Expressive language recovery in severely brain-injured children and adolescents.

The spontaneous expressive language abilities of 9 severely brain-injured children and adolescents and their age-matched normal controls were examined seven times over a 12-month period following injury. Analysis of conversational language samples revealed a relatively stable pattern of language performance for the normal subjects over this time interval. The brain-injured subjects, as a group, demonstrated improvement on the majority of measures, but only a few reached the level of their control subjects and interindividual variability was considerable. Results suggest that the prognosis for clinically significant improvement in severely brain-injured subjects is good; however, deficits in expressive skills remain apparent up to at least 12 months following injury.