scholarly journals Conversational Coordination of Articulation Responds to Context: A Clinical Test Case With Traumatic Brain Injury

2020 ◽  
Vol 63 (8) ◽  
pp. 2567-2577
Author(s):  
Stephanie A. Borrie ◽  
Camille J. Wynn ◽  
Visar Berisha ◽  
Nichola Lubold ◽  
Megan M. Willi ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Preliminary Investigation ◽  
Clinical Test ◽  
Test Case ◽  
Spoken Dialogue ◽  
Communicative Behavior ◽  
Coordination Strategies ◽  
Communicative Context ◽  
Behavior Supports

Purpose Coordination of communicative behavior supports shared understanding in conversation. The current study brings together analysis of two speech coordination strategies, entrainment and compensation of articulation, in a preliminary investigation into whether strategy organization is shaped by a challenging communicative context—conversing with a person who has a communication disorder. Method As an initial clinical test case, an automated measure of articulatory precision was analyzed in a corpus of spoken dialogue, where a confederate conversed with participants with traumatic brain injury ( n = 28) and participants with no brain injury ( n = 48). Results Overall, the confederate engaged in significant entrainment and high compensation (hyperarticulation) in conversations with participants with traumatic brain injury relative to significant entrainment and low compensation (hypoarticulation) in conversations with participants with no brain injury. Furthermore, the confederate's articulatory precision changed over the course of the conversations. Conclusions Findings suggest that the organization of conversational coordination is sensitive to context, supporting synergistic models of spoken dialogue. While corpus limitations are acknowledged, these initial results point to differences in the way in which speech strategies are realized in challenging communicative contexts, highlighting a viable and important target for investigation with clinical populations. A framework for investigating speech coordination strategies in tandem and ideas for advancing this line of inquiry serve as key contributions of this work.

Depression, apathy and impaired self-awareness following severe traumatic brain injury: a preliminary investigation

Brain Injury ◽  
2019 ◽  
Vol 33 (9) ◽  
pp. 1245-1256 ◽  
Author(s):  
U. Bivona ◽  
A. Costa ◽  
M. Contrada ◽  
D. Silvestro ◽  
E. Azicnuda ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Severe Traumatic Brain Injury ◽  
Preliminary Investigation ◽  
Self Awareness

Factors Influencing Choices of Contextualized Versus Traditional Practices With Children and Adolescents Who Have Traumatic Brain Injury

2015 ◽  
Vol 46 (4) ◽  
pp. 352-361 ◽  
Author(s):  
Heather Koole ◽  
Nickola W. Nelson ◽  
Amy B. Curtis
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Children And Adolescents ◽  
Preliminary Investigation ◽  
School Age Children ◽  
Traditional Practices ◽  
Electronic Survey ◽  
Factors Associated ◽  
Research Questions ◽  
Critical Components

PurposeThis preliminary investigation examined speech-language pathologists' (SLPs') use of contextualized practices (i.e., functional, personally relevant, nonhierarchical, and collaborative) compared with traditional practices (i.e., clinical, generic, hierarchical, and expert driven) with school-age children and adolescents with traumatic brain injury (TBI).MethodsAn electronic survey asked SLPs about their use of clinical activities described as more or less contextualized. Research questions focused on frequency of using contextualized practices and factors associated with their use or nonuse.ResultsSeventy responses met criteria for analysis; 98% of these participants reported using at least 1 contextualized practice. Higher use of contextualized practices was associated with working in schools compared to health care settings, access to experts, and greater experience with TBI. Most frequently cited reasons for not using contextualized practices included not fitting the student and scheduling issues.ConclusionsFactors associated with using contextualized practices suggest that access to experts and experience with TBI are critical components for facilitating contextualized practice recommendations. Reasons for not using certain contextualized practices highlight the need to address scheduling issues and to increase education about practices that may best meet the unique needs of students with TBI.

Emotion Perception and Alexithymia in People With Severe Traumatic Brain Injury: One Disorder or Two? A Preliminary Investigation

2011 ◽  
Vol 12 (3) ◽  
pp. 165-178 ◽  
Author(s):  
Skye McDonald ◽  
Julia Rosenfeld ◽  
Julie D. Henry ◽  
Leanne Togher ◽  
Robyn Tate ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Severe Traumatic Brain Injury ◽  
Brain Injuries ◽  
Preliminary Investigation ◽  
Emotion Perception ◽  
Poor Performance ◽  
Cross Sectional Study ◽  
Primary Objective ◽  
Cross Sectional

AbstractPrimary objective:Recent research studies attest to the presence of deficits in emotion perception following severe traumatic brain injury (TBI). Additionally, a growing number of studies report significant levels of alexithymia (disorder of emotional cognition) following TBI. This research aimed to examine the relation between the two, while assessing the influence of posttraumatic stress disorder (PTSD).Design:Cross-sectional study examining levels of alexithymia, emotion perception disorders and PTSD and their association, in 20 people with severe, chronic TBI and 20 adults without brain injuries.Methods:Participants were assessed on the Toronto Alexithymia — 20 Scale, the Posttraumatic Diagnostic Scale and on two emotion perception tasks: matching and labelling of photos depicting the 6 basic emotions.Results:The group with TBI were impaired relative to controls when matching facial expressions. Their performance on ‘fear’ was especially poor. Performance on labelling was similar in pattern, although failed to reach significance. There was no association between poor performance on fear, or other negative expressions, and either PTSD or alexithymia symptoms in the TBI group.Conclusions:Alexithymia, as assessed by the TAS-20, taps a constellation of difficulties that do not appear to include difficulties with emotion perception in people with traumatic brain injuries.

Efficacy of a brief acute neurobehavioural intervention following traumatic brain injury: A preliminary investigation

Brain Injury ◽  
2011 ◽  
Vol 25 (7-8) ◽  
pp. 680-690 ◽  
Author(s):  
Janet P. Niemeier ◽  
Jeffrey S. Kreutzer ◽  
Jennifer H. Marwitz ◽  
Kelli W. Gary ◽  
Jessica M. Ketchum
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Preliminary Investigation

Sleep apnea in adults with traumatic brain injury: A preliminary investigation

2001 ◽  
Vol 82 (3) ◽  
pp. 316-321 ◽  
Author(s):  
Joseph B. Webster ◽  
Kathleen R. Bell ◽  
John D. Hussey ◽  
Theresa K. Natale ◽  
Sambasiva Lakshminarayan
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Sleep Apnea ◽  
Preliminary Investigation

Verbosity, traumatic brain injury, and conversation: A preliminary investigation

Aphasiology ◽  
2021 ◽  
pp. 1-24
Author(s):  
Scott Barnes ◽  
Jason Bransby-Bell ◽  
Zia Gallagher-Beverley ◽  
Janine Mullay ◽  
Rebecca McNeil ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Preliminary Investigation

scholarly journals Physical Performance and Fall Risk in Persons With Traumatic Brain Injury

2018 ◽  
Vol 126 (1) ◽  
pp. 50-69 ◽  
Author(s):  
Dennis Klima ◽  
Lindsay Morgan ◽  
Michelle Baylor ◽  
Cordia Reilly ◽  
Daniel Gladmon ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Physical Performance ◽  
Fall Risk ◽  
Analysis Of Covariance ◽  
Gait Velocity ◽  
Control Group ◽  
Clinical Test ◽  
Community Navigation ◽  
Severe Tbi

Injuries sustained from traumatic brain injury (TBI) culminate in both cognitive and neuromuscular deficits. Patients often progress to higher functioning on the Rancho continuum even while mobility deficits persist. Although prior studies have examined physical performance among persons with chronic symptoms of TBI, less is known about the relatively acute phase of TBI as patients prepare for rehabilitation discharge. The aims of this cross-sectional study were to (a) compare balance and gait performance in 20 ambulant persons with moderate to severe TBI who were nearing rehabilitation discharge with their age-matched controls and (b) describe performance with thresholds for fall risk and community navigation. During a designed task circuit, 40 participants (20 persons with TBI and 20 controls) performed the Timed Up and Go (TUG), gait velocity, and Walking and Remembering tests. Balance testing included the Fullerton Advanced Balance Scale (FABS) and instrumented Modified Clinical Test for Sensory Interaction in Balance (MCTSIB). Statistical analyses included analysis of covariance for group comparisons and a multivariate analysis of covariance for MCTSIB sway velocities with anthropometric controls. The TBI group (mean [ M] age = 42, standard deviation [ SD] =19.5 years; 70% males) performed significantly more poorly on all mobility tests ( p < .05) and their scores reflected a potential fall risk. Gait velocity was significantly slower for the TBI versus control group ( M = .96, SD = 2.6 vs. M = 1.5, SD = 2.2 m/s; p < .001), including TUG times ( M = 13.5, SD = 4.9 vs. M = 7.7, SD = 1.4; p < .001). TBI participants also demonstrated significantly greater sway velocity on all MCTSIB conditions ( p < .01) and lower performance on the FABS ( p < .001). Performance indices indicate potential fall risk and community navigation compromise for individuals with moderate to severe TBI. Physical performance scores support the need for continued interventions to optimize functional mobility upon discharge.

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