408 results match your criteria Postconcussive Syndrome
J Head Trauma Rehabil 2018 Nov 28. Epub 2018 Nov 28.
Department of Neurology (Dr Shetty and Ms Cogsil, Kim, and Halvorsen) and Biostatistics Core (Mr Nguyen), Hospital for Special Surgery, New York, New York; New York Medical College, Valhalla (Ms Dalal); and SUNY Downstate Medical School, Brooklyn, New York (Ms Cummings).
Objective: A panel of biomarkers is needed to definitively diagnose mild traumatic brain injury (mTBI). There is a clear role for the inclusion of an inflammatory biomarker. This study looked to find a relationship between high sensitivity C-reactive protein (hsCRP), an inflammatory biomarker, and mTBI. Read More
J Neurosurg 2018 Nov 1:1-8. Epub 2018 Nov 1.
OBJECTIVEArtificial neural networks (ANNs) have shown considerable promise as decision support tools in medicine, including neurosurgery. However, their use in concussion and postconcussion syndrome (PCS) has been limited. The authors explore the value of using an ANN to identify patients with concussion/PCS based on their antisaccade performance. Read More
Handb Clin Neurol 2018 ;158:323-333
Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy at the University of Gothenburg, Mölndal, Sweden; Clinical Neurochemistry Laboratory, Sahlgrenska University Hospital, Mölndal, Sweden.
Chronic traumatic encephalopathy (CTE) is a neuropathologic condition that has been described in individuals who have been exposed to repetitive head impacts, including concussions and subconcussive trauma. CTE cannot currently be diagnosed during life. Clinical symptoms of CTE (including changes in mood, behavior, and cognition) are nonspecific and may develop after a latency phase following the injuries. Read More
Handb Clin Neurol 2018 ;158:163-178
Department of Neurology, Boston University School of Medicine, Boston, MA, United States. Electronic address:
Postconcussion syndrome (PCS) is a heterogeneous condition comprised of a set of signs and symptoms in somatic, cognitive, and emotional domains. PCS is a controversial concept because of differing consensus criteria, variability in presentation, and lack of specificity to concussion. Whereas symptoms of concussion resolve in most individuals over days to weeks, a minority of individuals experience symptoms persisting months to years. Read More
Handb Clin Neurol 2018 ;158:127-134
Pediatric Neurology and Pediatric Sleep Program, Department of Pediatrics, Cohen Children's Medical Center, Lake Success, NY, United States. Electronic address:
Sleep disorders are a common sequel of sports-related concussion. Sleep-wake dysfunction can vary among patients, independent of cause or severity of concussive injury. The pathogenesis of postconcussive sleep disorder is unclear, but may be related to impaired signaling in neurons involved in normal sleep-wake control and circadian rhythm maintenance. Read More
Psychiatry Res 2018 Nov 20;271:167-170. Epub 2018 Nov 20.
Center of Excellence for Stress and Mental Health, VA San Diego Healthcare System, San Diego, CA 92161, USA; Department of Psychiatry, University of California, San Diego, La Jolla, CA 92093, USA; Psychology Service, VA San Diego Healthcare System, San Diego, CA 92161, USA.
We retrospectively investigated archival clinical data, including correlates of lifetime homelessness, in 503 Veterans with a history of traumatic brain injuries (86.5% mild) who completed neuropsychological evaluations and passed performance validity tests. The 471 never-homeless and 32 ever-homeless Veterans were compared on demographic factors, TBI severity, psychiatric diagnosis, subjective symptoms, and neuropsychological functioning. Read More
Phys Med Rehabil Clin N Am 2019 02;30(1):133-154
James A. Haley Veterans Hospital, 13000 Bruce B Downs Boulevard #117, Tampa, FL 33612, USA; Department of Psychiatry and Behavioral Neurosciences, University of South Florida Medical School, 4202 E Fowler Avenue, Tampa, FL 33620, USA.
Since the inception of the Afghanistan and Iraq wars, an increasing number of veterans have sought treatment from the Department of Veterans Affairs for combat-related injuries. Many veterans experience postconcussive symptoms, traumatic stress, chronic pain, sensory deficits, and/or headaches. The goal of this article was to highlight some of the challenges treatment providers may face, while providing rehabilitation specialists with important evaluation and treatment considerations in working with this population to maximize outcomes for these veterans. Read More
JAMA Pediatr 2018 Nov 5:e183820. Epub 2018 Nov 5.
Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.
Importance: The natural progression of symptom change and recovery remains poorly defined in children after concussion.
Objectives: To describe the natural progression of symptom change by age group (5-7, 8-12, and 13-18 years) and sex, as well as to develop centile curves to inform families about children after injury recovery.
Design, Setting, And Participants: Planned secondary analysis of a prospective multicenter cohort study (Predicting Persistent Postconcussive Problems in Pediatrics). Read More
Pediatr Neurol Briefs 2018 Oct 2;32:11. Epub 2018 Oct 2.
Texas Child Neurology, Plano, Texas.
Investigators from the Children's Hospital of Eastern Ontario, Boston Children's Hospital, Alberta Children's Hospital, University of Montreal, McGill University Health Center, Hospital for Sick Children, University of Calgary, and the University of Ottawa researched the association between early physical activity and persistent postconcussive symptoms (PPCS). Read More
Curr Opin Neurol 2018 Dec;31(6):672-680
University of Texas Medical Branch at Galveston, Galveston.
Purpose Of Review: When describing clinical or experimental traumatic brain injury (TBI), the adjectives 'mild,' 'moderate' and 'severe' are misleading. 'Mild' clinical TBI frequently results in long-term disability. 'Severe' rodent TBI actually resembles mild or complicated mild clinical TBI. Read More
Neuroreport 2018 Nov;29(16):1413-1417
Department of Psychiatry, College of Medicine, University of Arizona, Tucson, Arizona, USA.
Mild traumatic brain injury (mTBI) can alter the structure of the brain and result in a range of symptoms, including elevated aggression. Neurological damage associated with mTBI is traditionally viewed as transient, yet a growing number of studies suggest long-lasting psychological and neurological changes following mTBI. However, research examining the neural basis of emotion processing in the chronic stage of mTBI recovery remains sparse. Read More
Am J Epidemiol 2018 Sep 7. Epub 2018 Sep 7.
Uniformed Services of the Health Sciences, Bethesda, Maryland.
Postconcussive symptoms are believed to resolve in days or months in most instances for civilian injuries, though recent evidence suggests that recovery may be slower for injuries sustained during military deployment. The present study is based on a cohort of recently deployed soldiers from two US Army military bases (Fort Carson and Fort Bragg, followed from 2009-2015). Soldiers with and without a recent history of a deployment mild traumatic brain injury (mTBI) were evaluated within days of return and at 3, 6, and 12-months. Read More
Concussion 2017 Dec 20;2(4):CNC44. Epub 2017 Dec 20.
Department of Rehabilitation, Nutrition & Sport, La Trobe University, Bundoora, Melbourne, VIC 3086, Australia.
Aim: A small but notable number of individuals who suffer a concussion report ongoing cognitive difficulties. This preliminary study investigated the efficacy of repetitive test application to discern cognitive impairment in those with ongoing symptoms.
Methods: Participants (n = 17) with continuing self-reported symptoms following a concussion (∼9 months postinjury) were compared with 17 age group matched controls for working memory and word-list learning. Read More
J Head Trauma Rehabil 2018 Aug 30. Epub 2018 Aug 30.
Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada (Drs Inness, Habib Perez, Saverino, Comper, Bayley and Mochizuki, and Mss Sweeny, Danells and Chandra, and Mr Foster); Department of Physical Therapy, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada (Drs Inness and Mochizuki, and Ms Danells); Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada (Ms Sweeny and Drs Comper and Mochizuki); Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Ontario, Canada (Dr Comper); Division of Physical Medicine and Rehabilitation, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada (Dr Bayley); and Sunnybrook Research Institute, Toronto, Ontario, Canada (Dr Mochizuki).
Objective: To characterize the prevalence of, and relationship between, self-reported balance disturbance and performance-based balance impairment in the general population with concussion.
Setting: Rehabilitation hospital outpatient concussion clinic.
Participants: One hundred six individuals with concussion (49 males, mean age = 32. Read More
Phys Sportsmed 2018 11 3;46(4):416-419. Epub 2018 Sep 3.
a Emergency Medicine , The Ohio State University , Dublin , OH , USA.
The management of concussion in pediatric patients has always been guided by treatment guidelines that have been drawn from consensus statements rather than clinical research projects. Grool and colleagues conducted a clinical research project on an early return to physical activity and its effect on post-concussion symptoms. The study enrolled 3063 pediatric patients, age 5. Read More
World Neurosurg 2018 Nov 9;119:233-236. Epub 2018 Aug 9.
Department of Neurological Surgery, Washington University School of Medicine, St. Louis, Missouri, USA.
Background: Choroid plexus carcinoma (CPC) is a rare, malignant tumor occurring more commonly in children than adults. This case report describes the clinical course of a 3-year-old boy with a rare case of metastatic CPC with a novel TP53 mutation.
Case Description: A 3-year-old boy presented with postconcussive symptoms after a fall. Read More
Invest Ophthalmol Vis Sci 2018 Aug;59(10):4011-4019
Division of Hyperbaric Medicine, Intermountain Medical Center, Murray, Utah, United States.
Purpose: Standard physical, neurologic, and neuropsychologic examinations may not detect abnormalities after mild traumatic brain injury (mTBI). An analysis of eye movements may be more sensitive to neurologic dysfunction.
Methods: We performed eye tracking assessments in 71 active duty and veteran military personnel with persistent postconcussive symptoms (3 months to 5 years after mTBI) and 75 volunteers with no history of brain injury. Read More
Curr Sports Med Rep 2018 Aug;17(8):262-270
Department of Psychiatry, State University of New York at Buffalo, Buffalo, NY.
Sport-related concussion (SRC) is a physiological brain injury that produces cerebral and systemic effects, including exercise intolerance. Exercise intolerance after concussion is believed to be the result of autonomic nervous system (ANS) dysfunction. Ventilation is inappropriately low for the level of exercise intensity, raising arterial carbon dioxide (PaCO2) levels. Read More
Curr Probl Pediatr Adolesc Health Care 2018 May 14;48(5-6):139-150. Epub 2018 Jul 14.
Division of Adolescent Medicine, Cohen Children's Medical Center, Northwell Health, 410 Lakeville Road, Suite 108, New Hyde Park, New York 11042, United States; Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, United States. Electronic address:
Learning about concussion diagnosis and management is important for all individuals who will be taking care of young athletes. There are about 1.7million reported concussions per year, and, of these, about 20% are sports related. Read More
Brain Inj 2018 9;32(10):1188-1196. Epub 2018 Jul 9.
a San Francisco Veterans Affairs Health Care System , San Francisco , CA, USA.
Objectives: Opioid therapy is contraindicated in patients with traumatic brain injury (TBI) with neuropsychological impairment, yet guidelines do not consistently predict practice. We evaluated independent risk for initiation of opioid therapy among combat veterans with chronic pain diagnoses and persistent postconcussive symptoms.
Methods: We assembled a retrospective cohort of 53 124 Iraq and Afghanistan veterans in Veterans Affairs (VA) healthcare between October 2007 and March 2015 who received chronic pain diagnoses, completed a Comprehensive TBI Evaluation (CTBIE) and had not received opioid therapy in the prior year. Read More
Clin Rehabil 2018 Nov 9;32(11):1440-1448. Epub 2018 Jul 9.
2 Department of Neuropsychology and Psychopharmacology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands.
Purpose:: Approximately 20% of the children and adolescents after mild traumatic brain injury will not fully recover. They suffer long-term postconcussive symptoms and may experience limitations in activities and participation. Research suggests that early psychoeducational interventions may prevent long-term postconcussive symptoms. Read More
Psychol Assess 2018 Aug 7;30(8):1013-1027. Epub 2018 Jun 7.
Rocky Mountain Mental Illness Research, Education and Clinical Center (MIRECC), Department of Veterans Affairs.
This study investigated the dimensionality and measurement properties of the Neurobehavioral Symptom Inventory (NSI), a 22-item questionnaire of postconcussive symptoms, in a national sample of 9,679 Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) Veterans with mild traumatic brain injury. Dimensionality of the NSI was examined using exploratory factor analysis (EFA) and Rasch analysis. Rasch measurement properties, including overall fit, unidimensionality, item level statistics, and category functioning were examined for individual NSI symptom domains identified through EFA. Read More
J Head Trauma Rehabil 2018 May 31. Epub 2018 May 31.
South Texas Veteran's Healthcare System Neuropsychology Consult Service (Drs O'Rourke, Soble, and Bain) and Polytrauma Rehabilitation Center (Drs Critchfield and Eapen), US Department of Veterans Affairs, San Antonio, Texas; and Psychology Department, Our Lady of the Lake University, San Antonio, Texas (Ms Fullen).
Objective: To examine the utility of the Mayo-Portland Adaptability Inventory-4th Edition Participation Index (M2PI) as a self-report measure of functional outcome following mild traumatic brain injury (mTBI) in US Military veterans.
Setting: Department of Veterans Affairs Polytrauma Rehabilitation Center specialty hospital.
Participants: On hundred thirty-nine veterans with a history of self-reported mTBI. Read More
J Hosp Med 2018 10 25;13(10):673-680. Epub 2018 Apr 25.
Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Background: Children hospitalized for concussion may be at a higher risk for persistent symptoms, but little is known about this subset of children.
Objective: Delineate a cohort of children admitted for concussion, describe care practices received, examine factors associated with prolonged length of stay (LOS) or emergency department (ED) readmission, and investigate changes in care over time.
Design, Setting: Retrospective analysis of data submitted by 40 pediatric hospitals to the Pediatric Health Information System. Read More
J Psychiatr Res 2018 Jul 10;102:8-13. Epub 2018 Mar 10.
Emory University School of Medicine, Atlanta, GA, USA; Atlanta VA Medical Center, Atlanta, GA, USA.
Mild traumatic brain injury (mTBI) is commonly reported in recent combat Veterans. While the majority resolve, some Veterans develop postconcussive symptoms (PCS). Previous research suggests these symptoms are not specific to head injury and are often associated with psychiatric symptoms. Read More
J Child Neurol 2018 May 19;33(6):383-388. Epub 2018 Mar 19.
1 Medicine & Epilepsy, MedStar Georgetown University Hospital, Washington, DC, USA.
The objective was to characterize cognitive deficits and postconcussive symptoms in a pediatric population with no concussion, a single concussion, and ≥2 concussions, using a cross-sectional design. Cognitive function and postconcussive symptoms were assessed in participants (age 10-20) with no concussion (n = 1118), single concussion (n = 368), and repeated (≥2) concussions (n = 252). Analyses were adjusted for age and gender. Read More
J Head Trauma Rehabil 2018 Mar/Apr;33(2):81-90
Defense and Veterans Brain Injury Center, Silver Spring, Maryland (Drs Cooper, Curtiss, Belanger, Reid, Kennedy, and Vanderploeg); Departments of Neurology (Drs Cooper, Reid, and Kennedy) and Rehabilitation (Dr Bowles), San Antonio Military Medical Center, Fort Sam Houston, Texas; Department of Psychiatry, University of Texas Health Science Center at San Antonio (Dr Cooper); Departments of Psychology (Drs Curtiss and Belanger) and Psychiatry and Behavioral Neurosciences (Drs Belanger and Vanderploeg), University of South Florida, Tampa; James A. Haley VA Medical Center, Tampa, Florida (Drs Curtiss, Belanger, and Vanderploeg); Concussion Clinic, Munson Army Health Center, Ft Leavenworth, Kansas (Dr Armistead-Jehle); Missouri Institute of Mental Health, University of Missouri-St Louis, Berkeley, (Dr Tate and Ms Velez); Department of Psychiatry, University of Missouri-St Louis, St Louis (Dr Tate and Mr Velez); and Department of Physical Medicine and Rehabilitation, Uniformed Services University of Health Sciences, Bethesda, Maryland (Dr Bowles).
Objective: To examine differences in objective neurocognitive performance and subjective cognitive symptoms in individuals with a history of a single concussion, multiple concussions, orthopedic injuries, and posttraumatic stress disorder (PTSD).
Method: Participants included 116 military service members who sustained a mild traumatic brain injury (mTBI) during combat deployment. Subjects were subdivided into groups based on concussion frequency: a single concussion (n = 42), 2 concussions (n = 21), and 3 or more concussions (n = 53). Read More
Front Neurol 2018 19;9:72. Epub 2018 Feb 19.
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, United States.
The most frequent injury sustained by US service members deployed to Iraq or Afghanistan is mild traumatic brain injuries (mTBI), or concussion, by far most often caused by blast waves from improvised explosive devices or other explosive ordnance. TBI from all causes gives rise to chronic neuroendocrine disorders with an estimated prevalence of 25-50%. The current study expands upon our earlier finding that chronic pituitary gland dysfunction occurs with a similarly high frequency after blast-related concussions. Read More
Paediatr Child Health 2017 Mar 27;22(1):2-6. Epub 2017 Mar 27.
Department of Surgery, McMaster University, Hamilton, Ontario.
Objective: Acute postconcussive headaches are problematic for children after mild traumatic brain injury. There are no evidence-based guidelines for their management. This pilot study aims to assess the feasibility and efficacy of routine analgesia administration. Read More
Am J Psychiatry 2018 02;175(2):103-111
From the Department of Psychiatry and Behavioral Sciences, the MIND Research Network, and the Department of Psychology, University of New Mexico, Albuquerque; the Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, and the Division of Orthopedics and Sports Medicine, Children's Hospital of Philadelphia, Philadelphia; and the Departments of Psychiatry and Behavioral Sciences and of Physical Medicine and Rehabilitation, University of Washington, Seattle.
J Head Trauma Rehabil 2018 Nov/Dec;33(6):E1-E10
Departments of Neurological Surgery (Drs Mac Donald, Coppel, and Temkin, Messrs Barber, Panks, and Zalewski, and Ms Sun) and Biostatistics (Dr Temkin), University of Washington, Seattle; Departments of Radiology (Dr Wright) and Psychiatry and Behavioral Health (Dr De Lacy), Seattle Children's Hospital, Seattle, Washington; and Seattle Children's Research Institute, Seattle, Washington (Mr Ottinger and Ms Peck).
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. Read More
Brain Inj 2018 25;32(5):544-549. Epub 2018 Jan 25.
c Center of Excellence for Stress and Mental Health , VA San Diego Healthcare System , San Diego , CA , USA.
Primary Objective: About 20% of Iraq and Afghanistan Veterans have sustained a traumatic brain injury (TBI), which can result in postconcussive symptoms and difficulty transitioning from the military to civilian employment and postsecondary education. To better inform programs help Veterans transition back into civilian life, we evaluated correlates of employment and postsecondary education enrolment among treatment-seeking Veterans with a history of TBI.
Research Design: A cross-sectional design, using an archival database of VA medical records, was used to answer these research questions. Read More
J Neurophysiol 2018 May 3;119(5):1592-1594. Epub 2018 Jan 3.
Eastern Michigan University , Ypsilanti, Michigan.
Illuminating the pathophysiological mechanisms that underlie persistent postconcussive symptoms following mild traumatic brain injury (mTBI) is a growing area of study. Alhourani et al. ( J Neurophysiol 116: 1840-1847, 2016) added to this emerging body of literature with their study examining default mode network disruption in mTBI using magnetoencephalography. Read More
Appl Neuropsychol Adult 2018 Jan 8:1-8. Epub 2018 Jan 8.
b Department of Athletics , Louisiana State University , Baton Rouge , Lousiana , USA.
The C3Logix is a computerized concussion assessment tool that measures a wider array of symptoms (i.e., balance and oculomotor functioning) than other computerized batteries. Read More
Clin EEG Neurosci 2018 Nov 21;49(6):433-440. Epub 2017 Dec 21.
1 Department of Clinical Psychology, National Institute of Mental Health & Neuro Sciences, Bengaluru, Karnataka, India.
It has been found that reduction of posttraumatic stress symptoms is positively associated with the reduction of postconcussive symptoms. Cortisol is commonly used as a biomarker of stress. Understanding the role of posttraumatic stress and cortisol in symptom reduction has implication for neuropsychological rehabilitation particularly in the context of spontaneous recovery. Read More
Clin J Sport Med 2017 Dec 14. Epub 2017 Dec 14.
Levitetz Department of Orthopaedic Surgery, Cleveland Clinic Florida, Weston, Florida.
Objective: To determine whether concussed female athletes with a previous history of concussion have longer postconcussive recovery than that of male counterparts.
Design: Retrospective cohort study.
Setting: Outpatient sports medicine clinic in an academic practice. Read More
Glob Pediatr Health 2017 7;4:2333794X17745973. Epub 2017 Dec 7.
McMaster University, Hamilton, Ontario, Canada.
This study examines accelerometer-based and self-report assessment of sleep disturbance from a larger prospective cohort of youth 5 to 18 years of age with postconcussive injury. Twenty-one participants with self-reported sleep disturbance were evaluated using accelerometers. Participants completed the Pittsburgh Sleep Quality Index (PSQI) every 48 hours and also measured sleep via accelerometry. Read More
Psychol Med 2018 Jul 27;48(9):1551-1559. Epub 2017 Nov 27.
Department of Psychology,University of Montreal,Montreal,Quebec,Canada.
Background: Pediatric traumatic brain injury (TBI) is a leading cause of long-term disability in children and adolescents worldwide. Amongst the wide array of consequences known to occur after pediatric TBI, behavioral impairments are among the most widespread and may particularly affect children who sustain injury early in the course of development. The aim of this study was to investigate the presence of internalizing and externalizing behavioral problems 6 months after preschool (i. Read More
Neuroimaging Clin N Am 2018 Feb;28(1):43-53
Psychiatry Neuroimaging Laboratory, Department of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, 1249 Boylston Street, Boston, MA 02215, USA; Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Boston, MA 02114, USA; Department of Child and Adolescent Psychiatry, Psychosomatic, and Psychotherapy, Ludwig-Maximilian-Universität, Nußbaumstr 5a, Munich 80336, Germany. Electronic address:
Conventional neuroimaging examinations are typically normal in concussed young athletes. A current focus of research is the characterization of subtle abnormalities after concussion using advanced neuroimaging techniques. These techniques have the potential to identify biomarkers of concussion. Read More
Child Adolesc Psychiatr Clin N Am 2018 Jan 21;27(1):93-108. Epub 2017 Oct 21.
North Shore Physicians Group, Mass General/North Shore, 104 Endicott Street Suite 104, Danvers, MA 01923, USA. Electronic address:
Sports-related concussion (SRC) is a common problem in youth sports. Concussion may occur after a forceful hit to the body or head, resulting in transient neuropathological changes that spontaneously resolve with relative rest and activity modification in most patients. Most SRCs are effectively managed by primary care physicians and sports medicine specialists. Read More
J Trauma Nurs 2017 Nov/Dec;24(6):358-364
North Billerica, Massachusetts.
Purpose of this study was to identify whether children aged 12-14 years benefit from academic reentry plans when returning to school following a mild traumatic brain injury. An integrative review was carried out with data sourced from CINAHL, Medline, Education Full Text, Health Source: Nursing/Academic Edition, and hand searching of references. Abstracts were reviewed for inclusion/exclusion criteria, resulting with six articles appraised and analyzed for this article. Read More
J Head Trauma Rehabil 2018 Mar/Apr;33(2):101-112
Defense and Veterans Brain Injury Center, Silver Spring, Maryland (Drs Lippa, Brickell, Bailie, French, Kennedy, and Lange); Walter Reed National Military Medical Center, Bethesda, Maryland (Drs Lippa, Brickell, French, and Lange); National Intrepid Center of Excellence, Bethesda, Maryland (Drs Lippa, Brickell, French, and Lange); Uniformed Services University of the Health Sciences, Bethesda, Maryland (Drs Brickell and French); Naval Hospital Camp Pendleton, Oceanside, California (Dr Bailie); Center for Neuroscience and Regenerative Medicine, Bethesda, Maryland (Dr French); San Antonio Military Medical Center, San Antonio, Texas (Dr Kennedy); and The University of British Columbia, Vancouver, British Columbia, Canada (Dr Lange).
Objective: Examine effects of diagnostically relevant posttraumatic stress disorder (PTSD) symptoms, mild traumatic brain injury (TBI) severity, and associated bodily injury severity on postconcussion symptom reporting in female service members (SM) compared with a matched sample of male SM.
Setting: Six US military medical treatment facilities.
Participants: A total of 158 SM (79 females, 79 males) evaluated within 30 months after mild TBI. Read More
J Head Trauma Rehabil 2018 Jul/Aug;33(4):E47-E60
School of Psychology and Counselling (Drs Sullivan, Edmed, White, and Lurie) and School of Public Health and Social Work (Dr Greenslade), Queensland University of Technology (QUT), Brisbane, Queensland, Australia; Institute of Health and Biomedical Innovation, Brisbane, Queensland, Australia (Drs Sullivan and White); The University of Queensland, Centre of National Research on Disability and Rehabilitation Medicine, Brisbane, Queensland, Australia (Dr Edmed); Department of Emergency Medicine, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia (Dr Greenslade and Mrs Chu and Lukin); School of Medicine, The University of Queensland, Brisbane, Queensland, Australia (Dr Greenslade and Dr Chu); Defense and Veterans Brain Injury Center, Bethesda, Maryland (Dr Lange); Walter Reed National Military Medical Center, Bethesda, Maryland (Dr Lange); National Intrepid Center of Excellence, Bethesda, Maryland (Dr Lange); and The University of British Columbia, Vancouver, Canada (Dr Lange).
Objective: To determine the contribution of demographics, injury type, pain, and psychological factors on postconcussive symptoms.
Setting And Participants: Recently injured (n = 54) and noninjured (n = 184) adults were recruited from a hospital emergency department or the community. Thirty-eight individuals met the diagnostic criteria for a mild traumatic brain injury and 16 individuals received treatment for a minor traumatic non-brain injury. Read More
Trials 2017 Oct 17;18(1):483. Epub 2017 Oct 17.
Department of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo, Norway.
Background: A considerable proportion of patients with mild to moderate traumatic brain injury (TBI) experience long-lasting somatic, cognitive, and emotional symptoms that may hamper their capacity to return to work (RTW). Although several studies have described medical, psychological, and work-related factors that predict RTW after TBI, well-controlled intervention studies regarding RTW are scarce. Furthermore, there has traditionally been weak collaboration among health-related rehabilitation services, the labor and welfare sector, and workplaces. Read More
BMJ Open Sport Exerc Med 2017 17;3(1):e000260. Epub 2017 Sep 17.
England Hockey, Marlow, UK.
Objectives: To identify the incidence and mechanisms of concussion in elite Field Hockey in different age groups and also the postconcussion symptoms and recovery times.
Methods: Data was collected retrospectively, for both training and matches, over a 12-month period from national level Field Hockey players across under-16, under-18, under-21, Development and Senior players. Mechanism of injury (including player role and field position), postconcussive symptoms and recovery times were recorded following a semistructured interview with each player. Read More
J Head Trauma Rehabil 2018 Mar/Apr;33(2):E53-E63
Mental Health and Behavioral Sciences, James A. Haley Veterans Hospital, Tampa, Florida (Drs Wolf, Mauntel, Kretzmer, Thors, and Vanderploeg); Departments of Psychiatry and Behavioral Neurosciences (Drs Kretzmer and Vanderploeg) and Psychology (Dr Vanderploeg), University of South Florida, Tampa, Florida; Defense and Veterans Brain Injury Center, Tampa, Florida (Dr Vanderploeg); Durham VA Medical Center, VA Mid-Atlantic Region Mental Illness Research, Education and Clinical Center, and Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina (Dr Crawford); and Department of Veterans Affairs Medical Center, and Department of Psychiatry, University of Minnesota, Minneapolis, Minnesota (Dr Strom).
Objectives: To examine (a) generalization of the effectiveness of prolonged exposure (PE) therapy for posttraumatic stress disorder (PTSD) in improving postconcussive symptoms (PCSs) and other outcomes in military service members and Veterans (VA) with histories of mild to severe traumatic brain injury (TBI), and (b) factors associated with PCS reduction.
Setting: VA polytrauma medical center.
Participants: Consecutive referrals for PTSD treatment of Active Duty (n = 17) or Veterans (n = 27) diagnosed with PTSD and TBI (N = 44). Read More
J Head Trauma Rehabil 2018 May/Jun;33(3):E31-E39
University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Objective: This study examined changes in postconcussive symptoms (PCS) over the acute postinjury recovery period, focusing on how daily PCSs differ between mild traumatic brain injury (mTBI) and other injury types.
Setting: An urban emergency department (ED) in Western Pennsylvania.
Subjects: A total of 108 adult patients with trauma being discharged from the ED were recruited and grouped by injury type: mild TBI (mTBI; n = 39), head injury without mTBI (HI: n = 16), and non-head-injured trauma controls (TCs: n = 53). Read More