Norman Rocío S, Shah Manish N, Turkstra Lyn S
a Department of Communication Sciences and Disorders, University of Wisconsin-Madison , Madison , WI , USA.
b BerbeeWalsh Department of Emergency Medicine, University of Wisconsin-Madison, School of Medicine and Public Health , Madison , WI , USA.
Brain Inj. 2019;33(9):1173-1183. doi: 10.1080/02699052.2019.1632487. Epub 2019 Jul 11.
: The purpose of this study was to characterize cognitive-linguistic performance in adults with mild traumatic brain injury (mTBI) to advance assessment and treatment practices. We hypothesized that individuals with mTBI would demonstrate longer reaction times (RTs) and greater error rates when compared to an orthopedic injury (OI) group on a category-naming task. : Participants were age and education-matched adults with mTBI (n = 20; 12 females) and adults with OI (n = 21; 5 females) who were discharged to home after an Emergency Department visit. Our primary task was a category-naming task shown to be sensitive to language deficits after mTBI. The task was adapted and administered under speeded and unspeeded conditions. : There was a significant main effect of condition on RT (speeded faster than unspeeded) and accuracy (more errors in the speeded condition). There was a marginally significant effect of group on errors, with more errors in the mTBI group than the OI group. Naming RT and accuracy in both conditions were moderately correlated with injury variables and symptom burden. : Our data showed a marginal effect of group on accuracy of performance. Correlations found between naming and neurobehavioural symptoms, including sleep quality, suggest that the latter should be considered in future research.
本研究的目的是描述轻度创伤性脑损伤(mTBI)成人的认知语言表现,以推进评估和治疗实践。我们假设,在类别命名任务中,与骨科损伤(OI)组相比,mTBI个体将表现出更长的反应时间(RTs)和更高的错误率。参与者是年龄和教育程度匹配的mTBI成人(n = 20;12名女性)和OI成人(n = 21;5名女性),他们在急诊科就诊后出院回家。我们的主要任务是一项类别命名任务,该任务已被证明对mTBI后的语言缺陷敏感。该任务在有时间限制和无时间限制的条件下进行了调整和实施。条件对RT(有时间限制时比无时间限制时更快)和准确性(有时间限制的条件下错误更多)有显著的主效应。组对错误有边缘显著效应,mTBI组的错误比OI组更多。两种条件下的命名RT和准确性与损伤变量和症状负担呈中度相关。我们的数据显示组对表现准确性有边缘效应。在命名与神经行为症状(包括睡眠质量)之间发现的相关性表明,在未来的研究中应考虑后者。