AAC Use by People With TBI: Affects of Cognitive Impairments

2010 ◽  
Vol 19 (3) ◽  
pp. 79-86 ◽  
Author(s):  
Sarah E. Wallace
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Service Provision ◽  
Augmentative And Alternative Communication ◽  
Cognitive Impairments ◽  
Recovery Process ◽  
Multimodal Communication ◽  
Future Research ◽  
Alternative Communication ◽  
Communication Impairments

Abstract Survivors of traumatic brain injury (TBI) use augmentative and alternative communication (AAC) to compensate for communication impairments. However, various cognitive impairments resulting from TBI affect AAC intervention and, thus, require special consideration. The purpose of this article is to address four areas that professionals who provide AAC may need to consider as part of their service provision to people with TBI: (a) the evolution of AAC use during the recovery process, (b) the effect of cognitive impairments on multimodal communication, (c) appropriate message representation, and (d) difficulties with AAC navigation resulting from cognitive impairments. Finally, this paper provides some suggestions and some areas of future research related to survivors of TBI use of AAC.

scholarly journals Preparing For Using Augmentative and Alternative Communication in Classrooms: Pre-Service Special Education Teachers’ Perceptions

2017 ◽  
Vol 7 (4) ◽  
pp. 105
Author(s):  
Rashed A. Aldabas
Keyword(s):  
Special Education ◽  
Special Education Teachers ◽  
Augmentative And Alternative Communication ◽  
Online Survey ◽  
Future Research ◽  
Alternative Communication ◽  
Preparation Programs ◽  
Teachers Perceptions ◽  
Descriptive Research ◽  
Communication Impairments

The purpose of this study was to examine pre-service special education teachers’ perceptions regarding their skills and knowledge about the use of AAC, with respect to how well it prepared them to use AAC with students who have severe communication impairments. A descriptive research design was used to address the research questions. A total of 27 special education pre-service teachers (emphasized whether Early Childhood Special Education or Intellectual Disabilities) completed an online survey. The findings indicate that participants responded positively about their knowledge, ability, skills, and attitudes about teaching and using AAC for students with severe communication disabilities. However, the results found that the majority of participants felt their preparation programs were not adequate in preparing them to implement and use AAC in classrooms. Although the participants felt more confident in their ability to teach students who use AAC, the general consensus was that more preparation training would be helpful in the classroom and with the students themselves. More implications for practice and recommendations for future research are discussed.

Multimodal Communication Program for Adults: Cognitive Considerations

2017 ◽  
Vol 2 (12) ◽  
pp. 4-12
Author(s):  
Sarah E. Wallace ◽  
Sarah Diehl
Keyword(s):  
Augmentative And Alternative Communication ◽  
Cognitive Impairments ◽  
Communication Strategies ◽  
Multimodal Communication ◽  
Alternative Communication ◽  
Integrated Instruction ◽  
Complex Communication Needs ◽  
Communication Program ◽  
Communication Needs ◽  
Communication Modalities

People with complex communication needs often rely on a system of augmentative and alternative communication strategies. The Multimodal Communication Program (MCP) was developed for people with aphasia, but was also explored with people with traumatic brain injury. MCP aims to increase breakdown resolution via integrated instruction in multiple communication modalities. Although implementation and results vary across studies, factors such as cognitive impairments warrant further investigation and potential modifications. The purpose of this article was to review the effect of cognitive impairments during implementation of MCP relative to cognitive impairments. Recommendations and considerations for the clinicians are provided.

A Conceptual Framework of Social Communication: Clinical Applications to Pediatric Traumatic Brain Injury

2020 ◽  
Vol 41 (02) ◽  
pp. 143-160
Author(s):  
Catherine Wiseman-Hakes ◽  
Lisa Kakonge ◽  
Meghan Doherty ◽  
Miriam Beauchamp
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Conceptual Framework ◽  
Social Communication ◽  
Clinical Applications ◽  
Future Research ◽  
Sex And Gender ◽  
Pediatric Traumatic Brain Injury ◽  
Communication Impairments ◽  
Pediatric Tbi

AbstractSocial communication impairments are common following pediatric traumatic brain injury (TBI) and can lead to social isolation, and poor social outcomes. Social communication has been documented as a persistent area of need in terms of proper assessment and intervention; however, this is not consistently addressed in clinical practice. While there is a body of evidence regarding social communication impairments and pediatric TBI, this area is not yet fully understood and remains underrecognized. To meet this gap, we provide a conceptual framework of social communication from a neurodevelopmental perspective, which can be applied to better understand the social communication impairments associated with pediatric TBI. We propose a general model of social communication with component constructs and consideration of internal factors such as sex and gender. These can inform considerations, clinical applications, and future research in assessment and evidence-based interventions within the domain of social communication.

scholarly journals Update on Insomnia after Mild Traumatic Brain Injury

2018 ◽  
Vol 8 (12) ◽  
pp. 223 ◽  
Author(s):  
Yi Zhou ◽  
Brian Greenwald
Keyword(s):  
Traumatic Brain Injury ◽  
Differential Diagnosis ◽  
Brain Injury ◽  
Sleep Disturbance ◽  
Mild Traumatic Brain Injury ◽  
Recovery Process ◽  
Diagnosis And Treatment ◽  
Future Research ◽  
Mild Tbi ◽  
Social Reintegration

Sleep disturbance after traumatic brain injury (TBI) has received growing interest in recent years, garnering many publications. Insomnia is highly prevalent within the mild traumatic brain injury (mTBI) population and is a subtle, frequently persistent complaint that often goes undiagnosed. For individuals with mTBI, problems with sleep can compromise the recovery process and impede social reintegration. This article updates the evidence on etiology, epidemiology, prognosis, consequences, differential diagnosis, and treatment of insomnia in the context of mild TBI. This article aims to increase awareness about insomnia following mTBI in the hopes that it may improve diagnosis, evaluation, and treatment of sleeping disturbance in this population while revealing areas for future research.

Challenges and Opportunities for Neuroimaging in Young Patients with Traumatic Brain Injury: a Coordinated Effort towards Advancing Discovery from the ENIGMA Pediatric Moderate/Severe TBI Group

2019 ◽  
Author(s):  
Emily L. Dennis ◽  
Karen Caeyenberghs ◽  
Robert F. Asarnow ◽  
Talin Babikian ◽  
Brenda Bartnik-Olson ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Meta Analysis ◽  
Young Patients ◽  
Future Research ◽  
Childhood And Adolescence ◽  
Developmental Issues ◽  
Challenges And Opportunities ◽  
Severe Tbi ◽  
Advance Research

Traumatic brain injury (TBI) is a major cause of death and disability in children in both developed and developing nations. Children and adolescents suffer from TBI at a higher rate than the general population; however, research in this population lags behind research in adults. This may be due, in part, to the smaller number of investigators engaged in research with this population and may also be related to changes in safety laws and clinical practice that have altered length of hospital stays, treatment, and access to this population. Specific developmental issues also warrant attention in studies of children, and the ever-changing context of childhood and adolescence may require larger sample sizes than are commonly available to adequately address remaining questions related to TBI. The ENIGMA (Enhancing NeuroImaging Genetics through Meta-Analysis) Pediatric Moderate-Severe TBI (msTBI) group aims to advance research in this area through global collaborative meta-analysis. In this paper we discuss important challenges in pediatric TBI research and opportunities that we believe the ENIGMA Pediatric msTBI group can provide to address them. We conclude with recommendations for future research in this field of study.

scholarly journals Age, Sex and Cerebral Microbleed Effects On White Matter Degradation After Traumatic Brain Injury

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 886-887
Author(s):  
Andrei Irimia ◽  
Ammar Dharani ◽  
Van Ngo ◽  
David Robles ◽  
Kenneth Rostowsky
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
White Matter ◽  
Diffusion Tensor ◽  
Diffuse Axonal Injury ◽  
Principal Component ◽  
Older Age ◽  
Analysis Of Covariance ◽  
Future Research ◽  
Cerebral Microbleed

Abstract Mild traumatic brain injury (mTBI) affects white matter (WM) integrity and accelerates neurodegeneration. This study assesses the effects of age, sex, and cerebral microbleed (CMB) load as predictors of WM integrity in 70 subjects aged 18-77 imaged acutely and ~6 months after mTBI using diffusion tensor imaging (DTI). Two-tensor unscented Kalman tractography was used to segment and cluster 73 WM structures and to map changes in their mean fractional anisotropy (FA), a surrogate measure of WM integrity. Dimensionality reduction of mean FA feature vectors was implemented using principal component (PC) analysis, and two prominent PCs were used as responses in a multivariate analysis of covariance. Acutely and chronically, older age was significantly associated with lower FA (F2,65 = 8.7, p < .001, η2 = 0.2; F2,65 = 12.3, p < .001, η2 = 0.3, respectively), notably in the corpus callosum and in dorsolateral temporal structures, confirming older adults’ WM vulnerability to mTBI. Chronically, sex was associated with mean FA (F2,65 = 5.0, p = 0.01, η2 = 0.1), indicating males’ greater susceptibility to WM degradation. Acutely, a significant association was observed between CMB load and mean FA (F2,65 = 5.1, p = 0.009, η2 = 0.1), suggesting that CMBs reflect the acute severity of diffuse axonal injury. Together, these findings indicate that older age, male sex, and CMB load are risk factors for WM degeneration. Future research should examine how sex- and age-mediated WM degradation lead to cognitive decline and connectome degeneration after mTBI.

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