Lecture 6 - Pediatric TBI Flashcards

1
Q

1 in 30 newborns will sustain a TBI before they turn ____

A

6 years old

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2
Q

T or F: TBI is the leading cause of death under the age of 19

A

true

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3
Q

If a child has an ABI before 1 month of age it is considered a ___________ , if they had an ABI after 1 month, it is considered a ________

A

developmental language impairment

acquired language disorder

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4
Q

What are the characteristics of a developmental/ SLI

A
  • don’t develop language at a rate or manner similar to peers
  • greater impact on phonology, syntax and morphology
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5
Q

What are the characteristics of an acquired language disorder

A
  • not congenital
  • rapid onset
  • non progressive
  • CC impairments with often intact phonology, syntax and morphology
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6
Q

describe a primary language disorder

A
  • difficulty in use of receptive and expressive language (i.e. aphasia) disproportional to cognitive challenges
  • as a result of focal lesions
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7
Q

TBI impacts attention, concentration, auditory and visual memory, long and short term memory and processing speed, which all can affect_ ____

A

ability to learn new information

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8
Q

As a child ages, the percentage of gray matter in their brain _______

A

decreases

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9
Q

How many peaks of neurodevelopment maturation are there?

A

5**

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10
Q

The _______ the child at the time of the injury, the greater the possibility of long-term developmental challenges

A

younger

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11
Q

There is a linear trend in which older age at injury is positively associated with _______

A

improvement

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12
Q

What are the 2 stages of recovery in TBI?

A

1) brain injury immediate stage

2) neurocognitive stall - latent stage

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13
Q

Describe neurocognitive stall

A

Even if the child with a TBI is making improvements, it is much slower than their typically developing peers and as a result they fall further and further behind. Their growth is much slower than normal development and so appears ‘stalled’ in comparison

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14
Q

T or F: children recover differently than adults from TBI

A

true

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15
Q

______ have a greater likelihood of motor and speech recovery

A

children

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16
Q

______ have greater cognitive function sparing

A

adults

17
Q

What should we note during informal observation

A
  • strengths/weaknesses
  • behaviours
  • use of strategies
18
Q

what are the 3 challenges of assessment with the TBI population

A

1) timing of assessment
2) test sensitivity
3) structure and control

19
Q

Is it better to have a TBI as a child, since they have better neuroplasticity?

A

No

  • they have a lot of learning and skills they’ve yet to acquire, which may be difficult with their impairments
  • they can grow into the injury
20
Q

We must reassess children with TBI over _____ and across different _____

A

time

environments/contexts

21
Q

What are the 5 things you should assess in children

A

1) discourse
2) word finding
3) auditory comprehension
4) higher level language and cognitive communication
5) pragmatics