Written expression is a high-level language process susceptible to impairment given mild traumatic brain injury (mTBI); however, minimal research exists about assessing or treating this aspect of language performance. This study's purpose was to determine the effect of a multicomponent intervention on the written expression of an undergraduate…

Oral reading and expressive language skills were examined in 2 cohorts of children aged 5-15 years, who had mild, moderate, or severe traumatic brain injury. Children recruited prospectively from time of injury were assessed on 5 occasions over 2 years in a longitudinal study of change in reading skills, using the Gray Oral Reading Test-3rd…

This study developed a multidimensional topic analysis sensitive to patterns in topic management appropriate for use with head-injured adults. Language samples of a closed-head-injured adult and a matched normal adult were compared. Results demonstrated the analysis' potential to reliably identify, quantify, and describe differences between…

Stories were elicited from 20 closed-head-injured children (ages 100 to 194 months) and matched nonneurologically impaired accident victims. No significant differences were found between the groups on any of the measures of narrative ability (story grammar and intersentential cohesion). (Author/DB)

Two studies with nine children with severe traumatic brain injury (TBI) were conducted. Study 1, focusing on longitudinal changes in speaking rate, found markedly slower speaking rates for five subjects. Study 2, examining possible causes of slowed speaking rate, found that both reduced articulatory speed and increased pausing may contribute…

Word finding in relation to brain injury is discussed for children and adolescents with unilateral congenital malformations of the brain, early hydrocephalus, childhood-acquired left hemisphere stroke, and acquired traumatic head injury. Studies examining the recovery of word-finding deficits after brain injury are discussed, along with…

This study examined the effect of emotional content on the verbal pragmatic aspects of discourse production in right-brain-damaged (RBD), left-brain-damaged (LBD), and normal control adults. In the nonemotional conditions, LBDs were particularly impaired in pragmatics, whereas in the emotional condition, RBDs demonstrated pragmatic deficits.…

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…

The spontaneous expressive language abilities of 9 severely brain-injured children/adolescents and age- matched normal controls were examined over a 12-month period following injury. Subjects demonstrated improvement on the majority of measures, but only a few reached the level of their control subjects. Interindividual variability was…

Approaches to the analysis of utterance disruptions are reviewed, and a system is proposed for analyzing disruptions in spontaneous language, with four disruption categories (pauses, repetitions, revisions, and orphans). Use of the system is illustrated using language samples from 10 traumatically brain-injured and 10 normally developing speakers…

This paper reviews basic social validity assessment techniques, discusses the constructs underlying direct magnitude estimation (DME), illustrates the use of DME for performing social validity evaluations of spontaneous language samples (with 3 brain-injured children, ages 10-15, and 3 controls), and discusses the relationship between subjective…

Ten two-year-old children with periventricular leukomalacia (PVL), a brain injury associated with prematurity, were evaluated using language samples. The five children with delayed cognitive ability produced significantly fewer lexical tokens and spontaneous verbal utterances than did chronological age-matched nondelayed PVL children. (Author/DB)

Intended for special educators and administrators, the paper addresses the educational implications of closed head injury in children. Characteristics of head injured students are noted, including previous successful experiences in social and academic settings, inconsistent performance patterns, and cognitive deficits which are present as in other…