A comparison of two assessments of high level cognitive communication disorders in mild traumatic brain injury

Brain Inj. 2012;26(3):234-40. doi: 10.3109/02699052.2012.654587.

Abstract

Primary objectives: Individuals with traumatic brain injury (TBI) frequently encounter cognitive communication disorders. Deficits can be subtle but can seriously influence an individual's ability to achieve life goals. Feedback from rehabilitation facilities indicated that high level cognitive communication disorders are not consistently identified in the acute setting. This study aimed to compare the cognitive communication results from two screening assessments, the Cognistat and the Cognitive Linguistic Quick Test (CLQT), in participants with a mild traumatic brain injury and to relate these findings to a range of prognostic indicators.

Methods: Eighty-three adults post-TBI (16-81 years; 79.5% males) were recruited at an acute trauma centre. The language components of the two tests were analysed.

Main outcomes and results: The CLQT identified more participants with an impairment in language than the Cognistat, 19.3% compared to 1.2% (p < 0.001). No clinical variables relating to the participants' brain injury were found to be associated with language impairment.

Conclusions: This study found that the CLQT identified more individuals with high level cognitive communication deficits than the Cognistat in the acute setting.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Australia / epidemiology
  • Brain Injuries / epidemiology
  • Brain Injuries / physiopathology*
  • Brain Injuries / rehabilitation
  • Cognition Disorders / epidemiology
  • Cognition Disorders / physiopathology*
  • Cognition Disorders / rehabilitation
  • Communication
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neuropsychological Tests*
  • Prognosis
  • Quality of Life
  • Young Adult