Department of Communication Sciences and Special Education, University of Georgia, Athens, Georgia.
Semin Speech Lang. 2020 Mar;41(2):195-208. doi: 10.1055/s-0040-1701687. Epub 2020 Mar 10.
School-based speech-language pathologists (SLPs) can play an important role in the recovery of children who have sustained a mild traumatic brain injury (mTBI). Two types of knowledge barriers are described here that impact the beliefs and ability of SLPs to respond to the needs of these students. Foundational knowledge is relatively stable over time, and encompasses basic definitions and understanding of the injury. In contrast, flexible knowledge addresses clinical management, including assessment and treatment, and should be regularly updated to align with current best practice recommendations. Clinicians are sensitive to this difference, seeking clinically applicable continuing education. However, general poor understanding of pediatric mTBI paired with rapidly advancing research in the field has led to widespread inaccuracies in both foundational and flexible knowledge. Suggestions are provided for educational initiatives and for advocacy of the role of SLPs in the care of students with mTBI.
学校的言语语言病理学家(SLP)可以在患有轻度创伤性脑损伤(mTBI)的儿童康复中发挥重要作用。这里描述了两种类型的知识障碍,它们影响了 SLP 对这些学生需求做出反应的信念和能力。基础知识在时间上相对稳定,包括对损伤的基本定义和理解。相比之下,灵活的知识涉及临床管理,包括评估和治疗,并且应该定期更新以与当前最佳实践建议保持一致。临床医生对此差异很敏感,他们寻求具有临床应用价值的继续教育。然而,对儿科 mTBI 的普遍理解不足,加上该领域快速发展的研究,导致基础和灵活知识都存在广泛的不准确。为教育计划和倡导 SLP 在 mTBI 学生护理中的作用提供了建议。