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Journal of Head Trauma Rehabilitation

Natalie Kreitzer, Kelly Rath, Brad G Kurowski, Tamilyn Bakas, Kim Hart, Christopher J Lindsell, Opeolu Adeoye
OBJECTIVE: To characterize the indications, timing, barriers, and perceived value of rehabilitation currently provided for individuals with moderate or severe traumatic brain injury (TBI) admitted to the intensive care unit (ICU) based on the perspectives of providers who work in the ICU setting. PARTICIPANTS: Members (n = 66) of the Neurocritical Care Society and the American Congress of Rehabilitation Medicine. DESIGN: An anonymous electronic survey of the timing of rehabilitation for patients with TBI in the ICU...
February 27, 2019: Journal of Head Trauma Rehabilitation
Alicia M Sufrinko, Erin K Howie, Daniel B Charek, R J Elbin, Michael W Collins, Anthony P Kontos
OBJECTIVE: Evaluate mobile ecological momentary assessment (mEMA) as an approach to measure sport-related concussion (SRC) symptoms, explore the relationships between clinical outcomes and mEMA, and determine whether mEMA was advantageous for predicting recovery outcomes compared to traditional symptom report. SETTING: Outpatient concussion clinic. PARTICIPANTS: 20 athletes aged 12 to 19 years with SRC. METHODS: Prospective study of mEMA surveys assessing activity and symptoms delivered via mobile application (3 time blocks daily) and clinical assessment at visit 1 (<72 hours postinjury) and visit 2 (6-18 days postinjury)...
February 27, 2019: Journal of Head Trauma Rehabilitation
Aaron Thompson, Yuriy Chechulin, Donna Bain, Mark Bayley
OBJECTIVE: To evaluate the impact of an evidence-based assessment program for people with workers' compensation claims for concussion on healthcare utilization and duration of lost time from work. SETTING: An assessment program for people with a work-related concussion was introduced to provide physician assessment focused on education and appropriate triage. PARTICIPANTS: A total of 3865 people with accepted workers' compensation claims for concussion with dates of injury between January 1, 2014, and February 28, 2017...
February 27, 2019: Journal of Head Trauma Rehabilitation
Denise Krch, Lea E Frank, Nancy D Chiaravalloti, Eli Vakil, John DeLuca
OBJECTIVE: To evaluate whether cognitive reserve (CR) moderates the relationship between neuropathology and cognitive outcomes after traumatic brain injury (TBI). SETTING: Outpatient research organization. PARTICIPANTS: Patients with complicated mild (n = 8), moderate (n = 9), and severe (n = 44) TBI. DESIGN: Prospective, cross-sectional study. MAIN MEASURES: Cognitive reserve was estimated using a test of word reading (Wechsler Test of Adult Reading)...
February 27, 2019: Journal of Head Trauma Rehabilitation
Scott A Sabella, Christopher S Suchan
OBJECTIVES: (a) To assess whether 3 changeable environmental variables (social support, professional support, and financial hardship) contribute to explaining differences in well-being of family caregivers after traumatic brain injury (TBI), above and beyond the influence of neurobehavioral functioning. (b) To assess the unique and relative contribution of social support, professional support, and financial hardship to life satisfaction of family caregivers. PARTICIPANTS: Adult family caregivers (n = 136) of individuals who received inpatient rehabilitation following a TBI...
February 27, 2019: Journal of Head Trauma Rehabilitation
Raj G Kumar, Jennifer Olsen, Shannon B Juengst, Kristen Dams-OʼConnor, Therese M OʼNeil-Pirozzi, Flora M Hammond, Amy K Wagner
OBJECTIVES: To assess the relationship of acute complications, preexisting chronic diseases, and substance abuse with clinical and functional outcomes among adults 50 years and older with moderate-to-severe traumatic brain injury (TBI). DESIGN: Prospective cohort study. PARTICIPANTS: Adults 50 years and older with moderate-to-severe TBI (n = 2134). MEASURES: Clusters of comorbid health conditions empirically derived from non-injury International Classification of Diseases, Ninth Revision codes, demographic/injury variables, and outcome (acute and rehabilitation length of stay [LOS], Functional Independence Measure efficiency, posttraumatic amnesia [PTA] duration, institutionalization, rehospitalization, and Glasgow Outcome Scale-Extended (GOS-E) at 1 year)...
February 27, 2019: Journal of Head Trauma Rehabilitation
Jeanne E Dise-Lewis, Jeri E Forster, Karen McAvoy, Kelly A Stearns-Yoder, Nazanin H Bahraini, Scott R Laker, Lisa A Brenner
OBJECTIVE: Evaluate postconcussive symptom reporting and recovery. SETTING: Public high school. PARTICIPANTS: Unmatched controls (n = 760); students who sustained a sports-related concussion (n = 77); matched controls (gender, grade, sport) (n = 77). DESIGN: Prospective longitudinal cohort study. OUTCOME MEASURE: Immediate Postconcussion Assessment and Cognitive Testing. RESULTS: At baseline, athletes who went on to sustain concussions were more likely than unmatched controls to be younger (P = ...
February 27, 2019: Journal of Head Trauma Rehabilitation
Emma Denby, Dominic Murphy, Walter Busuttil, Mohamed Sakel, David Wilkinson
OBJECTIVE: To estimate the frequency of vestibular dysfunction following blunt, blast, and combined blunt and blast mild traumatic brain injury (mTBI) and thereon assess the long-term impact of vestibular dysfunction on neurobehavioral function and disability independently of comorbid psychiatric symptoms. SETTING: Combat Stress residential and Veterans' Outreach drop-in centers for psychological support. PARTICIPANTS: One hundred sixty-two help-seeking UK military veterans...
February 27, 2019: Journal of Head Trauma Rehabilitation
Andrew R R Menatti, Meredith R D Melinder, Stacie L Warren
OBJECTIVE: To test embedded symptom validity scales of the Neurobehavioral Symptom Inventory (NSI) as predictors of performance validity. SETTING: A Veterans Affairs Level II TBI/Polytrauma outpatient care unit in the Midwestern United States. PARTICIPANTS: Veterans with a history of mild traumatic brain injury undergoing neuropsychological assessment as part of their routine care within the TBI/Polytrauma clinic. DESIGN: Retrospective analysis of the existing clinical data...
February 27, 2019: Journal of Head Trauma Rehabilitation
Ying-Hsu Juan, Hanoch Livneh, Hui-Jun Huang, Ming-Chi Lu, Chia-Chou Yeh, Tzung-Yi Tsai
OBJECTIVE: We conducted a longitudinal cohort study comparing the effect of acupuncture on the risk of dementia in Taiwanese individuals with traumatic brain injury (TBI). DESIGN AND PARTICIPANTS: A national health insurance database was used to identify 15 440 newly diagnosed TBI patients 20 to 70 years old between 1998 and 2007. Of the identified patients, 6308 received acupuncture following the onset of TBI (acupuncture users) and 9132 patients did not receive acupuncture (nonacupuncture users)...
February 27, 2019: Journal of Head Trauma Rehabilitation
Oyvor Oistensen Holthe, Torgeir Hellstrom, Nada Andelic, Andres Server, Solrun Sigurdardottir
OBJECTIVES: To compare neuropsychological performances between patients with and without intracranial abnormalities after mild traumatic brain injury (mTBI) and assess the relationship between demographics, injury severity, and self-reported symptom characteristics with improvements in memory and executive functions (8 weeks to 1 year postinjury). SETTING: Inpatient/outpatient followed up at the Department of Physical Medicine and Rehabilitation, Oslo, Norway. PARTICIPANTS: Patients were divided into groups of complicated (n = 73) or uncomplicated mTBIs (n = 77) based on intracranial findings on computed tomographic or magnetic resonance imaging brain scans...
February 27, 2019: Journal of Head Trauma Rehabilitation
James F Malec, Jessica M Ketchum, Flora M Hammond, John D Corrigan, Kristen Dams-OʼConnor, Tessa Hart, Thomas Novack, Marie Dahdah, Gale G Whiteneck, Jennifer Bogner
OBJECTIVE: To explore associations of specific physical and neuropsychiatric medical conditions to motor and cognitive functioning and life satisfaction over the first 10 years following traumatic brain injury (TBI). SETTING: Telephone follow-up through 6 TBI Model System centers. PARTICIPANTS: In total, 404 individuals or proxies with TBI enrolled in the TBI Model System longitudinal study participating in 10-year follow-up. DESIGN: Individual growth curve analysis...
February 27, 2019: Journal of Head Trauma Rehabilitation
Lynne Turner-Stokes, Mendwas Dzingina, Robert Shavelle, Alan Bill, Heather Williams, Keith Sephton
OBJECTIVES: To evaluate cost-efficiency of rehabilitation following severe traumatic brain injury (TBI) and estimate the life-time savings in costs of care. SETTING/PARTICIPANTS: TBI patients (n = 3578/6043) admitted to all 75 specialist rehabilitation services in England 2010-2018. DESIGN: A multicenter cohort analysis of prospectively collated clinical data from the UK Rehabilitation Outcomes Collaborative national clinical database. MAIN MEASURES: Primary outcomes: (a) reduction in dependency (UK Functional Assessment Measure), (b) cost-efficiency, measured in time taken to offset rehabilitation costs by savings in costs of ongoing care estimated by the Northwick Park Dependency Scale/Care Needs Assessment (NPDS/NPCNA), and (c) estimated life-time savings...
February 15, 2019: Journal of Head Trauma Rehabilitation
Brad G Kurowski, Jeffery N Epstein, David W Pruitt, Paul S Horn, Mekibib Altaye, Shari L Wade
OBJECTIVE: To characterize the benefits and optimal dose of long-acting methylphenidate for management of long-term attention problems after childhood traumatic brain injury (TBI). DESIGN: Phase 2, randomized, double-masked, placebo-controlled, dose-titration, crossover clinical trial. SETTING: Outpatient, clinical research. PARTICIPANTS: Twenty-six children aged 6 to 17 years who were at least 6 months post-TBI and met criteria for attention-deficit hyperactivity disorder (ADHD) at the time of enrollment...
March 2019: Journal of Head Trauma Rehabilitation
Flora M Hammond, John D Corrigan, Jessica M Ketchum, James F Malec, Kristen Dams-OʼConnor, Tessa Hart, Thomas A Novack, Jennifer Bogner, Marie N Dahdah, Gale G Whiteneck
OBJECTIVE: To examine the prevalence of selected medical and psychiatric comorbidities that existed prior to or up to 10 years following traumatic brain injury (TBI) requiring acute rehabilitation. DESIGN: Retrospective cohort. SETTING: Six TBI Model Systems (TBIMS) centers. PARTICIPANTS: In total, 404 participants in the TBIMS National Database who experienced TBI 10 years prior. INTERVENTIONS: Not applicable...
January 2, 2019: Journal of Head Trauma Rehabilitation
Atiyeh Vaezipour, Brooke-Mai Whelan, Kylie Wall, Deborah Theodoros
BACKGROUND: Moderate to severe traumatic brain injuries (TBIs) commonly result in persistent physical, cognitive, and/or emotional deficits that require long-term rehabilitation. Technology-enabled rehabilitation provides an innovative alternative to traditional intervention models. End-user acceptance of these interventions, however, is a critical factor in determining the effective implementation and acceptance of these technologies. OBJECTIVE: To systematically review the literature to identify methods and measures used to evaluate user acceptance relating to rehabilitation technologies for adults with moderate to severe TBI, their caregivers, and healthcare professionals...
January 2, 2019: Journal of Head Trauma Rehabilitation
Dustin Currie, Traci Snedden, Lauren Pierpoint, R Dawn Comstock, Joseph A Grubenhoff
OBJECTIVE: To identify socioeconomic, demographic, and caregiver factors associated with children attending primary care provider (PCP) follow-up after emergency department (ED) evaluation for mild traumatic brain injury (mTBI). SETTING: Pediatric trauma center ED. PARTICIPANTS: Children 8 to 18 years of age sustaining mTBI less than 48 hours prior to an ED visit. Mean age of the 183 participants was 12 years with no significant differences between those who attended follow-up and those who did not in race, ethnicity, insurance provider, or PCP office setting...
January 2, 2019: Journal of Head Trauma Rehabilitation
David M Morris, Edward Taub, Victor W Mark, Wei Liu, Lisa Brenner, Treven Pickett, Kelly Stearns-Yoder, Staci Bishop-McKay, Andrea Taylor, Laura Reder, Terrie Adams, James Rimmer, Dustin Dew, Jerzy Szaflarski, Brent Womble, Lillian Stevens, David Rothman, Gitendra Uswatte
Constraint-induced movement therapy (CI therapy) has been shown to reduce disability for individuals with upper extremity (UE) hemiparesis following different neurologic injuries. This article describes the study design and methodological considerations of the Bringing Rehabilitation to American Veterans Everywhere (BRAVE) Project, a randomized controlled trial of CI therapy to improve the motor deficit of participants with chronic and subacute traumatic brain injury. Our CI therapy protocol comprises 4 major components: (1) intensive training of the more-affected UE for target of 3 hour/day for 10 consecutive weekdays, (2) a behavioral technique termed shaping during training, (3) a "transfer package," 0...
January 2, 2019: Journal of Head Trauma Rehabilitation
Richard E Nelson, Junjie Ma, Yan Cheng, Linda Ewing-Cobbs, Amy Clark, Heather Keenan
BACKGROUND: We enrolled patients in a prospective study in which we obtained estimates of the direct and indirect burden for families of children with traumatic brain injury (TBI) relative to a control group of families of children with orthopedic injury (OI). METHODS: Parents were surveyed at 3 time points following injury: 3, 6, and 12 months. At each follow-up contact, we asked parents to list the number of workdays missed, number of miles traveled, amount of travel-related costs, and whether their child had an emergency department (ED) visit, hospital admission, any over-the-counter (OTC) medications, and any prescription medications during that time period...
January 2, 2019: Journal of Head Trauma Rehabilitation
Stacy J Suskauer, Keith Owen Yeates, Kelly Sarmiento, Edward C Benzel, Matthew J Breiding, Catherine Broomand, Juliet Haarbauer-Krupa, Michael Turner, Barbara Weissman, Angela Lumba-Brown
OBJECTIVE: The recently published Centers for Disease Control and Prevention evidence-based guideline on pediatric mild traumatic brain injury (mTBI) was developed following an extensive review of the scientific literature. Through this review, experts identified limitations in existing pediatric mTBI research related to study setting and generalizability, mechanism of injury and age of cohorts studied, choice of control groups, confounding, measurement issues, reporting of results, and specific study design considerations...
January 2, 2019: Journal of Head Trauma Rehabilitation
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