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Journal of Speech and Hearing Research Vol.39 S5-S17 October 1996.
© American Speech-Language-Hearing Association
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Treatment Efficacy

Cognitive-Communicative Disorders Resulting From Traumatic Brain Injury in Adults

Carl A. Coelho 1
Frank DeRuyter 2

Margo Stein 3
1 Southern Connecticut State University New Haven
2 Duke University Medical Center Durham, NC
3 Health Care Consultant St. Louis, MO

coelho_c{at}scsu.ctstateu.edu

Traumatic brain injuries (TBI) may result in a broad array of cognitive-communicative impairments. Cognitive-communicative impairments are the result of deficits in linguistic and nonlinguistic cognitive functions. The speech-language pathologist functions as a member of the multidisciplinary team of professionals that collaboratively assess and treat individuals with TBI. The role of the speech-language pathologist includes assessment of all aspects of communication, as well as the communicative implications of cognitive deficits, and swallowing; treatment planning and programming, as determined by the individual's stage of recovery; client and family training/counseling; and interdisciplinary consultation. The effectiveness of speech and language intervention for specific cognitive deficits (e.g., attention, memory, executive functions) as well as general issues of social-skills training and early intervention are illustrated by scientific and clinical evidence from group-treatment and single-subject studies as well as case studies.

KEY WORDS: traumatic brain injury, cognitive rehabilitation, communication disorders, intervention studies, treatment outcome


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