Measuring recovery of function may mean testing
the same individual many times, a procedure that is inevitably
open to improvement due to learning on the specific tests
rather than recovery per se. This is particularly
likely to be an issue with measures of memory performance.
We therefore studied the performance of normal and brain-injured
people across 20 successive test sessions on measures of
orientation, simple reaction time, forward and backward
digit span, visual and verbal recognition, word list learning
and forgetting, and on three semantic memory measures,
namely, letter and category fluency and speed of semantic
processing. Differences in overall performances between
the two groups occurred for all tests other than orientation,
digit span forward, and simple reaction time, although
the tests differed in their degree of sensitivity. The
tests varied in the presence or absence of practice effects
and in the extent to which these differed between the two
groups. Data are presented that should allow investigators
to select measures that are likely to optimize sensitivity
while minimizing possible confounding due to practice effects.
(JINS, 2000, 6, 469–479.)