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Subtle Motor Signs and Executive Functioning in Chronic Paediatric Traumatic Brain Injury: Brief Report

Jewel E Crasta1,2, Beth S Slomine1,2, E Mark Mahone1,2

  • 1Kennedy Krieger Institute, Baltimore, MD, USA.

Developmental Neurorehabilitation
|August 20, 2019
PubMed

Insights

Subtle motor signs are linked to executive function deficits in children with traumatic brain injury (TBI). Assessing these motor signs may offer a more comprehensive understanding of TBI recovery in pediatric patients.

Area of Science:

  • Pediatric Neurology
  • Neuropsychology

Background:

  • Children with traumatic brain injury (TBI) often experience lasting executive functioning and subtle motor deficits.
  • These deficits can significantly impact a child's daily life and long-term development.

Purpose of the Study:

  • To investigate the relationship between subtle motor signs and executive functioning in children with TBI.
  • To determine if subtle motor signs are associated with executive function impairments in this population.

Main Methods:

  • The study included 18 children (aged 13-18) with mild to severe TBI and 16 typically developing controls.
  • Participants underwent assessments including the Revised Physical and Neurological Examination of Subtle Signs (PANESS), executive function tests (Go/No-go, Verbal Fluency, Trail Making), and a coding test.

Main Results:

  • Significant associations were found between PANESS scores and executive functioning measures in children with TBI.
  • No such associations were observed in the control group, highlighting a specific link in the TBI cohort.

Conclusions:

  • Assessment of subtle motor signs may provide valuable, broader insights into the functional status of children following TBI.
  • These findings suggest that motor assessments could complement traditional neuropsychological evaluations in pediatric TBI.

Keywords:
PANESSTraumatic brain injuryexecutive functionpediatricsubtle motor function

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