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Social participation (SP) is one of many objectives in the rehabilitation of patients with traumatic brain injury (TBI). Studies on predictors of SP specific to post-acute universally accessible specialized rehabilitation pathways following TBI are scarce. Our objectives were to: 1) characterize SP, as well as a set of pre-injury, injury-related, and post-injury variables in individuals participating in inpatient-outpatient or outpatient rehabilitation pathways within a universally accessible and organized trauma continuum of care; and 2) examine the ability of pre-injury, injury-related, and post-injury variables in predicting SP outcome after TBI according to rehabilitation path. Participants (

ObjectiveTo validate the factor structure and establish internal consistency reliability of the French-Canadian version of the Mayo-Portland Adaptability Inventory (MPAI-4), using a Canadian sample of adults with traumatic brain injury (TBI) receiving post-acute rehabilitation services.DesignPsychometric analysis of prospectively collected French-Canadian MPAI-4 data.SettingInpatient and outpatient TBI rehabilitation programs.ParticipantsAdults (N = 1012) with a mild, moderate or severe TBI who received inpatient or outpatient rehabilitation interventions and for whom a first French-Canadian MPAI-4 measure was completed between 2016 and 2020.InterventionsNot applicable.Main Outcome MeasureFrench-Canadian MPAI-4 questionnaire.ResultsTo evaluate the factor structure of the French-Canadian MPAI-4, an exploratory factor analysis using a varimax rotation method was conducted on z-scores for all items. The final and best solution was a three-factor solution, which accounted for 48.68% of the variance. The internal consistency of the French-Canadian MPAI-4 was determined using Cronbach’s alpha and all three subscales showed good internal consistency (all .70 ≤ α ≤ .89). Reference norms for the TBI sample are provided in the form of T scores for subscales and total score, as well as descriptive raw data according to sex, age, TBI severity and rehabilitation setting.ConclusionsThe three factors extracted using data from the French-Canadian MPAI-4 are similar, but not entirely identical to the three subscales of the original MPAI-4. Overall, the French-Canadian MPAI-4 factor structure is validated. The questionnaire shows good psychometric properties and represents a suitable tool to measure functional evolution and social participation of TBI adults receiving rehabilitation services in a French-Canadian context. The provided reference norms will also help guide the clinical use of the MPAI-4 in French-Canadian TBI populations.

When asked to recall verbatim a short list of items, performance is very limited. However, if the list of items is repeated across trials, recall performance improves. This phenomenon, known as the Hebb repetition effect (Hebb, 1961; Brain Mechanisms and Learning: A Symposium, pp. 37-51), is considered a laboratory analogue of language learning. In effect, learning a new word implies the maintenance of a series of smaller units, such as phonemes or syllables, in the correct order for a short amount of time before producing them. The sequence of smaller units is typically presented more than once. In the present study, we investigated the role of overt language production in language learning by manipulating recall direction. If the learning of a repeated list of items relies on overt language production processes, changing list production order by manipulating recall direction should impact the learning of the list. In Experiment 1, one list was repeated every third trial, and recall direction of the repeated list changed on the ninth repetition. In Experiment 1a, the repeated list changed from a forward to a backward order recall, where participants had to recall the items in reverse presentation order. In Experiment 1b, the repeated list changed from a backward to a forward order recall. Results showed a cost in recall performance for the repeated list when recall direction switched from forward to backward recall, whereas it was unaffected by the change from backward to forward recall. In Experiment 2, we increased the number of trials before introducing the change from a backward to a forward order recall. Results showed a decrement in recall performance for the repeated list following the change in recall direction, suggesting that language production processes play a role in the Hebb repetition effect.

In line with the embodied cognition perspective stating that cognitive processing results from the activation of the sensorimotor systems involved in perception and action (e.g., Glenberg, 1997), recent studies provided evidence that motor affordances played a role in serial memory for objects (e.g., see Downing-Doucet & Guerard, 2014). In the present study, we extended this line of research by investigating whether objects' motor affordances played a role in item memory, in immediate and long-term retention. Participants had to retain pairs of objects that were positioned in a way that was congruent for action or not. The results showed that motor suppression disrupted the retention of congruent pairs, but not that of incongruent pairs when short lists of six objects had to be retained over a short period of time (Experiment 1). However, when participants had to retain lists of 60 pairs, motor suppression had no effect on retention (Experiment 2). These results suggest that the motor system was recruited for the immediate retention of objects, but not for their long-term retention.

The Hebb repetition effect (Hebb, 1961) occurs when recall performance improves for a list that is repeated during a serial-recall task. This effect is considered a good experimental analogue to language learning. Our objective was to evaluate the role of overt language production in language learning by manipulating recall direction during a Hebb repetition paradigm. In each trial, seven nonsense syllables were presented auditorily. Participants had to orally recall the items either in the presentation order or in reverse order. One sequence was repeated every third trial. In Experiment 1, we compared learning from a group that had recalled the items in their presentation order to learning from a group that had recalled the items in the reverse order. The two groups yielded similar learning rates. In Experiment 2, recall direction was varied between trials. The learning rate was not affected when recall direction varied between trials, suggesting a limited role of overt language production in language learning.