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Journal of Head Trauma Rehabilitation

S L Hauger, A-K Schanke, S Andersson, C Chatelle, C Schnakers, M Løvstad
OBJECTIVE: To investigate the diagnostic utility of electrophysiological recordings during active cognitive tasks in detecting residual cognitive capacities in patients with disorders of consciousness (DoC) after severe acquired brain injury. DESIGN: Systematic review of empirical research in MEDLINE, Embase, PsycINFO, and Cochrane from January 2002 to March 2016. MAIN MEASURES: Data extracted included sample size, type of electrophysiological technique and task design, rate of cognitive responders, false negatives and positives, and excluded subjects from the study analysis...
November 9, 2016: Journal of Head Trauma Rehabilitation
Alison J Crichton, Franz Babl, Ed Oakley, Mardee Greenham, Stephen Hearps, Carmel Delzoppo, Jamie Hutchison, Miriam Beauchamp, Vicki A Anderson
OBJECTIVES: To determine (1) the presence of fatigue symptoms and predictors of fatigue after childhood brain injury and examine (2) the feasibility, reliability, and validity of a multidimensional fatigue measure (PedsQL Multidimensional Fatigue Scale [MFS]) obtained from parent and child perspectives. SETTING: Emergency and intensive care units of a hospital in Melbourne, Australia. PARTICIPANTS: Thirty-five families (34 parent-proxies and 32 children) aged 8 to 18 years (mean child age = 13...
October 7, 2016: Journal of Head Trauma Rehabilitation
Theresa Louise-Bender Pape, Amy A Herrold, Bridget Smith, Judith Babcock-Parziale, Jordan Harp, Anne Shandera-Ochsner, Shonna Jenkins, Charlesnika T Evans, Randal Schleenbaker, Walter M High
OBJECTIVE: To present a heuristic model of a symptom attribution and classification algorithm (SACA) for mild traumatic brain injury (mTBI). SETTING: VA Polytrauma sites. PARTICIPANTS: 422 Veterans. DESIGN: Cross-sectional. MAIN MEASURES: SACA, Comprehensive TBI Evaluation (CTBIE), Structured TBI Diagnostic Interview, Minnesota Multiphasic Personality Inventory (MMPI-2-RF), Letter Memory Test, Validity-10...
November 2016: Journal of Head Trauma Rehabilitation
Michelle D Failla, Shannon B Juengst, Kristin M Graham, Patricia M Arenth, Amy K Wagner
OBJECTIVE: To use a Rehabilomics framework to evaluate relations hips between post-traumatic brain injury (TBI) depression (PTD) and potential associated factors, including antidepressant use, on cognitive recovery following severe TBI. PARTICIPANTS: Severe TBI survivors (n = 154), recruited from a level 1 trauma center. DESIGN: Prospective cohort study with assessments at 6 and 12 months postinjury. MAIN MEASURES: Patient Health Questionnaire-9 (PTD symptoms); cognitive composite score from a neuropsychological assessment battery (cognitive impairment); and Functional Independence Measure-Cognition (FIM-Cog, self-reported functional cognition)...
November 2016: Journal of Head Trauma Rehabilitation
Tessa Hart, Thomas A Novack, Nancy Temkin, Jason Barber, Sureyya S Dikmen, Ramon Diaz-Arrastia, Joseph Ricker, Dale C Hesdorffer, Jack Jallo, Nancy H Hsu, Ross Zafonte
OBJECTIVES: Examine the effects of posttraumatic amnesia (PTA) duration on neuropsychological and global recovery from 1 to 6 months after complicated mild traumatic brain injury (cmTBI). PARTICIPANTS: A total of 330 persons with cmTBI defined as Glasgow Coma Scale score of 13 to 15 in emergency department, with well-defined abnormalities on neuroimaging. METHODS: Enrollment within 24 hours of injury with follow-up at 1, 3, and 6 months. MEASURES: Glasgow Outcome Scale-Extended, California Verbal Learning Test II, and Controlled Oral Word Association Test...
November 2016: Journal of Head Trauma Rehabilitation
Yelena Bogdanova, Megan K Yee, Vivian T Ho, Keith D Cicerone
OBJECTIVE: Comprehensive review of the use of computerized treatment as a rehabilitation tool for attention and executive function in adults (aged 18 years or older) who suffered an acquired brain injury. DESIGN: Systematic review of empirical research. MAIN MEASURES: Two reviewers independently assessed articles using the methodological quality criteria of Cicerone et al. Data extracted included sample size, diagnosis, intervention information, treatment schedule, assessment methods, and outcome measures...
November 2016: Journal of Head Trauma Rehabilitation
Frederick K Korley, Gabor D Kelen, Courtney M Jones, Ramon Diaz-Arrastia
OBJECTIVE: To determine the dimensions of traumatic brain injury (TBI) evaluation in US emergency department (EDs) to inform potential application of novel diagnostic tests. SETTING: US EDs. PARTICIPANTS: National Hospital Ambulatory Medical Care Survey of ED visits in 2009 and 2010 where TBI was evaluated (1) and diagnosed either clinically or (2) with head computed tomographic (CT) scans. DESIGN: Retrospective cross-sectional...
November 2016: Journal of Head Trauma Rehabilitation
Brad G Kurowski, Shari L Wade, Judith W Dexheimer, Jenna Dyas, Nanhua Zhang, Lynn Babcock
BACKGROUND: There is a paucity of evidence-based interventions for mild traumatic brain injury (mTBI). OBJECTIVE: To evaluate the feasibility and potential benefits of an interactive, Web-based intervention for mTBI. SETTING: Emergency department and outpatient settings. PARTICIPANTS: Of the 21 adolescents aged 11 to 18 years with mTBI recruited from November 2013 to June 2014 within 96 hours of injury, 13 completed the program...
November 2016: Journal of Head Trauma Rehabilitation
Yijian Yang, Dawn C Mackey, Teresa Liu-Ambrose, Pet-Ming Leung, Fabio Feldman, Stephen N Robinovitch
OBJECTIVE: To examine risk factors associated with head impact during falls in older adults in long-term care (LTC). SETTING: Two LTC facilities in British Columbia, Canada. PARTICIPANTS: 160 LTC residents. DESIGN: Prospective cohort study. MAIN MEASURES: Between 2007 and 2014, we video captured 520 falls experienced by participants. Each fall video was analyzed to determine whether impact occurred to the head...
September 6, 2016: Journal of Head Trauma Rehabilitation
Cindy Crawford, Lynn Teo, EunMee Yang, Caitlin Isbister, Kevin Berry
OBJECTIVE: This systematic review examines the efficacy of hyperbaric oxygen (HBO2) for traumatic brain injury (TBI) to make evidence-based recommendations for its application and future research. METHODS: A comprehensive search was conducted to identify studies through 2014. Methodological quality was assessed and synthesis and interpretation of relevant data was performed. RESULTS: Twelve randomized trials were included. All mild TBI studies demonstrated minimal bias and no statistically significant differences between HBO2 and sham arms...
September 6, 2016: Journal of Head Trauma Rehabilitation
Marco Pozzi, Valentino Conti, Federica Locatelli, Sara Galbiati, Sonia Radice, Emilio Clementi, Sandra Strazzer
OBJECTIVE: Information on course and treatment of paroxysmal sympathetic hyperactivity (PSH) during rehabilitation and in pediatric patients is lacking. To increase knowledge on the course and treatment of PSH in pediatric patients during rehabilitation, we retrospectively analyzed 23 pediatric patients with PSH, describing the course of PSH and administered drugs, and explored the association of PSH remission with drug doses. SETTING: Neurorehabilitation unit of IRCCS Eugenio Medea, Bosisio Parini (LC), Italy...
September 6, 2016: Journal of Head Trauma Rehabilitation
Douglas B Cooper, Amy O Bowles, Jan E Kennedy, Glenn Curtiss, Louis M French, David F Tate, Rodney D Vanderploeg
OBJECTIVE: To compare cognitive rehabilitation (CR) interventions for mild traumatic brain injury (mTBI) with standard of care management, including psychoeducation and medical care for noncognitive symptoms. SETTING: Military medical center. PARTICIPANTS: A total of 126 service members who received mTBI from 3 to 24 months before baseline evaluation and reported ongoing cognitive difficulties. INTERVENTIONS: Randomized clinical trial with treatment outcomes assessed at baseline, 3-week, 6-week, 12-week, and 18-week follow-ups...
September 6, 2016: Journal of Head Trauma Rehabilitation
Ali A Weinstein, Lisa M K Chin, John Collins, Divya Goel, Randall E Keyser, Leighton Chan
BACKGROUND: Exercise training is associated with elevations in mood in patients with various chronic illnesses and disabilities. However, little is known regarding the effect of exercise training on short and long-term mood changes in those with traumatic brain injury (TBI). OBJECTIVE: The purpose of this study was to examine the time course of mood alterations in response to a vigorous, 12-week aerobic exercise training regimen in ambulatory individuals with chronic TBI (>6 months postinjury)...
September 6, 2016: Journal of Head Trauma Rehabilitation
Michael G Hutchison, Lynda Mainwaring, Arrani Senthinathan, Nathan Churchill, Scott Thomas, Doug Richards
BACKGROUND: Sport-related concussions are associated with a range of physical, cognitive, and behavioral disturbances that are highly variable across individuals. Much remains unknown about the effects of sport concussion, and changes in markers of psychological and physiological stress over the recovery timeline. OBJECTIVE: To examine psychological (mood, stress, sleep quality, and symptoms) and physiological (heart rate variability and salivary cortisol) measures in concussed athletes over clinical recovery milestones...
September 6, 2016: Journal of Head Trauma Rehabilitation
William C Walker, Laura M Franke, Adam P Sima, David X Cifu
BACKGROUND: Blast-related mild traumatic brain injury (blast mTBI) is a signature wound of recent US military conflicts in the Middle East, but the relatedness of postconcussive symptoms (PCS) to the blast mTBI is unclear, and longitudinal symptom data are sparse. OBJECTIVES: To characterize postdeployment symptom levels and trajectories and to determine relationship to blast mTBI. METHODS: A total of 216 participants within 2 years of blast exposure during deployment underwent structured interviews or algorithmic questionnaires for blast mTBI...
September 6, 2016: Journal of Head Trauma Rehabilitation
Michael L Alosco, Mihaela Aslan, Mengtian Du, John Ko, Laura Grande, Susan P Proctor, John Concato, Jennifer J Vasterling
OBJECTIVE: To examine the temporal consistency of self-reported deployment-related traumatic brain injury (TBI) and its association with posttraumatic stress disorder (PTSD) symptom severity. SETTING: In-person interviews at US Army installations (postdeployment); phone interviews (long-term follow-up). PARTICIPANTS: A total of 378 US Army soldiers and veterans deployed to Iraq; 14.3% (n = 54) reported TBI with loss of consciousness during an index deployment...
September 2016: Journal of Head Trauma Rehabilitation
John M Myrga, Michelle D Failla, Joseph H Ricker, C Edward Dixon, Yvette P Conley, Patricia M Arenth, Amy K Wagner
OBJECTIVES: With evidence of sexual dimorphism involving the dopamine (DA)-pathway, and the importance of DA pathways in traumatic brain injury (TBI) recovery, we hypothesized that sex × DA-gene interactions may influence cognition post-TBI. PARTICIPANTS: Adult survivors of severe TBI (n = 193) consecutively recruited from a level 1 trauma center. DESIGN: Risk allele assignments were made for multiple DA pathway genes using a sex-specific stratified approach...
September 2016: Journal of Head Trauma Rehabilitation
Mieke Verfaellie, Lewina O Lee, Ginette Lafleche, Avron Spiro
OBJECTIVES: To examine the contribution of sleep disturbance to cognitive performance following blast exposure. DESIGN: Correlational research evaluating self-reported sleep disturbance as a mediator of the association between the primary blast-related comorbidities of mild traumatic brain injury (mTBI) and posttraumatic stress disorder and cognitive outcome. PARTICIPANTS: One hundred sixty Operation Enduring Freedom/Operation Iraqi Freedom Veterans with a history of blast exposure assigned to 1 of 3 groups (no TBI, mTBI without loss of consciousness, and mTBI with loss of consciousness)...
September 2016: Journal of Head Trauma Rehabilitation
Ketki D Raina, Jennifer Q Morse, Denise Chisholm, Mary Lou Leibold, Jennifer Shen, Ellen Whyte
OBJECTIVE: To evaluate the feasibility of conducting a randomized clinical trial of an Internet-based manualized intervention to teach individuals with traumatic brain injury to manage their fatigue. SETTING: Community dwelling. PARTICIPANTS: Forty-one participants randomized to Maximizing Energy (MAX) intervention group (n = 20) and Health Education group (n = 21). INTERVENTION: The experimental group (MAX intervention) received an 8-week program that combined education and Problem-Solving Therapy to teach individuals to manage fatigue-related problems...
September 2016: Journal of Head Trauma Rehabilitation
John A Staples, Jin Wang, Brianna Mills, Nancy Temkin, Mark C Zaros, Gregory J Jurkovich, Frederick P Rivara
OBJECTIVE: To examine the performance of the Corticosteroid Randomization After Significant Head injury (CRASH) trial prognostic model in older patients with traumatic brain injury. SETTING: The National Study on Costs and Outcomes of Trauma cohort, established at 69 hospitals in the United States in 2001 and 2002. PARTICIPANTS: Adults with traumatic brain injury and an initial Glasgow Coma Scale score of 14 or less. DESIGN: The CRASH-CT model predicting death within 14 days was deployed in all patients...
September 2016: Journal of Head Trauma Rehabilitation
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