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Motor dysfunction profiles in traumatic brain injury and postconcussion syndrome

Published online by Cambridge University Press:  26 February 2009

Manfred F. Greiffenstein
Affiliation:
Psychological Systems, Inc., Royal Oak, MI 48067
W. John Baker
Affiliation:
Psychological Systems, Inc., Royal Oak, MI 48067
Thomas Gola
Affiliation:
Wayne State University, Detroit, MI 48202

Abstract

Motor measures are sensitive to central lesions, but they are also affected by peripheral injury and motivation. The motor skills profiles of proven brain injury clients were compared with the profiles of healthy postconcussion patients. The chief result was a double dissociation: The traumatic brain injury (TBI) group produced a motor dysfunction gradient consistent with upper motor neuron disease, while the compensation-seeking postconcussion group produced a nonphysiologic pattern. Objective measures of behavioral pain and emotional distress did not correlate with the findings. Motor skill deficiencies in postconcussion syndrome (PCS) are probably functional in nature. (JINS, 1996, 2, 477–485.)

Type
Research Article
Copyright
Copyright © The International Neuropsychological Society 1996

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