Ecological validity of neuropsychological assessment in childhood traumatic brain injury

C. H. Silver

Research output: Contribution to journalReview articlepeer-review

119 Scopus citations


Empirical investigation of the degree to which testing predicts children's real-world functioning following traumatic brain injury (TBI) is sparse. This article reviews the research in neuropsychology, which offers only moderate correlations between test scores and everyday functioning. This line of research is hindered by several methodological issues: Difficulty translating performance on standardized testing into real-world capacities, measurement of real-world functioning, developmental factors, and the influence of intervening variables in the natural environment. Ecologically valid assessment may require multiple data sources. More research is needed to respond effectively to questions about children's everyday functioning after traumatic brain injury.

Original languageEnglish (US)
Pages (from-to)973-988
Number of pages16
JournalJournal of Head Trauma Rehabilitation
Issue number4
StatePublished - Jan 1 2000


  • Assessment
  • Brain injury
  • Child
  • Validity

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Clinical Neurology


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