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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
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
Jennifer S Albrecht, Jon Mark Hirshon, Maureen McCunn, Kathleen T Bechtold, Vani Rao, Linda Simoni-Wastila, Gordon S Smith
OBJECTIVE: To estimate rates of emergency department (ED) visits for mild traumatic brain injury (TBI) among older adults. We defined possible mild TBI cases to assess underdiagnoses. DESIGN: Cross-sectional. SETTING: National sample of ED visits in 2009-2010 captured by the National Hospital Ambulatory Medical Care Survey. PARTICIPANTS: Aged 65 years and older. MEASUREMENTS: Mild TBI defined by International Classification of Diseases, Ninth Revision, Clinical Modification, codes (800...
September 2016: Journal of Head Trauma Rehabilitation
Scott F Sorg, Dawn M Schiehser, Mark W Bondi, Norman Luc, Alexandra L Clark, Mark W Jacobson, Lawrence R Frank, Lisa Delano-Wood
OBJECTIVE: To investigate white matter microstructure compromise in Veterans with a history of traumatic brain injury (TBI) and its possible contribution to posttraumatic stress disorder (PTSD) symptomatology and neuropsychological functioning via diffusion tensor imaging. PARTICIPANTS AND METHODS: Thirty-eight Veterans with mild (n = 33) and moderate (n = 5) TBI and 17 military control participants without TBI completed neuropsychological testing and psychiatric screening and underwent magnetic resonance imaging an average of 4 years following their TBI event(s)...
September 2016: Journal of Head Trauma Rehabilitation
Ryan C N DʼArcy, D Stephen Lindsay, Xiaowei Song, Jodie R Gawryluk, Debbie Greene, Chantel Mayo, Sujoy Ghosh Hajra, Lila Mandziuk, John Mathieson, Trevor Greene
OBJECTIVE: To report neural plasticity changes after severe traumatic brain injury. SETTING: Case-control study. PARTICIPANTS: Canadian soldier, Captain Trevor Greene survived a severe open-traumatic brain injury during a 2006 combat tour in Afghanistan. DESIGN: Longitudinal follow-up for more than 6 years. MAIN MEASURES: Twelve longitudinal functional magnetic imaging (fMRI) examinations were conducted to investigate lower limb activation changes in association with clinical examination...
September 2016: Journal of Head Trauma Rehabilitation
Alexandra L Clark, Scott F Sorg, Dawn M Schiehser, Erin D Bigler, Mark W Bondi, Mark W Jacobson, Amy J Jak, Lisa Delano-Wood
OBJECTIVE: Failure on performance validity tests (PVTs) is common in Veterans with histories of mild traumatic brain injury (mTBI), leading to questionable validity of clinical presentations. PARTICIPANTS: Using diffusion tensor imaging, we investigated white matter (WM) integrity and cognition in 79 Veterans with history of mTBI who passed PVTs (n = 43; traumatic brain injury [TBI]-passed), history of mTBI who failed at least 1 PVT (n = 13; TBI-failed), and military controls (n = 23; MCs) with no history of TBI...
September 2016: Journal of Head Trauma Rehabilitation
Christina Atay, Sarah J Ryan, Fiona M Lewis
OBJECTIVE: (1) To investigate outcomes in language competence and self-reported satisfaction with social relationships in long-term survivors of childhood traumatic brain injury (TBI); and (2) to establish whether language competence contributes to self-reported satisfaction with social relationships decades after sustaining childhood TBI. PARTICIPANTS: Twelve females and 8 males aged 30 to 55 (mean = 39.80, standard deviation = 7.54) years who sustained a TBI during childhood and were on average 31 years postinjury (standard deviation = 9...
September 2016: Journal of Head Trauma Rehabilitation
Marcy M Pape, Kathy Williams, Paula N Kodosky, Michael Dretsch
OBJECTIVE: To compare the capacity of the Community Balance and Mobility Scale (CB&M) to identify balance and mobility deficits in Service Members (SMs) with mild traumatic brain injury and comorbid psychological health conditions (mTBI/PH) to other commonly used balance assessments. SETTING: A clinical research institute that provides a 4-week, outpatient, interdisciplinary program for active-duty SMs with mTBI/PH. DESIGN: A nonrandomized, cross-sectional design that compared multiple measures between 2 groups-active duty SMs with (n = 8) and without (n = 8) the dual diagnosis of mTBI/PH...
September 2016: Journal of Head Trauma Rehabilitation
Megan K Yee, Daniel R Seichepine, Patricia A Janulewicz, Kimberly A Sullivan, Susan P Proctor, Maxine H Krengel
BACKGROUND: Traumatic brain injury (TBI) was not considered to be common in the 1990-1991 Gulf War (GW). Therefore, the relationship between TBI and chronic health symptoms experienced by GW veterans is unknown. Health symptoms reported by veterans deployed more recently to this region (Operations Enduring and Iraqi Freedom) are similar to those of GW veterans and have been primarily attributed to TBI. OBJECTIVE: To examine the relationships among self-reported TBI, health symptoms, chronic multisymptom illness (CMI), and health-related quality of life among GW veterans...
September 2016: Journal of Head Trauma Rehabilitation
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