Cognitive Structure of Executive Deficits in Frontally Lesioned Head Trauma Patients Performing Activities of Daily Living
Abstract
Objective Executive functions in activities of daily living (ADL) were investigated in 10 patients with frontal lobe lesions after a mild to severe closed head injury (CHI). Method The CHI patients were compared to 12 normal controls with a neuropsychological test battery, a script recitation task and a realistic simulation of complex multitask ADL (planning and preparing a meal). Results Though the CHI patients were significantly slow on one test and subject to interference on an attention test with parametric testing, the groups did not differ on any neuropsychological test with non parametric testing. However, the CHI patients manifested marked anomalies in the meal preparation task. While small sequences of actions were easily produced, large action sets could not be correctly executed. Conclusion An outstanding deficit in strategic planning and prospective memory appears to be an important underpinning of the impairment of ADL observed in CHI patients with frontal lobe lesions.
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'Real-world model' tasks may have particularly good generalisability, meaning that performance in the task situation is predictive of performance in situations outside it.
“Furthermore, and perhaps more important from a clinical standpoint, 'real-world model' tasks may have particularly good 'generalisability'-that is, that performance in the task situation is predictive of performance in situations outside it (e.g., Fortin et al., 2003).”
From The case for the development and use of ecologically valid measures of executive function in experimental and clinical neuropsychology (2006) · cites this paper as Fortin et al., 2003
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“Focal frontal lesions also impair ADL (Eslinger and Damasio, 1985; Goel et al., 1997; Goldstein et al., 1993; Schwartz et al., 1991).”
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- Authors
- FORTIN, S., GODBOUT, L., & BRAUN, C.
- Affiliations
- Université du Québec à Montréal (CA)
- Université du Québec à Trois-Rivières (CA)
- Corresponding author
- BRAUN, C
- Venue
- Cortex
- Publisher
- Elsevier BV
- Published
- 2003
- Volume
- 39
- Issue
- 2
- Pages
- 273-291
- ISSN
- 0010-9452 (ISSN-L)
- OpenAlex
- W2063043469
- Cited by
- 165
- References
- 5
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 2 · 2023: 7 · 2022: 2 · 2021: 10 · 2020: 3 · 2019: 2 · 2018: 7 · 2017: 12 · 2016: 8 · 2015: 8 · 2014: 16 · 2013: 6 · 2012: 8
- FWCI
- 7.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Cortex (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Keywords
- executive function, frontal lobe lesions, closed head injury, traumatic brain injury, activities of daily living, meal preparation, strategic planning, prospective memory, attention, action sequences
- MeSH terms
- Activities of Daily Living, Adolescent, Adult, Cognition Disorders, Female, Craniocerebral Trauma, Humans, Male, Memory, Middle Aged, Neuropsychological Tests, Psychomotor Performance
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