Abstract
Spatial learning and memory may be one of the most critical, under-recognized,
cognitive abilities known to be impaired by traumatic brain injury (TBI).
This ability to learn, remember, and navigate through three-dimensional
space has been linked to the hippocampus and temporal lobes, both of which
are often damaged in TBI. The present study asked if TBI impairs
this ability using a computer-generated, “virtual space,” analogue of a
task (Jacobs, Laurance, & Thomas, 1997) developed by behavioral neuroscience,
the Morris water maze. We found that about 2/3 of the participants
with TBI showed substantial place-learning deficits in comparison to age-,
sex- and education-matched uninjured participants. These deficits
ranged from slight to a complete inability to learn and/or remember the
location of an invisible target with no recall of the layout of the computer-generated
room. Performance correlated with self-reported frequency of wayfinding
problems in everyday life and with scores on the Rivermead Behavioural
Memory Task. These data indicate that a) impairments of topographical
orientation may be common after TBI and, b) the Virtual Arena provides
a new method to assess them.