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Discourse recovery after severe traumatic brain injury: exploring the first year
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In: Brain Inj (2019)
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Abstract:
OBJECTIVES: Although much is known about discourse impairment, little is known about discourse recovery after severe traumatic brain injury (TBI). This paper explores discourse recovery across the critical first year, controlling for pre-injury, injury and post-injury variables. DESIGN AND METHODS: An inception cohort comprising 57 participants with severe TBI was examined at 3, 6, 9 and 12 months post-injury and compared to a cross-section of matched healthy control participants. A narrative discourse task was analyzed with main concept analysis (MCA). A mixed linear model approach was used to track recovery controlling for pre-injury, injury and post-injury variables. RESULTS: An upward trajectory of recovery was observed, with peak periods of improvement between 3–6 and 9–12 months and all time points were significantly below controls. Years of education and PTA duration were significant covariates in the recovery model. Presence of aphasia also influenced the recovery model. CONCLUSIONS: Individuals with TBI typically improve over the first year, however many will continue to have discourse deficits at 12 months. Years of education, PTA duration and aphasia should be considered when planning services. The 3–6- and 9–12-month periods may offer optimal periods for discourse recovery and increased supports may be beneficial between 6-9 months.
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Keyword:
Article
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URL: http://www.ncbi.nlm.nih.gov/pubmed/30465440 https://doi.org/10.1080/02699052.2018.1539246 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8906198/
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Speech-language pathology students : learning clinical reasoning
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Discourse recovery after severe traumatic brain injury : exploring the first year
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Procedural discourse performance in adults with severe traumatic brain injury at 3 and 6 months post injury
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In: Brain Inj (2018)
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Recipes for successful provision of nutrition and hydration at the end of life
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Getting comfortable with "comfort feeding" : an exploration of legal and ethical aspects of the Australian speech-language pathologist's role in palliative dysphagia care
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Procedural discourse performance in adults with severe traumatic brain injury at 3 and 6 months post injury
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Cognitive-communication and psychosocial functioning 12 months after severe traumatic brain injury
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Strengthening the quality of longitudinal research into cognitive-communication recovery after traumatic brain injury : a systematic review
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Mental health and illness : what are our ethical duties toward clients and colleagues?
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Conversational topics discussed by individuals with severe traumatic brain injury and their communication partners during sub-acute recovery
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In: Brain Inj (2016)
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Conversational topics discussed by individuals with severe traumatic brain injury and their communication partners during sub-acute recovery
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Responsible and ethical clinical practice : a framework for knowledge translation
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Ethical dilemmas experienced by speech-language pathologists working in private practice
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Sport, scales, or war? Metaphors speech-language pathoogists use to describe caseload management
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Experienced speech-language pathologists' responses to ethical dilemmas : an integrated approach to ethical reasoning
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