Abstract:
PRIMARY OBJECTIVE:To examine the relationship between cortical lesion location and brain injury outcome. It was hypothesized that focal frontal lesions after traumatic brain injury (TBI) would result in decreased executive and memory functioning and poor community participation outcome. RESEARCH DESIGN:Three quasi-experimental, prospective studies employed a total of 643 patients with focal frontal, fronto-temporal, non-frontal or no lesions in CT scans. METHODS AND PROCEDURES:CT scan analysis, neuropsychological assessment, the Neurobehavioural Functioning Inventory (NFI), the Community Integration Questionnaire (CIQ). MAIN RESULTS:In study 1, frontal and fronto-temporal groups performed worse in executive functioning and better in constructional ability. Study 2 found no differences in neuropsychological and community re-integration measures at 1-year follow-up. Study 3 found comparable neuropsychological test score improvement across groups over 1 year. CONCLUSIONS:Results are consistent with previous findings and document the potential for test score improvement with rehabilitation and suggest that lesion location needs to be considered when individual rehabilitation plans are being implemented in the post-acute stage of TBI.
journal_name
Brain Injjournal_title
Brain injuryauthors
Lehtonen S,Stringer AY,Millis S,Boake C,Englander J,Hart T,High W,Macciocchi S,Meythaler J,Novack T,Whyte Jdoi
10.1080/0269905040004310subject
Has Abstractpub_date
2005-04-01 00:00:00pages
239-56issue
4eissn
0269-9052issn
1362-301Xjournal_volume
19pub_type
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