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Assessment of processing speed in children with mild TBI: a "first look" at the validity of pediatric ImPACT

Julie B Newman1, Jennifer H Reesman, Christopher G Vaughan

  • 1Children's National Medical Center, Rockville, MD, USA. jnewman@childrensnational

The Clinical Neuropsychologist
|April 20, 2013
PubMed

Insights

Pediatric ImPACT shows promise for assessing cognitive processing speed in children recovering from mild traumatic brain injury (TBI). This new tool aids in tracking recovery by correlating well with established processing speed measures.

Area of Science:

  • Neuropsychology
  • Pediatric Neurology

Background:

  • Cognitive processing speed deficits are common after mild TBI in children.
  • Validated tools for serial assessment during recovery are limited.

Purpose of the Study:

  • To validate the Pediatric ImPACT measure for assessing cognitive speed, learning, and efficiency in children post-mild TBI.
  • To compare Pediatric ImPACT with traditional paper-and-pencil processing speed assessments.

Main Methods:

  • 164 children (ages 5-12) with mild TBI were evaluated.
  • Participants underwent assessment using Pediatric ImPACT and other neuropsychological tests.

Main Results:

  • The Response Speed Composite of Pediatric ImPACT strongly correlated with other processing speed measures.
  • Associations were weaker with measures of memory and learning.

Conclusions:

  • Preliminary evidence supports the convergent and discriminant validity of Pediatric ImPACT.
  • Pediatric ImPACT is a potentially valuable tool for post-concussion evaluations of processing speed in children.
Abstract

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