ASSESSMENT PRACTICES OF SPEECH AND LANGUAGE PATHOLOGISTS FOR COGNITIVE COMMUNICATION IMPAIRMENT AFTER TRAUMATIC BRAIN INJURY

Authors

  • Umarah Khadim MS-SLP student, Faculty of Rehabilitation and Allied Health Sciences, Riphah International University, Lahore, Pakistan
  • Shumaila Zubair Deputy Director, Assessing Psychologist in Federal Public Service Commission, FPSC, Islamabad, Pakistan
  • Rabia Zubair Assistant Professor, Faculty of Rehabilitation and Allied Health Sciences, Riphah International University, Lahore, Pakistan

Keywords:

Brain injuries, cognitive dysfunction, language therapy, rehabilitation, speech therapy, traumatic.

Abstract

Background of the Study: The aim of the present research was to examine the assessment practices of Speech-Language Pathologists for Cognitive Communication Disorders after Traumatic Brain Injury.

Methodology: It was a cross-sectional survey method, a convenient sampling technique. Research was carried out from January 2021 to June 2021. The sample size was n=21, out of which n= 9 (42.8%) participants, each from Rawalpindi and Islamabad n= 3 (14.4%) participants from Lahore filled in their responses. Medium; being Online, the questionnaire was distributed either through email, WhatsApp or Facebook MessengerApp. SLPs who were undergraduates or who had no experience working with TBI clients were excluded. Questionnaire included 12 items. Responses of research participants were recorded using Google Forms and presented in the form of n (%). The data were analyzed using descriptive analysis, and chi-square analysis was performed to confirm the association between settings, city of practice and years of experience through Statistical Package of Social Sciences (SPSS) Version 22.0.

Results: Speech-Language Pathologists reported that they routinely assessed (62% each) Receptive and Expressive communication. However; less than half of the participants routinely evaluated domains like verbal pragmatic skills (43.3%), functional communication (33.3%) and phonemic awareness (33.3%). SLPs assessed their clients by employing tests like MoCA (55.62%), Quick Aphasia Battery (18.75%), Cognitive Assessment (LOTCA Protocol) (14.35%) and a combination of Formal (48%) and Informal (52%) clinical interviews.

Conclusion: Informal discourse assessment is incorporated more frequently as compared to informal discourse evaluation in assessment practices of Speech-Language pathologists of Pakistan for cognitive communication impairment followed by traumatic brain injury.

References

Maas AI, Menon DK, Adelson PD, Andelic N, Bell MJ, Belli A et al. Traumatic brain injury: integrated approaches to improve prevention, clinical care, and research. The Lancet Neurology. 2017;16(12):987-1048.

Nematov SQ, Kamolova YM, Abdullayev IN. Speech therapy for adults. Science and Education. 2022;3(10):48-53.

Short J, McCormack J, Copley A. The current practices of speech-language pathologists in providing information to clients with traumatic brain injury. International journal of speech-language pathology. 2014;16(3):219-30.

Ackley K, Brown J. Speech-Language Pathologists' Practices for Addressing Cognitive Deficits in College Students With Traumatic Brain Injury. American Journal of Speech-Language Pathology. 2020;29(4):2226-41.

Maggio MG, De Luca R, Molonia F, Porcari B, Destro M, Casella C et al. Cognitive rehabilitation in patients with traumatic brain injury: A narrative review on the emerging use of virtual reality. Journal of Clinical Neuroscience. 20194;61:1-4.

Chung CS, Pollock A, Campbell T, Durward BR, Hagen S. Cognitive rehabilitation for executive dysfunction in adults with stroke or other adult non‐progressive acquired brain damage. Cochrane Database of Systematic Reviews. 2013(4).

Togher L. Cognitive communication disorders after traumatic brain injury. The handbook of psycholinguistic and cognitive processes: Perspectives in communication disorders. 2011:603-

Khellaf A, Khan DZ, Helmy A. Recent advances in traumatic brain injury. Journal of neurology. 2019;266(11):2878-89.

Iaccarino C, Carretta A, Nicolosi F, Morselli C. Epidemiology of severe traumatic brain injury. Journal of neurosurgical sciences. 2018;62(5):535-41.

Khan A, Prince M, Brayne C, Prina AM. Lifetime prevalence and factors associated with head injury among older people in low and middle income countries: a 10/66 study. PLOS one. 2015;10(7):e0132229.

Hardin KY, Kelly JP. The role of speech-language pathology in an interdisciplinary care model for persistent symptomatology of mild traumatic brain injury. InSeminars in Speech and Language. Thieme Medical Publishers. 2019;40(1):65-78.

Duff MC, Proctor A, Haley K. Mild traumatic brain injury (MTBI): Assessment and treatment procedures used by speech-language pathologists (SLPs). Brain Injury. 2002;16(9):773-87.

Beaulieu CL, Dijkers MP, Barrett RS, Horn SD, Giuffrida CG, Timpson ML et al. Occupational, physical, and speech therapy treatment activities during inpatient rehabilitation for traumatic brain injury. Archives of physical medicine and rehabilitation. 2015;96(8):S222-34.

Franz S, Muser J, Thielhorn U, Wallesch CW, Behrens J. Inter-professional communication and interaction in the neurological rehabilitation team: a literature review. Disability and rehabilitation. 2020;42(11):1607-15.

Imtiaz A. SIGNIFICANCE OF COGNITIVE ASSESSMENT IN RELATION TO OCCUPATIONAL THERAPY PRACTICE, AN EXPLORATORY STUDY FOR PAKISTAN OCCUPATIONAL THERAPY GUIDELINES. Pakistan Journal of Rehabilitation. 2021;10(1):17-25.

Frith M, Togher L, Ferguson A, Levick W, Docking K. Assessment practices of speech-language pathologists for cognitive communication disorders following traumatic brain injury in adults: An international survey. Brain Injury. 2014;28(13-14):1657-66.

Ridolfi M, Kaya A, Berkvens R, Weyn M, Joseph W, Poorter ED. Self-calibration and collaborative localization for uwb positioning systems: a survey and future research directions. ACM Computing Surveys (CSUR). 2021;54(4):1-27.

Henry ML, Grasso SM. Assessment of individuals with primary progressive aphasia. InSeminars in speech and language,Thieme Medical Publishers. 2018;39(3): 231-41..

Kelly M, McDonald S, Frith MH. A survey of clinicians working in brain injury rehabilitation: Are social cognition impairments on the radar?. Journal of Head Trauma Rehabilitation. 2017;32(4):E55-65.

Bayat M, Sabeti M, Rao KS, Nami M. The clinical outcome of concurrent speech therapy and transcranial direct current stimulation in dysarthria and palilalia following traumatic brain injury: A case study. NeuroRegulation. 2020;7(3):118.

Haas E, Ziegler W, Schölderle T. Developmental courses in childhood dysarthria: Longitudinal analyses of auditory-perceptual parameters. Journal of Speech, Language, and Hearing Research. 202;64(5):1421-35.

Sweet L, Van Adel M, Metcalf V, Wright L, Harley A, Leiva R, Taler V. The Montreal Cognitive Assessment (MoCA) in geriatric rehabilitation: psychometric properties and association with rehabilitation outcomes. International psychogeriatrics. 2011;23(10):1582-91.

Holzer L, Chinet L, Jaugey L, Plancherel B, Sofia C, Halfon O et al. Detection of cognitive impairment with the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) in adolescents with psychotic symptomatology. Schizophrenia Research. 2007;9

Noveen S, Babur MN, Sabeen Z, Khatoon R. PHARMACEUTICAL SCIENCES.

Zwecker M, Levenkrohn S, Fleisig Y, Zeilig G, Ohry A, Adunsky A. Mini-Mental State Examination, cognitive FIM instrument, and the Loewenstein Occupational Therapy Cognitive Assessment: relation to functional outcome of stroke patients. Archives of physical medicine and rehabilitation. 2002;83(3):342-5.

Chan DN, So WK. Measuring Acculturation of Pakistani Women: A Psychometric Evaluation of Urdu Version of the Short Acculturation Scale. Asia-Pacific Journal of Oncology Nursing. 2019;6(4):349-55.

King KA, Hough MS, Walker MM, Rastatter M, Holbert D. Mild traumatic brain injury: Effects on naming in word retrieval and discourse. Brain Injury. 2006;20(7):725-32.

Lê K, Mozeiko J, Coelho C. Discourse analyses: Characterizing cognitive-communication disorders following TBI. The ASHA Leader. 2011;16(2):18-21.

Additional Files

Published

2024-01-05

How to Cite

Khadim, U., Zubair, S., & Zubair, R. (2024). ASSESSMENT PRACTICES OF SPEECH AND LANGUAGE PATHOLOGISTS FOR COGNITIVE COMMUNICATION IMPAIRMENT AFTER TRAUMATIC BRAIN INJURY. Pakistan Journal of Rehabilitation, 13(1), 111–119. Retrieved from http://ojs.zu.edu.pk/ojs/index.php/pjr/article/view/2048

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