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Central auditory processing and social functioning following brain injury in children
G M Flood1, H M Dumas, S M Haley
1Department of Speech-Language-Hearing, Franciscan Hospital for Children, and Department of Rehabilitation Sciences, Health and Disability Research Institute, Boston University, MA 02135, USA. gflood@fchrc.org
Brain Injury
|November 3, 2005
Summary
Children with central auditory processing disorders (CAPD) showed significant social skill recovery during inpatient rehabilitation after acquired brain injury (ABI), despite lower initial scores.
Area of Science:
- Pediatric Rehabilitation
- Neuroscience
- Audiology
Background:
- Acquired Brain Injury (ABI) impacts children's social functioning.
- Central Auditory Processing Disorders (CAPD) may affect recovery trajectories.
Purpose of the Study:
- Determine the prevalence of CAPD in children undergoing inpatient rehabilitation post-ABI.
- Analyze social functional skill recovery patterns in children with and without CAPD.
Main Methods:
- Retrospective descriptive study of 31 children post-ABI.
- Paediatric Evaluation of Disability Inventory (PEDI) Social Functional Skills and Caregiver Assistance scales were used.
- Repeated measures ANOVAs analyzed group and time effects.
Main Results:
- Both children with and without CAPD demonstrated significant improvements in social functioning from admission to discharge.
- While children with CAPD had lower initial and final scores, they exhibited greater change.
- No significant interaction effects were found between CAPD status and recovery over time.
Conclusions:
- Inpatient rehabilitation facilitates social skill recovery for children with ABI, irrespective of CAPD.
- Children with CAPD experience significant gains, though they may start and end with lower functional levels.
- Identifying CAPD is crucial for tailored discharge planning and realistic expectations.