Cognitive function and participation in children and youth with mild traumatic brain injury two years after injury
Brain Injury , Volume 32 - Issue 2 p. 230- 241
Background: 10–20% of children and youth with mild traumatic brain injury (mTBI) suffer from long-term cognitive impairments with, supposedly, a negative impact on most domains of functioning. Objectives: To describe cognitive functioning and participation in children and youth two-years post-mTBI and to determine associated risk factors. Methods: Cross-sectional study among 73 patients (aged 6–22 years), hospital diagnosed with mTBI. Linear regression modelling was used to investigate the effect of potential predictors on cognitive functioning as measured with a neuropsychological assessment (NPA), two-years post-injury. Extent of participation was assessed using the Child and Adolescent Scale of Participation and correlation analysis was conducted to examine its association with level of cognitive functioning. Results: 7–15% of all participants had impaired cognitive functions, especially in the domains of processing speed, inhibitory control, cognitive flexibility, visuospatial constructional ability and visuospatial memory. Lower level of education and pre-injury cognitive problems were predictive for a lower level of long-term cognitive functioning. Slower inhibition speed, impaired visuospatial and verbal working memory were associated with reduced participation. Discussion and conclusions: Persisting cognitive problems two years after mTBI were mostly related to the lower level of education and to pre-injury cognitive problems. Although participation of the patients was reported by parents to be relatively high, slower inhibition speed, impaired visuospatial and verbal working memory were associated with reduced participation.
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|Organisation||Erasmus MC: University Medical Center Rotterdam|
Lambregts, S.A.M, Smetsers, J.E.M. (J. E.M.), Verhoeven, I.M.A.J. (I. M.A.J.), de Kloet, A.J, van de Port, I.G.L, Ribbers, G.M, & Catsman-Berrevoets, C.E. (2018). Cognitive function and participation in children and youth with mild traumatic brain injury two years after injury. Brain Injury, 32(2), 230–241. doi:10.1080/02699052.2017.1406990