Semin Speech Lang 2002; 23(2): 129-138
DOI: 10.1055/s-2002-24989
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Attention Impairment Following Traumatic Brain Injury

Julie A.G. Stierwalt1 , Laura L. Murray2
  • 1Florida State University, Tallahassee, Florida
  • 2Indiana University
Further Information

Publication History

Publication Date:
11 April 2002 (online)

ABSTRACT

The incidence of traumatic brain injury (TBI) is approximately 2,000,000 cases annually, and approximately 5.3 million Americans are currently living with some degree of cognitive-linguistic impairment secondary to TBI. One frequent aspect of that impairment is disordered attention. Attention is a complex system comprised of several component skills, each of which may be compromised by TBI and thus must be carefully assessed to design appropriate treatment protocols. Attention treatments for patients with TBI frequently involve implementing environmental controls and designing individualized therapy tasks that vary in terms of information processing demands. This article provides a summary of those attention impairments frequently associated with TBI and outlines assessment and treatment guidelines for clinicians serving TBI patients with attention problems.

REFERENCES

  • 1 Ylvisaker M, Szekeres S F, Feeney T. Communication disorders associated with traumatic brain injury. In: Chapey R, ed. Language Intervention Strategies in Aphasia and Related Neurogenic Communication Disorders. Philadelphia: Lippincott Williams & Wilkins 2001 0: 745-808
  • 2 Centers for Disease Control. National Center for Injury Prevention and Control. Epidemiology of Traumatic Brain Injury in the United States 2001; http://www.cdc.gov/ncipc/dacrrdp/tbi.htm
  • 3 Sarno M T. The nature of verbal impairment after closed head injury.  J Nerv Ment Dis . 1980;  68 685-692
  • 4 Davis G A. Aphasiology. Boston: Allyn and Bacon 2000
  • 5 Adamovich B LB. Traumatic brain injury. In: LaPointe LL, ed. Aphasia and Related Neurogenic Language Disorders New York: Thieme 1997: 226-237
  • 6 Auerbach S H. Neuroanatomical correlates of attention and memory disorders in traumatic brain injury: an application of neurobehavioral subtypes.  Journal of Head Trauma Rehabilitation . 1986;  1 1-12
  • 7 Blosser J L, Depompei R. Pediatric Traumatic Brain Injury: Proactive Intervention.  San Diego: Singular Publishing Group 1994
  • 8 Brooks D N, McKinlay W. Return to work within the first seven years of severe head injury.  Brain Inj . 1987;  1 5-15
  • 9 Graham D I. Pathophysiological aspects of injury and mechanisms of recovery. In: Rosenthal M, Kreutzer JS, Griffith ER, Pentland B, eds. Rehabilitation of the Adult and Child with Traumatic Brain Injury, 3rd ed Philadelphia: F.A. Davis Company 1999: 19-41
  • 10 Posner M I, Petersen S E. The attention system of the human brain.  Annu Rev Neurosci . 1990;  13 25-42
  • 11 Filley C M. The neuroanatomy of attention.  Semin Speech Lang . 2002;  23 89-98
  • 12 Sohlberg M M, Mateer C A. Cognitive Rehabilitation: An Integrative Neuropsychological Approach. New York: Guilford Press 2001
  • 13 O'Donnell B F. Forms of attention and attentional disorders.  Semin Speech Lang . 2002;  23 99-106
  • 14 Parenté R, Herrmann D. Retraining Cognition: Techniques and Applications.  Gaithersburg, MD: Aspen Publishers 1996
  • 15 Robertson I H, Manly T, Andrade J, Baddeley B T, Yiend J. ``Oops!'': performance correlates of everyday attentional failures in traumatic brain injured and normal subjects.  Neuropsychologia . 1997;  35 747-758
  • 16 Lodge-Miller K A, Robin D A, Schrum D L. Attentional impairments following closed head injury.  Journal of Medical Speech-Language Pathology . 1993;  1 133-146
  • 17 Robin D A, Max J E, Stierwalt J AG. Sustained attention in children and adolescents with traumatic brain injury.  Aphasiology . 1999;  13 701-708
  • 18 Whyte J, Polansky M, Coslett H B, Cavallucci C. Sustained arousal and attention after traumatic brain injury.  Neuropsychologia . 1995;  33 797-813
  • 19 Cicerone K D. Attention deficits and dual task demands after mild traumatic brain injury.  Brain Inj . 1996;  10 79-89
  • 20 Hinkeldey N S, Corrigan J D. The structure of head-injured patients' behavioral complaints: a preliminary study.  Brain Inj . 1990;  4 115-134
  • 21 Park N W, Moscovitch M, Robertson I H. Divided attention impairments after traumatic brain injury.  Neuropsychologia . 1999;  37 1119-1133
  • 22 Schmitter-Edgecombe M. Effects of divided attention on implicit and explicit memory performance following severe closed head injury.  Neuropsychologia . 1996;  10 155-167
  • 23 Niemann H, Ruff R M, Kramer J H. An attempt towards differentiating attentional deficits in traumatic brain injury.  Neuropsychol Rev . 1996;  6 11-46
  • 24 Stroop J R. Studies of interference in serial verbal reactions.  J Exper Psychol . 1935;  18 643-662
  • 25 Cegalis J A, Birdsall W. Paced Auditory Serial Attention Test.  San Antonio, TX: Psychological Corporation 1998
  • 26 Gronwall D. Paced auditory serial addition task: a measure of recovery from concussion.  Percept Mot Skills . 1977;  44 367-373
  • 27 Sohlberg M M, Mateer C A. Attention Process Training (APT).  Puyallup, WA: Association for Neuropsychological Research and Development 1986
  • 28 Brickencamp R. Test d2: Concentration-Endurance Test, 5th ed. Gottingen, Germany: Verlag fur Psychologie . 1981
  • 29 Reitan R M, Wolfson D. The Halstead-Reitan Neuropsychological Test Battery: Theory and Clinical Interpretation.  Tuscon, AZ: Neuropsychology Press 1993
  • 30 Greenberg L M. Test of Variables of Attention.  Edmonton, Canada: Universal Attention Disorders 1998
  • 31 Wechsler D. Wechsler Adult Intelligence Scale-III.  San Antonio, TX: Psychological Corporation 1987
  • 32 The Psychological Corporation. Vigil Continuous Performance Test San Antonio, TX: author 1996
  • 33 Robertson I H, Ward T, Ridgeway V, Nimmo-Smith I. The Test of Everyday Attention.  Gaylord, MI: Northern Speech Services 1994
  • 34 Adamovich B B, Henderson J. Scales of Cognitive Ability for Traumatic Brain Injury.  Austin, TX: Pro-ED 1992
  • 35 Helm-Estabrooks N, Hotz G. Brief Test of Head Injury.  Austin, TX: Pro-Ed 1991
  • 36 Helm-Estabrooks N. Cognitive Linguistic Quick Test. San Antonio, TX: Psychological Corporation 2001
  • 37 Mateer C A, Kerns K A, Eso K L. Management of attention and memory disorders following traumatic brain injury.  Journal of Learning Disabilities . 1999;  29 618-632
  • 38 Shiffrin R M, Schneider W. Controlled and automatic human information processing II: perceptual learning, automatic attending and a general theory.  Psychol Rev . 1977;  84 90-190
  • 39 Sohlberg M M, Johnson L, Paule L, Raskin S A, Mateer C A. Attention Process Training-II: A Program to Address Attentional Deficits for Persons with Mild Cognitive Dysfunction, 2nd ed. Wake Forest, NC: Lash & Associates . 2001
  • 40 Sohlberg M M, Mateer C A. Effectiveness of an attention training program.  J Clin Exper Neuropsychol . 1987;  9 117-130
  • 41 Sohlberg M, McLaughlin K, Pavese A, Heidrich A, Posner M I. Evaluation of attention process training and brain injury education in persons with acquired brain injury.  J Clin Exp Neuropsychol . 2000;  22 656-676
  • 42 Mateer C A. Systems of care for post-concussive syndrome. In: Horn LJ, Zasler ND, eds. Rehabilitation of post-concussive disorders Philadelphia: Hanley & Belfus 1992: 143-160
  • 43 Park N, Proulx G B, Towers W. Evaluation of attention process training program.  Neuropsychological Rehabilitation . 1999;  9 135-154
  • 44 Palmese C A, Raskin S A. The rehabilitation of attention in individuals with mild traumatic brain injury using the APT-II programme.  Brain Inj . 2000;  14 535-548
  • 45 Parenté R, Anderson-Parenté J K. Retraining memory: techniques and applications.  Houston, TX: CSY 1991
  • 46 Evanofski M. Attention Workbook, Vol 1, 2nd ed. Dedham, MA:.  AliMed 1997
  • 47 Malia K B, Bewick K C, Raymond M J, Bennet T L. Brainwave-Revised. Austin, TX:.  Pro-Ed 1997
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