息
Holland Bloorview Kids Rehabilitation Hospital, Bloorview Research Institute, Toronto, Ontario, Canada (Mss Cermak and Quinn de Launay and Drs Scratch, Reed, and Beal); Rehabilitation Sciences Institute, University of Toronto, Ontario, Canada (Mss Cermak and Quinn de Launay and Drs Scratch, Reed, and Beal); Department of Speech-Language Pathology, Faculty of Medicine, University of Toronto, Ontario, Canada (Ms Cermak and Dr Beal); Department of Pediatrics, University of Toronto, Ontario, Canada (Dr Scratch); Department of Occupational Science and Occupational Therapy, University of Toronto, Ontario, Canada (Dr Reed); and St Michael's Hospital, Toronto, Ontario, Canada (Dr Bradley).
出版信息
J Head Trauma Rehabil. 2019 Mar/Apr;34(2):E13-E20. doi: 10.1097/HTR.0000000000000419.
OBJECTIVE
This scoping review synthesizes the scholarly literature on cognitive communication impairments in traumatic brain injury (TBI) sustained during childhood to identify gaps in research, and make recommendations that will further the field of cognitive communication in pediatric TBI.
METHODS
MEDLINE, PsycINFO, CINAHL, and EMBASE were searched to identify peer-reviewed studies that examined cognitive communication impairments in children who sustained a TBI between 3 months to 18 years of age.
RESULTS
Twenty-eight studies met inclusion criteria with 3 main categories identified in relation to cognitive communication: (1) impairments according to TBI severity, (2) impairments according to age at injury, and (3) trends in recovery according to TBI severity.
CONCLUSIONS
The results of this scoping review suggest that (1) TBI severity is not the sole predictor of performance; other factors contribute to cognitive communication outcome and recovery; (2) developing skills at time of injury are most susceptible to impairment; and (3) standard, norm-referenced language assessments are not sensitive in detecting language impairments that are secondary to cognitive impairments found in TBI. Directions for future research and suggestions for clinical practice are proposed.
目的
本范围综述综合了儿童期创伤性脑损伤（TBI）认知交流障碍的学术文献，以确定研究中的空白，并提出建议，进一步推动儿科 TBI 的认知交流领域。
方法
检索 MEDLINE、PsycINFO、CINAHL 和 EMBASE，以确定研究儿童 TBI 后认知交流障碍的同行评审研究。
结果
28 项研究符合纳入标准，与认知交流相关的 3 个主要类别分别为：（1）根据 TBI 严重程度的损伤，（2）根据损伤年龄的损伤，（3）根据 TBI 严重程度的恢复趋势。
结论
本范围综述的结果表明：（1）TBI 严重程度不是表现的唯一预测因素；其他因素也会影响认知交流的结果和恢复；（2）受伤时发展技能最容易受损；（3）标准的、基于常模的语言评估在检测因 TBI 导致的认知障碍而继发的语言障碍方面不够敏感。提出了未来研究的方向和临床实践的建议。
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