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rehabilitation after traumatic injury

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https://www.readbyqxmd.com/read/28525311/telerehabilitation-of-patients-with-injuries-of-the-lower-extremities
#1
Andriy I Tsvyakh, Andriy J Hospodarskyy
INTRODUCTION: Timely access to orthopedic rehabilitation is an important problem for the Ukrainian healthcare system. The international orthopedic community aims to achieve the best possible outcome for patient care by modifying rehabilitation methods and using telemedicine technology. The theme of this article is to discuss the integration of telemedicine technology in the rehabilitation of patients with injuries of the lower extremities. MATERIALS AND METHODS: Consecutive patients were recruited over a 2-year period...
May 19, 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/28521527/employment-outcome-four-years-after-a-severe-traumatic-brain-injury-results-of-the-paris-severe-traumatic-brain-injury-study
#2
Alexis Ruet, Claire Jourdan, Eléonore Bayen, Emmanuelle Darnoux, Dalila Sahridj, Idir Ghout, Sylvie Azerad, Pascale Pradat Diehl, Philippe Aegerter, James Charanton, Claire Vallat Azouvi, Philippe Azouvi
OBJECTIVE: To describe employment outcome four years after a severe traumatic brain injury by the assessment of individual patients' preinjury sociodemographic data, injury-related and postinjury factors. DESIGN: A prospective, multicenter inception cohort of 133 adult patients in the Paris area (France) who had received a severe traumatic brain injury were followed up postinjury at one and four years. Sociodemographic data, factors related to injury severity and one-year functional and cognitive outcomes were prospectively collected...
May 18, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28520674/relationship-stability-after-traumatic-brain-injury-among-veterans-and-service-members-a-va-tbi-model-systems-study
#3
Lillian Flores Stevens, Yanna Lapis, Xinyu Tang, Angelle M Sander, Laura E Dreer, Flora M Hammond, Jeffrey S Kreutzer, Therese M OʼNeil-Pirozzi, Risa Nakase-Richardson
OBJECTIVE: To explore stability of relationships and predictors of change in relationship status 2 years following TBI/polytrauma. SETTING: Five Department of Veterans Affairs Polytrauma Rehabilitation Centers (VA PRCs). PARTICIPANTS: A total of 357 active duty service members and Veterans enrolled in the Veterans Affairs Polytrauma Rehabilitation Centers Traumatic Brain Injury Model Systems database with complete marital status information at 2 years postinjury...
May 17, 2017: Journal of Head Trauma Rehabilitation
https://www.readbyqxmd.com/read/28520659/predictors-of-satisfaction-with-life-in-veterans-after-traumatic-brain-injury-a-va-tbi-model-systems-study
#4
Leah R Gause, Jacob A Finn, Greg J Lamberty, Xinyu Tang, Lillian Flores Stevens, Blessen C Eapen, Risa Nakase-Richardson
OBJECTIVE: To identify predictors of satisfaction with life in Veterans 1 year after traumatic brain injury (TBI). SETTING: The VA TBI Model Systems (TBIMS) project includes 5 Veterans Affairs (VA) Polytrauma Rehabilitation Centers. PARTICIPANTS: Veterans enrolled in the VA TBIMS study who completed the Satisfaction With Life Scale at year 1 follow-up. The sample is largely male (96%) and Caucasian (72%), with a median age of 27 years upon enrollment...
May 17, 2017: Journal of Head Trauma Rehabilitation
https://www.readbyqxmd.com/read/28512065/long-term-functional-and-psychosocial-outcomes-after-hypoxic-ischemic-brain-injury-a-case-controlled-comparison-to-traumatic-brain-injury
#5
Meredith Harbinson, Sareh Zarshenas, Nora Cullen
BACKGROUND: Despite the increasing rate of survival from Hypoxic-Ischemic Brain Injury (HIBI), there is a paucity of evidence on the long-term functional outcomes after inpatient rehabilitation among these non-traumatic patients compared to patients with Traumatic Brain injury (TBI). OBJECTIVES: To compare functional and psychosocial outcomes of patients with HIBI vs. case-matched patients with TBI 4 to11 years after brain insult. DESIGN: Retrospective, matched case-controlled study...
May 13, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28508698/negative-impact-of-litigation-procedures-on-patient-outcomes-four-years-after-severe-traumatic-brain-injury-results-from-the-paris-traumatic-brain-injury-study
#6
Eléonore Bayen, Claire Jourdan, Idir Ghout, Pascale Pradat-Diehl, Emmanuelle Darnoux, Gaëlle Nelson, Claire Vallat-Azouvi, James Charenton, Philippe Aegerter, Alexis Ruet, Philippe Azouvi
PURPOSE: To analyze the effect of litigation procedures on long-term outcomes in severe traumatic brain injury. MATERIALS AND METHODS: Prospective observational follow-up of an inception cohort including 504 adults with severe traumatic brain injury recruited in 2005-2007 in the Parisian area, France, with initial, one- and four-year outcomes measures. RESULTS: Four years after the traumatic brain injury, 147 patients, out of 257 who survived the acute phase, were assessed...
May 16, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28505987/improved-grasp-function-with-transcranial-direct-current-stimulation-in-chronic-spinal-cord-injury
#7
Mar Cortes, Ana Heloisa Medeiros, Aasta Gandhi, Peter Lee, Hermano Igo Krebs, Gary Thickbroom, Dylan Edwards
BACKGROUND: Recovering hand function has important implications for improving independence of patients with tetraplegia after traumatic spinal cord injury (SCI). Transcranial direct current stimulation (tDCS) is a noninvasive rehabilitation technique that has potential to improve motor function. OBJECTIVE: To investigate the effects of one session of 1 mA, 2 mA, and sham anodal tDCS (a-tDCS) in the upper extremity (hand) motor performance (grasp and lease) in patients with chronic cervical SCI...
May 10, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/28503462/predictors-for-depressive-mood-in-geriatric-patients-after-traumatic-brain-injury-a-retrospective-cross-sectional-study
#8
Je Kyung Kim, Na Young Kim, Yong Wook Kim
OBJECTIVE: To identify predictors for depressive mood in geriatric patients after traumatic brain injury (TBI). METHODS: A retrospective review of patients' medical charts was performed in TBI patients who were older than 60 years and referred to the Department of Rehabilitation Medicine at Severance Hospital in 2002-2016. The patients were classified into two groups based on the Geriatric Depression Scale (GDS): non-depressive group (0≤GDS≤16) and depressive group (17≤GDS≤30)...
April 2017: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28503319/an-unexpected-delivery-pregnancy-experience-of-a-paraplegic-lady
#9
Nadia M Mustafah, Noriani A Bakar, Aishah A Fauzi, Norhayati Hussein
INTRODUCTION: Spinal cord injury (SCI) has increased over the years, and so has the survival. Women with SCI remain fertile and have equal chance of pregnancy. CASE PRESENTATION: We described a case of a 29-year-old lady with traumatic spinal cord injury (SCI) resultant with paraplegia in 2008, who conceived naturally 2 years after the injury. She only had her antenatal check-up at a low-risk antenatal center throughout her pregnancy and was not referred to specialized obstetric care...
2017: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/28493787/impact-of-therapy-on-recovery-during-rehabilitation-in-patients-with-traumatic-spinal-cord-injury
#10
Catherine Truchon, Nader Fallah, Argelio Santos, Joëlle Vachon, Vanessa K Noonan, Christiana L Cheng
Evidence-based planning of rehabilitation interventions is important to improving cost efficiency while maintaining patient and system outcomes. This paper aims to explore the relationship between rehabilitation therapy, functional outcome, bed utilization, and care costs after traumatic spinal cord injury (tSCI). A retrospective review of 262 persons with tSCI admitted to an inpatient rehabilitation facility from 2005-2011 was conducted. Treatment variables and outcome measures included length of stay (LOS), days to rehabilitation (onset), hours and intensity of therapy, and Functional Independence Measure (FIM)...
May 11, 2017: Journal of Neurotrauma
https://www.readbyqxmd.com/read/28489704/factors-associated-with-rehabilitation-outcomes-after-traumatic-brain-injury-comparing-functional-outcomes-between-tbims-centers-using-hierarchical-linear-modeling
#11
Marie N Dahdah, Melissa Hofmann, Christopher Pretz, Viktoriya An, Sunni A Barnes, Monica Bennett, Laura E Dreer, Thomas Bergquist, Shahid Shafi
OBJECTIVE: To examine differences in patient outcomes across Traumatic Brain Injury Model Systems (TBIMS) rehabilitation centers and factors that influence these differences using hierarchical linear modeling (HLM). SETTING: Sixteen TBIMS centers. PARTICIPANTS: A total of 2056 individuals 16 years or older with moderate to severe traumatic brain injury (TBI) who received inpatient rehabilitation. DESIGN: Multicenter observational cohort study using HLM to analyze prospectively collected data...
November 8, 2016: Journal of Head Trauma Rehabilitation
https://www.readbyqxmd.com/read/28481650/the-impact-of-compensation-on-late-mortality-after-traumatic-brain-injury-a-multi-centre-study
#12
Thomas Munro Gates, Ian James Baguley, Grahame Kenneth Simpson, Hannah Louise Holman Barden, Melissa Therese Nott
OBJECTIVES: To determine the impact of financial compensation on long-term mortality in adults with severe traumatic brain injury (TBI). DESIGN, SETTING AND PARTICIPANTS: An inception cohort of 2545 adults consecutively discharged from three metropolitan, post-acute inpatient rehabilitation services of the NSW Brain Injury Rehabilitation Programme from 1 July 1990 to 1 October 2007. MAIN OUTCOME MEASURE: Survival status at 1 October 2009. RESULTS: Compensation data were available for 1851 (73%) participants, with 826 (45%) receiving financial compensation...
May 8, 2017: Brain Injury: [BI]
https://www.readbyqxmd.com/read/28479025/a-case-report-on-the-use-of-vibration-to-improve-soft-tissue-extensibility-after-major-trauma
#13
Mark Paul Brewin, Carole J Bexon, Sarah C Tucker
This report presents a case where vibration training to the arm alone, as opposed to whole-body vibration, was used to aid rehabilitation to a serious traumatic injury. An improvement in soft tissue extensibility to a major traumatic wound to the wrist and forearm has been noted in a therapy plan including vibration under stretch. After 12 weeks of intensive therapy, a considerable improvement was seen in both the active extension of the wrist and the composite extension of all fingers. This may highlight the use of vibration, as an adjunct to therapy, to specific areas of the human body for improving outcome from traumatic injury...
May 4, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/28476059/the-relations-of-self-reported-aggression-to-alexithymia-depression-and-anxiety-after-traumatic-brain-injury
#14
Dawn Neumann, James F Malec, Flora M Hammond
OBJECTIVES: To compare self-reported aggression in people with and without traumatic brain injury (TBI) and examine the relations of aggression to alexithymia (poor emotional insight), depression, and anxiety. SETTING: Rehabilitation hospital. PARTICIPANTS: Forty-six adults with moderate to severe TBI who were at least 3 months postinjury; 49 healthy controls (HCs); groups were frequency matched for age and gender. DESIGN: Cross-sectional study using a quasi-experimental design...
May 2017: Journal of Head Trauma Rehabilitation
https://www.readbyqxmd.com/read/28476058/negative-attribution-bias-and-anger-after-traumatic-brain-injury
#15
Dawn Neumann, James F Malec, Flora M Hammond
OBJECTIVES: Negative attributions pertain to judgments of intent, hostility, and blame regarding others' behaviors. This study compared negative attributions made by people with and without traumatic brain injury (TBI) and examined the degree to which these negative attributions predicted angry ratings in response to situations. SETTING: Outpatient rehabilitation hospital. PARTICIPANTS: Forty-six adults with moderate to severe TBI and 49 healthy controls...
May 2017: Journal of Head Trauma Rehabilitation
https://www.readbyqxmd.com/read/28476056/rehospitalization-over-10-years-among-survivors-of-tbi-a-national-institute-on-disability-independent-living-and-rehabilitation-research-traumatic-brain-injury-model-systems-study
#16
Kristen Dams-OʼConnor, Dave Mellick, Laura E Dreer, Flora M Hammond, Jeanne Hoffman, Alexandra Landau, Ross Zafonte, Christopher Pretz
OBJECTIVE: To describe the rates and causes for rehospitalization over 10 years after moderate-severe traumatic brain injury (TBI), and to characterize longitudinal trajectories of the probability of rehospitalization using generalized linear mixed models and individual growth curve models conditioned on factors that help explain individual variability in rehospitalization risk over time. DESIGN: Secondary analysis of data from a multicenter longitudinal cohort study...
May 2017: Journal of Head Trauma Rehabilitation
https://www.readbyqxmd.com/read/28471267/technology-and-its-role-in-rehabilitation-for-people-with-cognitive-communication-disability-following-a-traumatic-brain-injury-tbi
#17
Melissa Brunner, Bronwyn Hemsley, Leanne Togher, Stuart Palmer
PURPOSE: To review the literature on communication technologies in rehabilitation for people with a traumatic brain injury (TBI), and: (a) determine its application to cognitive-communicative rehabilitation, and b) develop a model to guide communication technology use with people after TBI. METHOD: This integrative literature review of communication technology in TBI rehabilitation and cognitive-communication involved searching nine scientific databases and included 95 studies...
May 4, 2017: Brain Injury: [BI]
https://www.readbyqxmd.com/read/28469499/a-case-of-statin-associated-autoimmune-myopathy
#18
Alexander J Sweidan, Anthony Leung, Cassandra J Kaiser, Sarah J Strube, Andrei N Dokukin, Stephen Romansky, Sassan Farjami
A 70-year-old previously independent man developed progressive proximal leg weakness resulting in a fall at home suffering traumatic brain injury. He was prescribed a statin medication two years prior, but this was discontinued on admission to the hospital due to concern for statin myopathy. His weakness continued to progress while in acute rehabilitation, along with the development of dysphagia requiring placement of gastrostomy tube and respiratory failure requiring tracheostomy. Corticosteroids and intravenous immunoglobulin were administered without response...
2017: Clinical Medicine Insights. Case Reports
https://www.readbyqxmd.com/read/28462791/cervical-vertebral-body-fracture-with-ankylosing-spondylitis-treated-with-cervical-pedicle-screw-a-fracture-body-overlapping-reduction-technique
#19
Haemin Chon, Jin Hoon Park
We describe a patient with ankylosing spondylitis (AS) with cervical spinal fracture treated with cervical pedicle screw placement (CPS) through a single posterior approach. A 43-year-old male patient with AS visited our emergency centre due to paralysis following a trauma. Coronal reconstructed cervical spine computed tomography (CT) scan showed a C5 oblique fracture, and the bilateral pedicles were separated superiorly and inferiorly. The sagittal reconstructed CT image revealed bamboo spine and C5 vertebrae body fracture...
April 24, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/28462608/traumatic-brain-injury-occludes-training-dependent-cortical-reorganization-in-the-contralesional-hemisphere
#20
David Pruitt, Tanya Danaphongse, Ariel Schmid, Robert Morrison, Michael Kilgard, Robert L Rennaker Ii, Seth Hays
Rehabilitative training drives plasticity in the ipsilesional (injured) motor cortex that is believed to support recovery of motor function after either stroke or TBI. In addition, adaptive plasticity in the contralesional (uninjured) motor cortex has been well-characterized in the context of stroke. While similar rehabilitation-dependent plasticity in the uninjured hemisphere may occur after TBI, this has yet to be thoroughly explored. In this study, we investigated the effects of TBI and rehabilitative training on reorganization of movement representations in the uninjured motor cortex...
May 2, 2017: Journal of Neurotrauma
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