Impairment and recovery in inhibitory control after traumatic brain injury in children: effect of age at injury, injury severity and lesion location.
We examined the effect of traumatic brain injury (TBI) on inhibitory control, trajectories of recovery of inhibitory control, and the effect of age at injury, severity, and lesion location on recovery. Participants were 127 children with TBI aged 5-16 years and 117 controls of similar age. Latency of response inhibition was measured with the stop signal task within 1 month of the injury and again at 3, 6, 12, and 24 months. Performance of children with TBI was compared with that of controls. Growth curve analyses showed impairments in response inhibition postinjury. Compared with controls, TBI children improved over time in response inhibition. Younger TBI children recovered better on response inhibition than older TBI children. No significant effect of severity or right frontal lesion on recovery of response inhibition was found. TBI has an acute effect on inhibitory control but which recovers over time.
Leblanc
N
N
Chen
S
S
Swank
P R
PR
Levin
H
H
Schachar
R
R
D000222:Adaptation, Physiological; D000293:Adolescent; D000367:Age Factors; D001921:Brain / Q000254:growth & development / Q000473:pathology; D001930:Brain Injuries / Q000473:pathology / Q000503:physiopathology* / Q000523:psychology*; D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D007266:Inhibition, Psychological; D015601:Injury Severity Score; D009048:Motor Skills / Q000502:physiology; D009473:Neuronal Plasticity / Q000502:physiology; D011930:Reaction Time / Q000502:physiology*; D020127:Recovery of Function / Q000502:physiology*; D012016:Reference Values; D016896:Treatment Outcome