Neuropsychological recovery in patients with moderate to severe head injury: 2 year follow-up
Abstract
Neuropsychological outcome and recovery of a group of 31 consecutive adult patients with moderate to severe head injuries were prospectively investigated over a 2-year period. A friend control group was used for comparison purposes. Based on the results we conclude: (1) there is marked impairment of a broad spectrum of neuropsychological functions at 1, 12, and 24 months postinjury; (2) coma length is significantly related to neuropsychological status at all three time periods, although the relationship is weaker at 12 and 24 months; (3) marked improvement in all functions occurs in the first year, while recovery in the second year appears more specific and may depend on the severity of the injury and type of function; (4) practice effects and variability over repeated measures cause difficulties in determining recovery and need to be addressed with larger samples.
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More severe injuries result in greater cognitive impairment.
“More severe injuries result in greater cognitive impairment (S. Dikmen et al., 1990; S. S. Dikmen, Machamer, Powell, & Temkin, 2003)”
From Using the NIH Toolbox Cognition Battery (NIHTB-CB) in individuals with traumatic brain injury. (2017) · cites this paper as S. Dikmen et al., 1990
In many people with TBI, there is not a full return to baseline functioning.
“although, in many people, there is not a full return to baseline functioning”
From Using the NIH Toolbox Cognition Battery (NIHTB-CB) in individuals with traumatic brain injury. (2017) · cites this paper as S. Dikmen, Machamer, Temkin, & McLean, 1990
Improvements in cognition are typically seen within the first two years post-injury.
“In general, improvements in cognition are typically seen within the first two years post-injury”
From Using the NIH Toolbox Cognition Battery (NIHTB-CB) in individuals with traumatic brain injury. (2017) · cites this paper as S. Dikmen, Machamer, Temkin, & McLean, 1990
Mild injuries result in small effects.
“while mild injuries result in small effects (S. Dikmen et al., 1990; Schretlen & Shapiro, 2003).”
From Using the NIH Toolbox Cognition Battery (NIHTB-CB) in individuals with traumatic brain injury. (2017) · cites this paper as S. Dikmen et al., 1990
Cites
Paced Auditory Serial-Addition Task: A Measure of Recovery from Concussion
Gronwall, D. M. A. (1977) · Perceptual and Motor Skills · doi:10.2466/pms.1977.44.2.367 · Cited by 2,395 · see citing works
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Heilbronner, R. L., Sweet, J. J., Attix, D. K., Krull, K. R., Henry, G. K., & Hart, R. P. (2010) · The Clinical Neuropsychologist · doi:10.1080/13854046.2010.526785 · Cited by 199 · see citing works
Using the NIH Toolbox Cognition Battery (NIHTB-CB) in individuals with traumatic brain injury.
Tulsky, D. S., Carlozzi, N. E., Holdnack, J., Heaton, R. K., Wong, A., Goldsmith, A., & Heinemann, A. W. (2017) · Rehabilitation Psychology · doi:10.1037/rep0000174 · Cited by 67 · see citing works
- Authors
- Dikmen, S., Machamer, J., Temkin, N., & McLean, A.
- Affiliations
- University of Washington (US)
- a Departments of Rehabilitation Medicine , Seattle
- Venue
- Journal of Clinical and Experimental Neuropsychology
- Publisher
- Informa UK Limited
- Published
- 1990-08
- Volume
- 12
- Issue
- 4
- Pages
- 507-519
- ISSN
- 0165-0475 (ISSN-L)
- 0168-8634
- OpenAlex
- W1998216452
- Cited by
- 138
- References
- 1
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 4 · 2021: 4 · 2020: 4 · 2019: 5 · 2018: 5 · 2017: 6 · 2016: 2 · 2015: 4 · 2014: 6 · 2013: 6 · 2012: 3
- FWCI
- 1.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical and Experimental Neuropsychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Agency for Healthcare Research and Quality (HS 05304, HS04146)
- Topics
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
- Keywords
- traumatic brain injury, moderate to severe head injury, neuropsychological recovery, long-term outcomes, coma duration, injury severity, practice effects, adult patients
- MeSH terms
- Adult, Brain Damage, Chronic, Brain Injuries, Female, Follow-Up Studies, Humans, Male, Neuropsychological Tests, Psychometrics, Glasgow Coma Scale
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