Following brain injury or disease there are widespread biochemical, anatomical and physiological changes that result in what might be considered a new, very different brain. This adapted brain is forced to reacquire behaviors lost as a result of the injury or disease and relies on neural plasticity within the residual neural circuits. The same…

The aim of this paper was to develop and test two equivalent forms of the Assessment Battery for Communication (ABaCo), a tool for evaluating pragmatic abilities in patients with neuropsychological and psychiatric disorders. The equivalent forms were created using the data from a sample of 390 children, then tested in a sample of 30 patients with…

The purpose of this study was to gain insight into the social (pragmatic) aspects of language use by French-speaking individuals with frontal lesions following a severe traumatic brain injury. Eleven participants with traumatic brain injury performed tasks in three areas of communication: production (interview situation), comprehension (direct…

In this study we investigated the recovery patterns of language and cognitive functions in patients with post-traumatic language processing deficits and in patients with aphasia following a stroke. The correlation of specific language functions and cognitive functions was analyzed in the acute phase and 6 months later. Significant recovery of the…

Premature infants have a disproportionately increased risk for brain injury based on several mechanisms including intraventricular hemorrhage, ischemia and the vulnerability of developing neuronal progenitor cells. Injury to the developing brain often results in neurologic abnormalities that can be correlated with a structural lesion; however more…

This article describes the language development in a left-handed young child with a left middle cerebral artery infarction. Patterns of development observed between 36 and 60 months of age are described as a transient jargon or fluent aphasia possibly resulting from initial reliance on an uninjured right hemisphere. (Author/DB)

Nine closed head injured (CHI) children (mean age 11 years) with post-onset intervals of 7 months to 8 years were given an overt free recall task. Quantitative analysis suggested inefficient passive rehearsal strategy by severely injured subjects. Qualitative analysis revealed differences between CHI children and controls in rehearsal strategies,…

This article discusses findings concerning the plasticity of auditory cortical processing mechanisms in adults, including the effects of restricted cochlear damage or behavioral training with acoustic stimuli on the frequency selectivity of auditory cortical neurons and evidence for analogous injury- and use-related plasticity in the adult human…

This article discusses psychobiological factors that affect recovery after traumatic brain injury in children and adolescents, including biological pathophysiology of the injury, the cognitive stage of the child at injury, the amount of time after injury, the challenge level of tasks, and the child's reserve of psychosocial resources. (Contains…

This article introduces a framework for conceptualizing four forms of cognitive neuroplasticity. The concepts include: (1) homologous area adaptivity; (2) cross-modal reassignment; (3) map expansion; and (4) compensatory masquerade. The limitations of each form of plasticity are presented. (Contains references.) (Author/CR)

This study used dependency analysis to document and describe the narrative discourse impairments of 10 children (mean age 12) and 10 adults (mean age 35) with traumatic brain injury (TBI), and matched controls. Individuals with TBI were significantly more disfluent than controls and their narrative performance required a significant listener…

This article provides examples and illustrations of how people with aphasia can and do demonstrate their competence in managing their lives despite chronic aphasia. It discusses a number of ways in which persons with aphasia and their families can learn to live fully despite the intrusion of aphasia. (Contains references.) (Author/CR)

Compensatory strategies were designed to enable a client with traumatic brain injury to obtain professional employment. In a series of speech-language therapy sessions, compensatory strategies targeting impairments in executive function were developed, refined, and trained in mock-interview situations. Significant improvements were noted in…

This article discusses newer views of functional developmental plasticity occurring after biological insults to the developing central nervous system (CNS), including concepts of neurobehavioral outcome and ways to measure it, biological risk, age and development at onset of CNS insult, time since onset of CNS insult, and reserve. (Contains…

Three studies observed everyday communication of people with aphasia, traumatic brain injury, and in hospital. Simplification of real-life communication in the World Health Organization's International Classification of Functioning, Disability, and Health, variability of item sampling in existing assessments, and the complexity of real-life…