Bridging the Gap: Pragmatic Language Group Approach for Cognitive-Communication Deficits Postconcussion Postconcussion patients who have made progress through individual speech and language therapy may continue to experience cognitive-communication deficits, which include changes in word finding, executive function, reading comprehension, written expression, and social skills. In this article, the authors describe a pragmatic language group approach to maximize recovery from persisting cognitive-communication ... Article
Article  |   May 15, 2018
Bridging the Gap: Pragmatic Language Group Approach for Cognitive-Communication Deficits Postconcussion
Author Affiliations & Notes
  • Edna Schneider
    Speech-Language Pathology, New York University Langone Health, New York, NY
  • Sarah Van Auken
    Speech-Language Pathology, New York University Langone Health, New York, NY
  • Disclosures
    Disclosures ×
  • Financial: Edna Schneider has no relevant financial interests to disclose. Sarah Van Auken has no relevant financial interests to disclose
    Financial: Edna Schneider has no relevant financial interests to disclose. Sarah Van Auken has no relevant financial interests to disclose×
  • Nonfinancial: Edna Schneider has no relevant nonfinancial interests to disclose. Sarah Van Auken has no relevant nonfinancial interests to disclose.
    Nonfinancial: Edna Schneider has no relevant nonfinancial interests to disclose. Sarah Van Auken has no relevant nonfinancial interests to disclose.×
Article Information
Speech, Voice & Prosodic Disorders / Normal Language Processing / Language Disorders / Social Communication & Pragmatics Disorders / Attention, Memory & Executive Functions / Traumatic Brain Injury / Part 1
Article   |   May 15, 2018
Bridging the Gap: Pragmatic Language Group Approach for Cognitive-Communication Deficits Postconcussion
Perspectives of the ASHA Special Interest Groups, May 2018, Vol. 3, 31-43. doi:10.1044/persp3.SIG2.31
History: Received August 4, 2017 , Revised January 14, 2018 , Accepted April 3, 2018
Perspectives of the ASHA Special Interest Groups, May 2018, Vol. 3, 31-43. doi:10.1044/persp3.SIG2.31
History: Received August 4, 2017; Revised January 14, 2018; Accepted April 3, 2018

Postconcussion patients who have made progress through individual speech and language therapy may continue to experience cognitive-communication deficits, which include changes in word finding, executive function, reading comprehension, written expression, and social skills. In this article, the authors describe a pragmatic language group approach to maximize recovery from persisting cognitive-communication deficits in patients with postconcussion symptoms. Findings suggest that the inclusion of a pragmatic language group in concussion management benefits patient care, enabling participants to regain preconcussion functional communication skills and improve quality of life. Prior to enrollment in the pragmatic language group, participants completed a course of individual speech and language treatment ranging from 3 to 6 months. Following intervention, participants presented with varying degrees of impairment that continued to interfere with their communication function.

The application of group therapy is within the scope of practice of speech-language pathology for a variety of communication deficits (e.g., aphasia, stuttering, autism spectrum disorder, Parkinson's disease, multiple sclerosis). Group treatment provides a forum for rehearsal of learned techniques while receiving feedback and support from peers and prepares patients to actualize strategies in social, professional, and community environments ( Luterman, 2008  ; Tuckman, 1965  ). The authors demonstrate the positive effects of pragmatic language group treatment for postconcussion symptoms, which facilitate a favorable recovery.

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