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Journal of Head Trauma Rehabilitation

Jeffrey R Hebert, Jeri E Forster, Kelly A Stearns-Yoder, Molly E Penzenik, Lisa A Brenner
OBJECTIVE: To investigate linear relationships between dizziness, fatigue, and depression and posttraumatic stress disorder (PTSD) and objectively measured balance performance in Veterans with remote mild traumatic brain injury (mTBI). SETTING: Academic laboratory; Veterans Affairs Medical Center. PARTICIPANTS: Thirty Veterans (28 men) who served in Iraq/Afghanistan and whose most recent mTBI was sustained more than 6 months prior to enrollment...
January 30, 2018: Journal of Head Trauma Rehabilitation
Kimberly S Erler, Gale G Whiteneck, Shannon B Juengst, Joseph J Locascio, Jennifer A Bogner, Jamie Kaminski, Joseph T Giacino
OBJECTIVE: To identify factors that predict trajectories of participation over the first 5 years after moderate to severe traumatic brain injury (TBI). SETTING: TBI Model System Programs. PARTICIPANTS: Community-dwelling individuals with TBI, 16 years of age or older (n = 1947). DESIGN: Secondary analysis of a prospective, nonrandomly sampled, longitudinal data registry. MAIN MEASURES: Participation Assessment with Recombined Tools-Objective (PART-O)...
January 30, 2018: Journal of Head Trauma Rehabilitation
Christine L Mac Donald, Jason Barber, Jason Wright, David Coppel, Nina De Lacy, Steve Ottinger, Suzanne Peck, Chris Panks, Kody Zalewski, Samantha Sun, Nancy Temkin
OBJECTIVE: Prior work suggests that younger athletes may be more vulnerable to postconcussive syndrome. We investigated measures of clinical outcome and quantitative volumetric imaging in 10- to 14-year-old adolescent athletes to better understand the impact of concussion on this younger population. SETTING: Outpatient clinics. PARTICIPANTS: Ten- to 14-year-old symptomatic pediatric sports concussion patients and typically developing active controls...
January 30, 2018: Journal of Head Trauma Rehabilitation
Jacob D Bolzenius, Carmen S Velez, Jeffrey D Lewis, Erin D Bigler, Benjamin S C Wade, Douglas B Cooper, Jan E Kennedy, Matthew W Reid, John L Ritter, Gerald E York, David F Tate
OBJECTIVE: Use diffusion tensor imaging to investigate white matter microstructure attributable to mild TBI (mTBI) and/or posttraumatic stress disorder (PTSD). PARTICIPANTS: Twenty-seven individuals with mTBI only, 16 with PTSD only, 42 with mTBI + PTSD, and 43 service members who sustained orthopedic injury. DESIGN: Descriptive cross-sectional study. MAIN MEASURES: Clinical diffusion tensor imaging sequence to assess fractional anisotropy, mean, axial, and radial diffusivity within selected regions of interest...
January 30, 2018: Journal of Head Trauma Rehabilitation
Alexandra L Clark, Scott F Sorg, Kelsey Holiday, Erin D Bigler, Katherine J Bangen, Nicole D Evangelista, Mark W Bondi, Dawn M Schiehser, Lisa Delano-Wood
OBJECTIVE: Fatigue is a complex, multidimensional phenomenon that commonly occurs following traumatic brain injury (TBI). The thalamus-a structure vulnerable to both primary and secondary injuries in TBI-is thought to play a pivotal role in the manifestation of fatigue. We explored how neuroimaging markers of local and global thalamic morphometry relate to the subjective experience of fatigue post-TBI. METHODS: Sixty-three Veterans with a history of mild TBI underwent structural magnetic resonance imaging and completed questionnaires related to fatigue and psychiatric symptoms...
January 30, 2018: Journal of Head Trauma Rehabilitation
Cherylynn Marino, Amanda Botticello, Julia H Coyne, Michael Dribbon, John DeLuca
OBJECTIVE: To examine functional independence at admission as a predictor of outcomes during an initial inpatient hospitalization for a pediatric brain injury. PARTICIPANTS: A total of 531 pediatric inpatients with traumatic (n = 298) or nontraumatic (n = 233) brain injuries. DESIGN: Retrospective analysis of data extracted from the Uniform Data System for Medical Rehabilitation. MAIN MEASURE: The Functional Independence Measure for Children, a measure of self-care, mobility, and cognitive independence...
January 30, 2018: Journal of Head Trauma Rehabilitation
Noelle E Carlozzi, Rael T Lange, Louis M French, Angelle M Sander, Jenna Freedman, Tracey A Brickell
OBJECTIVE: To identify barriers and supports that caregivers of individuals with military-related traumatic brain injury (TBI) encounter when navigating the military healthcare system; this information will be used as the foundation of a new patient-reported outcome measure. SETTING: Community. PARTICIPANTS: Forty-five caregivers of service members and veterans (SMV) who sustained a medically documented mild, moderate, severe, or penetrating TBI...
January 30, 2018: Journal of Head Trauma Rehabilitation
Grahame Simpson, Virginia Mitsch, Margaret Doyle, Marcella Forman, Denise Young, Vicki Solomon, Margaret MacPherson, Lauren Gillett, Barbara Strettles
OBJECTIVE: To investigate a model of community-based case management (CM). SETTING: New South Wales (NSW) Brain Injury Rehabilitation Program (BIRP). PARTICIPANTS: All clinicians (N = 72) providing CM within 14 BIRP community rehabilitation teams. DESIGN: A prospective, multicenter study. MAIN MEASURES: A purpose-designed survey. METHODS: Participants from the 12 adult and 2 pediatric services (8 located in metropolitan areas, 6 in rural areas) completed a 3-part survey investigating their organizational context, clinical approach, and CM interventions...
January 30, 2018: Journal of Head Trauma Rehabilitation
Bilal Khokhar, Linda Simoni-Wastila, Julia F Slejko, Eleanor Perfetto, Min Zhan, Gordon S Smith
OBJECTIVE: To assess the relationship between posttraumatic brain injury statin use and (1) mortality and (2) the incidence of associated morbidities, including stroke, depression, and Alzheimer's disease and related dementias following injury. SETTING AND PARTICIPANTS: Nested cohort of all Medicare beneficiaries 65 years of age and older who survived a traumatic brain injury (TBI) hospitalization during 2006 through 2010. The final sample comprised 100 515 beneficiaries...
January 30, 2018: Journal of Head Trauma Rehabilitation
Amaal Eman Abdulle, Myrthe E de Koning, Harm J van der Horn, Myrthe E Scheenen, Gerwin Roks, Gerard Hageman, Jacoba M Spikman, Joukje van der Naalt
OBJECTIVE: To identify the effect of frailty and early postinjury measures on the long-term outcome after mild traumatic brain injury in elderly patients. SETTING: Patients admitted to 3 Dutch hospitals designated as level 1 trauma centers. PARTICIPANTS: The elderly (≥60 years) with mild traumatic brain injury (N = 161). DESIGN: A prospective observational cohort study. MAIN MEASURES: Posttraumatic complaints and the Hospital Anxiety and Depression Scale determined 2 weeks postinjury; the Glasgow Outcome Scale Extended and Groningen frailty indicator determined 1 to 3 years postinjury...
January 30, 2018: Journal of Head Trauma Rehabilitation
Yelena G Bodien, Michael McCrea, Sureyya Dikmen, Nancy Temkin, Kim Boase, Joan Machamer, Sabrina R Taylor, Mark Sherer, Harvey Levin, Joel H Kramer, John D Corrigan, Thomas W McAllister, John Whyte, Geoffrey T Manley, Joseph T Giacino
Traumatic brain injury (TBI) is a global public health problem that affects the long-term cognitive, physical, and psychological health of patients, while also having a major impact on family and caregivers. In stark contrast to the effective trials that have been conducted in other neurological diseases, nearly 30 studies of interventions employed during acute hospital care for TBI have failed to identify treatments that improve outcome. Many factors may confound the ability to detect true and meaningful treatment effects...
January 30, 2018: Journal of Head Trauma Rehabilitation
Cristina Mei, Vicki Anderson, Mary-Clare Waugh, Louise Cahill, Angela T Morgan
OBJECTIVE: Evidence-based management guidelines for communication and swallowing disorders following pediatric traumatic brain injury (TBI) are scarcely available, potentially resulting in suboptimal outcomes. To improve clinical care of this population, a multidisciplinary guideline development committee was formed to develop evidence-based recommendation (EBR) and consensus-based recommendation (CBR) for the management of speech, language, and swallowing disorders during the first year of recovery...
January 30, 2018: Journal of Head Trauma Rehabilitation
Simon Driver, Megan Reynolds, Anne Woolsey, Librada Callender, Purvi K Prajapati, Monica Bennett, Kaye Kramer
OBJECTIVES: To examine adherence with and effect of an evidence-based healthy lifestyle intervention modified for individuals with traumatic brain injury (TBI). DESIGN: Pre-/postintervention without control. SETTING: Community. PARTICIPANTS: Eighteen individuals with TBI: primarily male (61%), white (67%), with private insurance (50%). Mean age was 45.6 ± 12.3 years, weight 210 ± 42.6 lb, and body mass index 31.8 ± 4...
January 30, 2018: Journal of Head Trauma Rehabilitation
Therese M OʼNeil-Pirozzi, Jessica M Ketchum, Flora M Hammond, Angela Philippus, Erica Weber, Kristen Dams-OʼConnor
OBJECTIVE: To compare a group of individuals who died more than 1 year posttraumatic brain injury (TBI) with a matched group of survivors and to identify physical function, cognitive function, and/or psychosocial function variables associated with mortality. DESIGN: Secondary analysis of data from a multicenter longitudinal cohort study. SETTING: Acute inpatient rehabilitation facilities and community follow-up. PARTICIPANTS: Individuals 16 years and older with a primary diagnosis of TBI...
December 21, 2017: Journal of Head Trauma Rehabilitation
Joan Leung, Sarah Fereday, Bridget Sticpewich, Katarina Stroud
OBJECTIVE: To determine what influences the satisfaction of rehabilitation inpatients and their relatives with physiotherapy after severe traumatic brain injury. DESIGN: A prospective purpose-designed survey of consecutive eligible patients discharged from a metropolitan brain injury unit. PARTICIPANTS: A total of 65 patients with severe traumatic brain injury and 32 relatives. RESULTS: The vast majority of patients (99%) and relatives (97%) reported being "satisfied" or "highly satisfied" with the service...
December 21, 2017: Journal of Head Trauma Rehabilitation
Catherine Brawn Fortier, Alexandra Kenna, Kristen Dams-OʼConnor, Jennifer Fonda, Laura K Levin, Colleen Hursh, Hannah Franz, William P Milberg, Regina E McGlinchey
OBJECTIVE: To evaluate the feasibility of a newly developed reintegration workshop for Operation Iraqi Freedom/Operation Enduring Freedom (OEF/OIF) Veterans that is based on an evidence-based rehabilitation program shown to be effective in treating mild traumatic brain injury-related symptoms in civilians. Underutilization and resistance to mental health treatment remain a significant problem for OEF/OIF Veterans. Innovative, integrative, transdiagnostic, and acceptable interventions are needed, particularly for this heterogeneous group...
November 29, 2017: Journal of Head Trauma Rehabilitation
Jessica Trevena-Peters, Jennie Ponsford, Adam McKay
BACKGROUND: Patients in posttraumatic amnesia (PTA) may receive limited rehabilitation due to the risk of overstimulation and agitation. This assumption has not been tested. OBJECTIVE: To examine the relationship between agitated behavior and participation in therapy for retraining of activities of daily living (ADL) while in PTA. SETTING: Inpatient rehabilitation center. PARTICIPANTS: A total of 104 participants with severe traumatic brain injury, admitted to rehabilitation, in PTA of more than 7 days...
November 29, 2017: Journal of Head Trauma Rehabilitation
Lauren J Radigan, Regina E McGlinchey, William P Milberg, Catherine Brawn Fortier
OBJECTIVE: To compare the diagnosis of positive versus negative for mild traumatic brain injury (mTBI) using the Boston Assessment of TBI-Lifetime (BAT-L), a validated forensic clinical interview used to identify TBI in research, to the diagnosis of mTBI in the clinical polytrauma service using the Comprehensive TBI Evaluation (CTBIE). PARTICIPANTS: Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn Veterans who were enrolled in the Translational Research Center for TBI and Stress Disorders longitudinal cohort study and received a CTBIE at a Veterans Health Administration healthcare facility (n = 104)...
November 29, 2017: Journal of Head Trauma Rehabilitation
Elizabeth Jane Beadle, Tamara Ownsworth, Jennifer Fleming, David H K Shum
OBJECTIVE: Individuals with traumatic brain injury (TBI) often make unfavorable comparisons between their preinjury and postinjury selves. Although it is known that negative "self-discrepancy" is related to poorer emotional adjustment, the impact of neurocognitive function on self-discrepancy is unclear. This study aimed to investigate the relationship between current neurocognitive function (attention, memory, executive function, and self-awareness) and self-discrepancy after severe TBI...
November 29, 2017: Journal of Head Trauma Rehabilitation
Brian OʼNeill, Catherine Best, Lauren OʼNeill, Sara D S Ramos, Alex Gillespie
OBJECTIVE: To evaluate the effectiveness of an automated interactive prompting technology in supporting the morning routine of persons with acquired brain injury. The morning routine included maintaining personal hygiene and dressing. SETTING: An inpatient neurorehabilitation hospital. PARTICIPANTS: Persons with acquired brain injury who required prompting when following their morning routine (n = 24), but were not limited by physical disability or dysphasia, took part in the study...
November 29, 2017: Journal of Head Trauma Rehabilitation
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