Return to school after brain injury
Hawley, Carol, Ward, Anthony B., Magnay, Andrew R. and Mychilkiq, Wasyl. (2004) Return to school after brain injury. Archives of Disease in Childhood, Vol.89 (No.2). pp. 136-142. ISSN 0003-9888
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Official URL: http://dx.doi.org/10.1136/adc.2002.025577
Objective: To examine return to school and classroom performance following traumatic brain injury (TBI)
Subjects: 67 school-age children with TBI (35 mild, 13 moderate, 19 severe), and 14 uninjured matched controls.
Interventions: Parents and children were interviewed and children assessed at a mean of two years post injury. Teachers reported on academic performance and educational needs.
Main measures: Classroom performance, Children’s Memory Scale (CMS), WISC-III, WORD.
Results: One third of teachers were unaware of the TBI. On return to school, special arrangements were made for 18 children (27%). Special educational needs were identified for 16 (24%), but only six children (9%) received specialist help. Two-thirds of children with TBI had difficulties with school-work, half had attention/concentration problems and 26 (39%) had memory problems. Compared to other pupils in the class, one third of children with TBI were performing below average. On the CMS, one third of the severe group were impaired/borderline for immediate and delayed recall of verbal material, and over one quarter were impaired/borderline for general memory. Children in the severe group had a mean full-scale IQ significantly lower than controls. Half the TBI group had a reading age ≥1 year below their chronological age, one third were reading ≥2 years below chronological age.
Conclusions: Schools rely on parents to inform them about a TBI, and rarely receive information on possible long-term sequelae. At hospital discharge, health professionals
should provide schools with information about TBI and possible long-term impairments, so that children returning to school receive appropriate support.
|Item Type:||Journal Article|
|Subjects:||L Education > LC Special aspects of education
B Philosophy. Psychology. Religion > BF Psychology
R Medicine > RJ Pediatrics
|Divisions:||Faculty of Medicine > Warwick Medical School|
|Library of Congress Subject Headings (LCSH):||Brain damaged children, Problem children -- Education, Memory|
|Journal or Publication Title:||Archives of Disease in Childhood|
|Page Range:||pp. 136-142|
|Access rights to Published version:||Open Access|
|Description:||Version accepted by publisher (post-print, after peer review, before copy-editing).|
Kraus, J.F., Rock, A., Hemyari, P. (1990). Brain injuries among infants, children, adolescents, and young adults. American Journal of Diseases in Children, 144, pp. 684-691.
Guyer, B., Ellers, B. (1990). Childhood injuries in the United States. American Journal of Diseases in Children, 144, pp. 649-652.
Snow, J.H., Hooper, S.R. (1994). Pediatric traumatic brain injury. California: Sage Publications.
Sharples, P.M. (1998). Head injury in children. In: Little and Ward Platt, eds. Injury in the young. Cambridge: Cambridge University Press, pp. 151-175.
Taylor, H.G., Alden, J. (1997). Age-related differences in outcomes following childhood brain insults: an introduction and overview. Journal of the International Neuropsychological Society, 3, pp. 555-567.
Hawley, C.A., Ward, A.B., Magnay, A., Long, J. (2002). Children’s brain injury: a postal follow-up of 525 children from one health region in the UK. Brain Injury, 16, pp. 969-985.
Kennard, M.A. (1936). Age and other factors in motor recovery from precentral lesions in monkeys. American Journal of Physiology, 115, pp. 138-146.
Kennard, M.A. (1940). Relation of age to motor impairment in man and subhuman primates. Archives of Neurology and Psychiatry, 44, pp. 377-397.
Dennis, M., Wilkinson, M., Koski, L., Humphreys, R. (1995). Attention deficits in the long term after childhood head injury. In: Bronan, S.H. and Michel, M.E., eds. Traumatic head injury in children. New York: Oxford University Press, pp. 165-187.
Slomine, B.S., Gerring, J.P., Grados, M.A., Vasa, R., Brady, K.D., Christensen, J.R., Denckla, M.B. (2002). Performance on measures of ‘executive function’ following pediatric traumatic brain injury. Brain Injury, 16, pp. 759-772.
Ewing-Cobbs, L., Miner, M.E., Fletcher, J.M., et al. (1998). Intellectual, motor, and language sequelae following closed head injury in infants and preschoolers. Journal of Pediatric Psychology, 14, pp. 531-537.
Klonoff, H., Clark, C., Klonoff, P.S. (1993). Long-term outcome of head injuries: a 23 year follow up study of children with head injuries. Journal of Neurology, Neurosurgery and Psychiatry, 56, pp. 410-415.
Ewing-Cobbs, L. Thompson, N.M., Miner, M.E., et al. (1994). Gunshot wounds to the brain in children and adolescents: age and neurobehavioural development. Neurosurgery, 35: 225-233.
Parmelee, D.X. (1989). Neuropsychiatric sequelae of traumatic brain injury in children and adolescents. Psychiatric Medicine, 7(1), pp.11-16.
Levin, H.S., Benton, A.L., Grossman, R.G. (1982). Neurobehavioural consequences of closed head injury. New York: Oxford University Press.
Levin, H.S., Eisenberg, H.M., Wigg, N.R., Kobayashi, K. (1982). Memory and intellectual ability after head injury in children and adolescents. Neurosurgery, 11, pp. 668-673.
Levin, H.S., Eisenberg, H.M. (1979). Neuropsychological outcome of closed head injury in children and adolescents. Child’s Brain, 5, pp. 281-292.
Donders, J. (1993). Memory functioning after traumatic brain injury in children. Brain Injury, 7, pp. 431-437.
Anderson, V.A., Morse, S.A., Klug, G., Catroppa, C., Haritou, F., Rosenfeld, J., Pentland, L. (1997). Predicting recovery from head injury in young children: A prospective analysis. Journal of the International Neuropsychological Society, 3, pp. 568-580.
Catroppa, C., Anderson, V. (2002). Recovery in memory function in the first year following TBI in children. Brain Injury, 16, pp. 369-384.
Bevington, J., Wishart, J.G. (1999). The influence of classroom peers on cognitive performance in children with behavioural problems. British Journal of Educational Psychology, 69, pp. 19-32.
Martin, R. P., Gaddis, L., Drew, D., Moseley, M. (1988). Prediction of elementary school achievement from preschool temperament: Three studies. School Psychology Review, 17, pp. 125-137.
Martin, R.P., Nagle, R., Paget, K. (1983). Relationships between temperament and classroom behaviour, teacher attitudes and academic achievement. Journal of Clinical Psychology, 39, pp. 1013-1020.
Teasdale, G., Jennett, B. (1974). Assessment of coma and impaired consciousness: a practical scale. Lancet, 2, pp. 81-83.
British Society of Rehabilitation Medicine. (1998). Rehabilitation after traumatic brain injury. A working party report of the British Society of Rehabilitation Medicine. London.
Crouchman, M., Rossiter, L., Colaco, T., Forsyth, R. (2001). A practical outcome scale for paediatric head injury. Arch Dis Child, 84, pp. 120-124.
Wechsler, D. (1991). Manual for the Wechsler Intelligence Scale for Children. 3rd ed. Sidcup: The Psychological Corporation Limited.
Wechsler, D. (1993). Weschler Objective Reading Dimensions. London: The Psychological Corporation Limited.
Cohen, B. (1997). Children’s memory scale. San Antonio: The Psychological Corporation Limited.
Townsend, P., Phillimore, P., Beattie, A. (1986). Inequalities in health in the Northern region. Newcastle upon Tyne: Northern Regional Health Authority and University of Bristol.
Jones, A., Johnson, D. (1994). A study of the educational provision for head-injured children. British Journal of Special Education, 21, pp. 113-117.
Johnson, D.A., Munro, S., Pentland, B., Snodgrass, C. (1998). Educational needs after head injury in children. Report to the Scottish Office. Astley Ainslie Hospital, Edinburgh.
National Institute for Clinical Excellence. (2002). Head injury in infants, children and adults: triage, assessment, investigation and early management (NICE guideline). Second consultation draft (December 2002).
Scott-Jupp, R., Marlow, N., Seddon, N., Rosenbloom, L. (1992). Rehabilitation and outcome after severe head injury. Archives of Disease in Childhood, 67, pp. 222-226.
Oddy, M., (1993). Head injury during childhood. Neuropsychological Rehabilitation, 3(4), pp. 301-320.
Chadwick, O., Rutter, M., Shaffer, D. (1981). A prospective study of children with head injuries: IV, specific cognitive deficits. Journal of Clinical Neuropsychology, 3(2), pp. 101-120.
Klonoff, H. (1971). Head injury in children: predisposing factors. American Journal of Public Health, 61(12), pp. 2404-2417.
Shaffer, D., Bijur, P., Chadwick, O., Rutter, M. (1980). Head injury and later reading disability. Journal of the American Academy of Child Psychiatry, 19, pp. 592-610.
Donders, J., Warschausky, S. (1997). WISC-III factor index score patterns after traumatic head injury in children. Child Neuropsychology, 3, pp. 71-78.
Nelson, J.E., Kelly, T.P. (2002). Long-term outcome of learning and memory in children following severe closed head injury. Pediatric Rehabilitation, 5, pp. 37-41.
Middleton, J.A. (2001). Practitioner review: psychological sequelae of head injury in children and adolescents. Journal of Child Psychology and Psychiatry, 42, pp. 165-80.
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