Abstract
Language impairments in patients with acquired brain injury can have a negative impact on social life as well as on other cognitive domains. Discourse impairments are among the most commonly reported communication deficits among patients with acquired brain damage. Despite advances in the development of diagnostic tools for detecting such impairments, few studies have investigated interventions to rehabilitate patients presenting with these conditions.ObjectiveThe aim of this study was to present a systematic review of the methods used in the rehabilitation of discourse following acquired brain injury.MethodsThe PubMed database was searched for articles using the following keywords: "rehabilitation", "neurological injury", "communication" and "discursive abilities".ResultsA total of 162 abstracts were found, but only seven of these met criteria for inclusion in the review. Four studies involved samples of individuals with aphasia whereas three studies recruited samples of individuals with traumatic brain injury.ConclusionAll but one article found that patient performance improved following participation in a discourse rehabilitation program.
Highlights
Motor and cognitive impairments are common consequences of acquired brain injury, and are often observed after strokes or traumatic brain injury (TBI)
Many cognitive processes may be influenced by acquired brain injury, language complaints are among the most frequently reported by patients and their families.[3]
Language impairments may have a negative influence on cognitive domains such as memory, attention and executive functions, as most of these processes are mediated by language.[4,5]
Summary
Motor and cognitive impairments are common consequences of acquired brain injury, and are often observed after strokes or traumatic brain injury (TBI) Such impairments may have a significant impact on the social functioning and quality of life of patients and their caregivers.[1,2] many cognitive processes may be influenced by acquired brain injury, language complaints are among the most frequently reported by patients and their families.[3] Language impairments may have a negative influence on cognitive domains such as memory, attention and executive functions, as most of these processes are mediated by language.[4,5]. The left hemisphere (LH) is more closely associated with the formal components of language, such as phonology, syntax, semantic and morphology.[6,7,8,9] The right hemisphere (RH), on the other hand, is more heavily involved in pragmatic, lexical-semantic, prosodic and discursive processing.[10,11,12]
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