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Reading assessment post head injury: how valid is it?

M B Rand1, M D Trudeau, L K Nelson

  • 1Division of Speech and Hearing Science, Ohio State University, Columbus 43210.

Brain Injury
|April 1, 1990
PubMed
Summary

Reading tests show low passage dependency in adults with mild traumatic brain injury. Only one test significantly improved with passage reading, questioning its use for assessing communication deficits after closed head injury.

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Area of Science:

  • Neuroscience
  • Cognitive Psychology
  • Clinical Linguistics

Background:

  • Closed head injury (CHI) can cause cognitive deficits, including impaired reading comprehension.
  • Assessing reading comprehension in CHI patients often relies on standardized tests.
  • The passage dependency of these tests is crucial for accurate assessment.

Purpose of the Study:

  • To determine passage dependency for three reading tests in the closed head injured (CHI) population.
  • To evaluate if reading a passage improves accuracy on related questions for CHI adults.

Main Methods:

  • Ten adults with closed head injury (CHI) participated.
  • Three distinct reading tests were administered.
  • Performance was compared with and without prior passage reading.

Main Results:

  • Passage dependency was low across all three tested reading assessments.
  • Only the Reading Comprehension Battery for Aphasia scores showed significant improvement when passages were read beforehand.
  • Results align with findings in aphasic subjects.

Conclusions:

  • The low passage dependency suggests some reading tests may not effectively measure comprehension skills post-CHI.
  • The Reading Comprehension Battery for Aphasia may be more sensitive to reading passage influence in this population.
  • Findings question the validity of certain reading tests for assessing communication dysfunction following CHI.

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