Journals Journal of Head Trauma Rehabil...

Journal of Head Trauma Rehabilitation
Emily Alice Bray, Christy Hogan, Jessie Mitchell, Timothy Geraghty, Tamara Ownsworth
OBJECTIVE: To investigate the relationship between preinjury or early personal resources and long-term psychosocial outcomes following moderate-to-severe traumatic brain injury (TBI) and examine evidence for the stability of personal resources over time. METHODS: The review protocol was registered with the International Register of Systematic Reviews (PROSPERO, Registration No. CRD4202341056). A search of PsycINFO, Cumulative Index to Allied Health Literature (CINAHL), MEDLINE, Scopus, and Web of Science was conducted from inception to February 23, 2023, for longitudinal studies involving adults with moderate-to-severe TBI that examined: (1) the relationship between preinjury or early personal resources (measured ≤6 months postinjury) and later psychosocial outcomes or (2) stability of personal resources over time with a minimum reassessment interval of 3 months...
May 14, 2024: Journal of Head Trauma Rehabilitation
Emily L Morrow, Melissa C Duff
OBJECTIVE: To examine sleep disruption in chronic traumatic brain injury (TBI) across 3 aims: (1) to examine differences in self-reported sleep disruption between adults with and without a chronic history of TBI; (2) to query reported changes in sleep after TBI; and (3) to explore the relationship between self-reported sleep disruption and memory failures in daily life. SETTING: Community-dwelling participants completed self-report sleep and memory surveys as part of their participation in a larger patient registry...
May 14, 2024: Journal of Head Trauma Rehabilitation
Erin Trifilio, Sarah Bottari, Leah E McQuillan, David J Barton, Damon G Lamb, Claudia Robertson, Richard Rubenstein, Kevin K Wang, Amy K Wagner, John B Williamson
OBJECTIVE: Identification of biomarkers of cognitive recovery after traumatic brain injury (TBI) will inform care and improve outcomes. This study assessed the utility of neurofilament (NF-L and pNF-H), a marker of neuronal injury, informing cognitive performance following moderate-to-severe TBI (msTBI). SETTING: Level 1 trauma center and outpatient via postdischarge follow-up. PARTICIPANTS: N = 94. Inclusion criteria: Glasgow Coma Scale score less than 13 or 13-15 with clinical evidence of moderate-to-severe injury traumatic brain injury on clinical imaging...
May 14, 2024: Journal of Head Trauma Rehabilitation
Megan Moore, Leslie Kempthorne, Jesse R Fann, Orli Shulein, Kristen Dams-O'Connor, Maria Kajankova, Kelsey M Conrick, Jodi Seeliger, Jeanne M Hoffman
OBJECTIVE: To ascertain patient and caregiver satisfaction with an individualized case management intervention to improve transition from inpatient rehabilitation care to the community after traumatic brain injury (TBI). SETTING: Participants from 6 National Institute on Disability, Independent Living, and Rehabilitation Research-funded TBI Model Systems sites in the United States. PARTICIPANTS: Adult, English-speaking patients with TBI who had moderate-to-severe TBI and were discharged from a TBI Model Systems site and who were in the intervention arm of the Brain Injury Rehabilitation: Improving the Transition Experience pragmatic clinical trial, as well as their caregivers...
May 13, 2024: Journal of Head Trauma Rehabilitation
Yll Agimi, Tajrina Hai, Amanda Gano, Keith Stuessi, Joanne Gold, Rachael Kaufman, Gary McKinney
BACKGROUND AND OBJECTIVE: In the US military, traumatic brain injury (TBI) is of distinct importance, at home and in the deployed setting, and is considered a "signature injury of the wars in Afghanistan and Iraq." Since 2000, an estimated 468 424 service members (SMs) have been diagnosed with at least one TBI. We examined the clinical trajectories of a group of 18 comorbidities before and after a military-sustained mild TBI (mTBI). METHODS: Without making assumptions on causality, a group of 18 conditions often co-occurring with mTBI were identified through literature review and TBI subject matter workgroup consensus...
May 10, 2024: Journal of Head Trauma Rehabilitation
Cheng-Chuan Chiang, Kale Hyder, Kathleen Bechtold, Manuel Anaya, Pablo Celnik, Gabriela Cantarero, Stacy Suskauer, Joan Stilling
OBJECTIVE: Sports-related concussion management in collegiate athletes has been focused on return-to-play. However, resuming schoolwork without a gradual stepwise reintroduction contributes to symptom exacerbation, delayed recovery, and adverse academic performance. Return-to-learn guidelines are limited by a lack of sensitivity in methods monitoring cognitive function. This study evaluated 2 neuropsychological tests, the Sternberg test and the Paced Auditory Serial Addition Test (PASAT), with high ceilings for sensitivity to deficits in speed of information processing, cognitive efficiency, and complex attention...
May 9, 2024: Journal of Head Trauma Rehabilitation
Jessica Kersey, Hannah Rice, Lisa Tabor Connor, Beth Fields, Joy Hammel
OBJECTIVE: Social support is important for health and functional outcomes after traumatic brain injury (TBI), but many adults with TBI report inadequate social support. Little research has examined the social support priorities of adults with TBI or what an optimal social support network should include. The objective of this study was to describe the social support structures and experiences of adults with TBI. SETTING: Community-based rehabilitation program. PARTICIPANTS: Community-dwelling adults with TBI, predominantly from racial and ethnic minority groups...
April 29, 2024: Journal of Head Trauma Rehabilitation
Chaim M Feigen, Molly F Charney, Simone Glajchen, Cameron Myers, Steven Cherny, Ronni Lipnitsky, Wendy W Yang, Nancy R Glassman, Michael L Lipton
OBJECTIVE: The purpose of this review is to systematically assess primary research publications on known genetic variants, which modify the risk for symptoms or dysfunction persisting 30 days or more following mild traumatic brain injury (mTBI). SUMMARY OF REVIEW: A search of PubMed and Embase from inception through June 2022 identified 42 studies that associated genetic variants with the presence of symptoms or cognitive dysfunction 30 days or more following mTBI...
April 26, 2024: Journal of Head Trauma Rehabilitation
Athanasios Tsalatsanis, Clara Dismuke-Greer, Ambuj Kumar, Jeanne Hoffman, Kimberley R Monden, Ulysses Magalang, Daniel Schwartz, Aaron M Martin, Risa Nakase-Richardson
OBJECTIVE: To assess the cost-effectiveness of alternative approaches to diagnose and treat obstructive sleep apnea (OSA) in patients with traumatic brain injury (TBI) during inpatient rehabilitation. SETTING: Data collected during the Comparison of Sleep Apnea Assessment Strategies to Maximize TBI Rehabilitation Participation and Outcome (C-SAS) clinical trial (NCT03033901) on an inpatient rehabilitation TBI cohort were used in this study. STUDY DESIGN: Decision tree analysis was used to determine the cost-effectiveness of approaches to diagnosing and treating sleep apnea...
April 18, 2024: Journal of Head Trauma Rehabilitation
Laraine Winter, Helene Moriarty, Keith M Robinson, Benjamin E Leiby, Krista Schmidt, Christina R Whitehouse, Randel L Swanson
OBJECTIVES: Recovery from traumatic brain injury (TBI) is extremely difficult to predict, with TBI severity usually demonstrating weak predictive validity for functional or other outcomes. A possible explanation may lie in the statistical phenomenon called suppression, according to which a third variable masks the true association between predictor and outcome, making it appear weaker than it actually is. Age at injury is a strong candidate as a suppressor because of its well-established main and moderating effects on TBI outcomes...
April 17, 2024: Journal of Head Trauma Rehabilitation
Shannon B Juengst, Brittany Wright, Annalyn DeMello, Leia Vos, Fedora Biney, Luis Leon Novelo, Michael Williams
OBJECTIVE: To identify neurobehavioral symptom profiles among persons with chronic traumatic brain injury (TBI) using the Behavioral Assessment Screening Tool (BAST) and to consider participant characteristics that differ between profile groups. SETTING: Community. PARTICIPANTS: Participants (n = 615) were English-speaking adults (≥18) and had a self-reported history of at least one TBI of any severity. DESIGN: Secondary analysis of cross-sectional data...
April 9, 2024: Journal of Head Trauma Rehabilitation
Gale Whiteneck, William Williams, Emily Almeida, Douglas Bidelspach, William Culpepper, Linda M Picon, C B Eagye, David Dr Mellick
OBJECTIVE: To describe the background, methodology, and results of the congressionally mandated Department of Veterans Affairs (VA) Traumatic Brain Injury (TBI) Veterans Health Registry. SETTING: Veterans Health Administration (VHA) and Veterans Benefit Administration (VBA). PARTICIPANTS: A total of 441 639 Veterans of post-9/11 conflicts who exhibited symptoms associated with TBI and sought care or benefits from the VA between September 2001 and September 2021...
April 1, 2024: Journal of Head Trauma Rehabilitation
David B Salisbury, Devan Parrott, Irwin M Altman, Vicki Eicher, Daniel M Logan, Claire McGrath, G Joseph Walters, James F Malec
OBJECTIVE: Describe and compare the demographic characteristics and disability profiles of individuals admitted to 6 types of posthospital brain injury rehabilitation (PHBIR) programs. SETTING: Data from Residential Neurobehavioral, Residential Neurorehabilitation, Home and Community Neurorehabilitation, Day Treatment, Outpatient Neurorehabilitation, and Supported Living programs serving individuals with acquired brain injury (ABI). PARTICIPANTS: Two thousand twenty-eight individuals with traumatic brain injury (TBI), stroke, or other ABI...
April 1, 2024: Journal of Head Trauma Rehabilitation
Raj G Kumar, Emily Evans, Jennifer S Albrecht, Raquel C Gardner, Kristen Dams-O'Connor, Kali S Thomas
OBJECTIVE: The objectives of this study were to characterize and identify correlates of healthy days at home (HDaH) before and after TBI requiring inpatient rehabilitation. Setting: Inpatient hospital, nursing home, and home health services. PARTICIPANTS: Average of n= 631 community-dwelling fee-for-service age 66+ Medicare beneficiaries across 30 replicate samples who were hospitalized for traumatic brain injury (TBI) between 2012 and 2014 and admitted to an inpatient rehabilitation facility (IRF) within 72 hours of hospital discharge...
April 1, 2024: Journal of Head Trauma Rehabilitation
Nicola L de Souza, Jennifer Bogner, John D Corrigan, Amanda R Rabinowitz, William C Walker, Raj G Kumar, Kristen Dams-O'Connor
OBJECTIVE: This study aimed to characterize the types and timing of repetitive head impact (RHI) exposures in individuals with moderate to severe traumatic brain injury (TBI) and to examine the effects of RHI exposures on mental health outcomes. SETTING: TBI Model Systems National Database. PARTICIPANTS: 447 patients with moderate to severe TBI who reported RHI exposure between 2015 and 2022. DESIGN: Secondary data analysis...
March 14, 2024: Journal of Head Trauma Rehabilitation
Dean M Cordingley, Alwyn Gomez, Michael Ellis, Frederick A Zeiler
OBJECTIVE: The purpose of this study was to identify the cerebral physiologic response to aerobic exercise in individuals with a symptomatic concussion, highlighting available knowledge and knowledge gaps in the literature. DESIGN: A systematic scoping review was conducted and reported in keeping with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for scoping reviews. A search of EMBASE, MEDLINE, SCOPUS, BIOSIS, and Cochrane libraries was conducted on June 15, 2023 (from database inception)...
March 14, 2024: Journal of Head Trauma Rehabilitation
Skye King, Sven Z Stapert, Ieke Winkens, Joukje van der Naalt, Caroline M van Heugten, Marleen M Rijkeboer
OBJECTIVE: After a concussion, 1 in 3 patients report persistent symptoms and experience long-term consequences interfering with daily functioning, known as persistent concussion symptoms (PCS). Evidence suggests PCS is (partly) maintained by anxious thoughts about brain functioning, recovery, and experienced symptoms, leading to avoidance behaviors, which may prevent patients from meeting life demands. We aimed to investigate the efficacy of a newly developed intensive exposure intervention for individuals with PCS after concussion aimed to tackle avoidance behavior...
March 14, 2024: Journal of Head Trauma Rehabilitation
Rebecca Ludwig, Michael Rippee, Linda D'Silva, Jeff Radel, Aaron M Eakman, Alvin Beltramo, Michelle Drerup, Catherine Siengsukon
OBJECTIVE: Cognitive behavioral therapy for insomnia (CBT-I) is the gold standard treatment for insomnia, but there is limited evidence on the treatment effect of CBT-I in individuals after a concussion. Therefore, the main purpose of this study was to evaluate the treatment effect of CBT-I on sleep outcomes and postconcussion symptoms. SETTING: This study was conducted at an academic institution. The CBT-I sessions were conducted using a teleconferencing system (Zoom)...
March 11, 2024: Journal of Head Trauma Rehabilitation
Denise Krch, Anthony H Lequerica, Juan Carlos Arango-Lasprilla, John D Corrigan
OBJECTIVE: To examine whether exposure to high-risk events causing injury to the head or neck has an effect on neurobehavioral symptoms in the absence of an alteration of consciousness in Spanish-speakers. SETTING: Web-based survey. PARTICIPANTS: Seven hundred forty-eight individuals from Spain and Latin America, aged 18 to 65 years, with 10 years or more of education. Thirty-nine participants failed quality checks and were excluded. Seven hundred nine participants were included in the analyses...
March 8, 2024: Journal of Head Trauma Rehabilitation
Jacinta Thorne, Sarah C Hellewell, Gill Cowen, Alexander Ring, Amanda Jefferson, HuiJun Chih, Aleksandra K Gozt, Francesca Buhagiar, Elizabeth Thomas, Melissa Papini, Michael Bynevelt, Antonio Celenza, Dan Xu, Stephen Honeybul, Carmela F Pestell, Daniel Fatovich, Melinda Fitzgerald
OBJECTIVES: People may experience a myriad of symptoms after mild traumatic brain injury (mTBI), but the relationship between symptoms and objective assessments is poorly characterized. This study sought to investigate the association between symptoms, resting heart rate (HR), and exercise tolerance in individuals following mTBI, with a secondary aim to examine the relationship between symptom-based clinical profiles and recovery. METHODS: Prospective observational study of adults aged 18 to 65 years who had sustained mTBI within the previous 7 days...
February 27, 2024: Journal of Head Trauma Rehabilitation
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