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Language and cognitive communication during post-traumatic amnesia: A critical synthesis
Joanne Steel1,2, Alison Ferguson1,2, Elizabeth Spencer1
1Speech Pathology, The University of Newcastle, Newcastle, NSW, Australia.
Neurorehabilitation
|October 21, 2015
Summary
Communication deficits are common during post-traumatic amnesia (PTA) following traumatic brain injury (TBI). Speech pathology monitoring of communication during PTA can aid multidisciplinary management and improve patient outcomes.
Area of Science:
- Neuroscience
- Speech-Language Pathology
- Rehabilitation Medicine
Background:
- Limited speech pathology research exists on communication during post-traumatic amnesia (PTA) and early recovery after traumatic brain injury (TBI).
- While cognitive and behavioral functions during PTA are studied, language and cognitive communication are often overlooked.
- Existing research primarily focuses on other aspects of TBI recovery, not communication presentation.
Purpose of the Study:
- To synthesize current research on communication during PTA.
- To inform speech pathology assessment practices for patients with TBI.
- To guide information provision for multidisciplinary teams and families.
Main Methods:
- Conducted a literature search for studies on language, cognition, and cognitive communication post-TBI.
- Focused on the acute, inpatient, and early recovery phases.
- Examined findings for relevance to speech pathology practice during PTA and acute confusional states.
Main Results:
- Literature describes various language and communication impairments during PTA and early TBI recovery.
- Communication impairment during PTA is increasingly recognized as a predictor of outcomes.
- Few studies originate from speech pathology specifically addressing communication during PTA.
Conclusions:
- Communication disruption is a significant characteristic of PTA.
- Speech pathology involvement in monitoring communication during PTA is beneficial.
- This monitoring can be integrated into multidisciplinary team management during early TBI recovery.
Keywords:
Post-traumatic amnesiaacuteaphasiaassessmentcognitive-communicationrecoveryspeech pathologytraumatic brain injuryMore Related Videos
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