Face-to-Face Versus Telephonic Extended Glasgow Outcome Score Testing After Traumatic Brain Injury
Conclusion: No disagreements of more than 1 point on the GOS-E were observed, with the κ value representing good or substantial agreement. Assessment of the GOS-E via telephone is a valid alternative to the face-to-face interview when in-person contact is not feasible. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - May 1, 2021 Category: Neurology Tags: Original Articles Source Type: research

Physical Activity Interventions for Individuals With a Mild Traumatic Brain Injury:: A Scoping Review
Conclusions: Identified PA intervention types offer various management options for healthcare providers. PA interventions may improve a wide range of health-related outcomes supporting the inclusion of PA in the management of individuals of all ages with mTBI. Higher-quality research and better reporting about intervention characteristics is however needed. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - May 1, 2021 Category: Neurology Tags: Original Articles Source Type: research

Cognitive-Communication Predictors of Employment Outcomes 1 and 5 Years Posttraumatic Brain Injury
Conclusions: An increased rehabilitation focus on functional memory, problem solving, comprehension, expression, and social interaction post-TBI has the potential to improve RTW outcomes. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - May 1, 2021 Category: Neurology Tags: Original Articles Source Type: research

Making a Difference: Affective Distress Explains Discrepancy Between Objective and Subjective Cognitive Functioning After Mild Traumatic Brain Injury
Objective: To assess the relationship between subjective cognitive symptoms and objective cognitive test scores in patients after concussion. We additionally examined factors associated with subjective and objective cognitive dysfunction, as well as their discrepancy. Participants: Eighty-six individuals (65.1% female; 74.4% adult) from an interdisciplinary concussion clinic. Methods: Subjective and objective cognitive functioning was measured via the SCAT—Symptom Evaluation and the CNS Vital Signs Neurocognition Index (NCI), respectively. Cognitive discrepancy scores were derived by calculating standar...
Source: The Journal of Head Trauma Rehabilitation - May 1, 2021 Category: Neurology Tags: Original Articles Source Type: research

Rehabilitation Needs at 5 Years Post-Traumatic Brain Injury: A VA TBI Model Systems Study
Objective: Describe rehabilitation needs and factors associated with unmet needs at 5 years post–traumatic brain injury (TBI). Setting: Five Veterans Affairs (VA) polytrauma rehabilitation centers (PRCs). Participants: VA TBI Model Systems participants (N = 283; 96% male, 75%, 57% severe TBI). Design: Prospective observational cohort. Main Measures: Rehabilitation Needs Survey (21-item survey that assesses cognitive, emotional, social, and functional needs); Craig Hospital Inventory of Environmental Factors (25-item survey of potential environmental barriers). Results: Participants ...
Source: The Journal of Head Trauma Rehabilitation - May 1, 2021 Category: Neurology Tags: Original Articles Source Type: research

Intracranial Abnormalities Are Associated With Fewer Self-Reported Symptoms in Military Service Members Following Moderate-to-Severe Traumatic Brain Injury
Conclusions: Results suggest that ICAs are associated with suppression of reported PTS and neurobehavioral symptoms—potentially via reduction in self-awareness. These findings support comprehensive, objective evaluation to identify impairments in self-awareness and functioning in msTBI patients. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - May 1, 2021 Category: Neurology Tags: Original Articles Source Type: research

Comparing the Westmead Posttraumatic Amnesia Scale, Galveston Orientation and Amnesia Test, and Confusion Assessment Protocol as Measures of Acute Recovery Following Traumatic Brain Injury
Conclusion: The WPTAS identifies a later stage of PTA recovery that requires specialized management due to ongoing amnesia and agitation. The CAP and the GOAT are less sensitive to this extended period of PTA. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - May 1, 2021 Category: Neurology Tags: Original Articles Source Type: research

The Use of Atypical Antipsychotics for Managing Agitation After Traumatic Brain Injury
Conclusions: Antipsychotics are commonly used to manage agitation after TBI despite limited evidence of efficacy. Agitation should be formally monitored in PTA to ensure antipsychotics are used to manage more severe agitation and for evaluating treatment response. Research is needed to understand why prescribers are using antipsychotics when agitation is mild or below clinical thresholds. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - May 1, 2021 Category: Neurology Tags: Original Articles Source Type: research

Assessing Differences in Concussion Symptom Knowledge and Sources of Information Among Black and White Collegiate-Athletes
This study examined how Black and White collegiate-athletes differed in their knowledge of concussion symptoms and use of concussion information sources. Setting: National Collegiate Athletic Association (NCAA) institutions. Participants: Collegiate-athletes. Design: Cross-sectional. Main Measures: Collegiate-athletes completed a questionnaire that assessed personal and sports demographics, concussion symptom knowledge, and use of concussion information sources. Fisher's exact tests and Wilcoxon rank-sum tests examined differences in outcome measures between Black and White collegiate-athletes. ...
Source: The Journal of Head Trauma Rehabilitation - May 1, 2021 Category: Neurology Tags: Original Articles Source Type: research

Long-Term Intellectual Function After Traumatic Brain Injury in Very Young Children
Conclusions: A TBI in early childhood is associated with lower IQ scores that persist several years postinjury. Socioeconomic status is an influential factor on IQ at 6.5 years post-TBI. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - March 1, 2021 Category: Neurology Tags: Pediatric TBI 2021 Source Type: research

Clinical Utility of the Patient Health Questionnaire–Adolescent in Adolescents With Traumatic Brain Injury
Conclusions: PHQ-A has clinical utility as a screening instrument for depressive disorders in outpatient adolescents with TBI when the cutoff for clinically significant concern is set at more than 4 and premorbid psychiatric history is also taken into account. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - March 1, 2021 Category: Neurology Tags: Pediatric TBI 2021 Source Type: research

Fatigue in Children With Moderate or Severe Traumatic Brain Injury Compared With Children With Orthopedic Injury: Characteristics and Associated Factors
Conclusion: Children with moderate and severe TBI experience greater fatigue than OI controls. Parent and child ratings of fatigue appear to be associated with different factors, indicating that fatigue management may require a broad range of treatments. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - March 1, 2021 Category: Neurology Tags: Pediatric TBI 2021 Source Type: research

Perceptual Cognitive Training Does Not Improve Clinical Outcomes at 4 and 12 Weeks Following Concussion in Children and Adolescents: A Randomized Controlled Trial
Objective: To determine whether a perceptual-cognitive training program using 3D-multiple object tracking (3D-MOT) can improve symptoms following acute pediatric concussion. Setting: Research laboratory within a pediatric trauma center. Participants: Children and adolescents (n = 62, age= 13.27 ± 2.50) with diagnosed concussion. Design: Randomized controlled trial. Children were randomized into either 3D-MOT, 2048 game, or standard care-only groups. Participants and parents completed the Post-Concussion Symptom Inventory (PCSI) at baseline, 4, 8, and 12 weeks postinjury. Intervention participants ...
Source: The Journal of Head Trauma Rehabilitation - March 1, 2021 Category: Neurology Tags: Pediatric TBI 2021 Source Type: research

Return to School Following TBI: Educational Services Received 1 Year After Injury
Conclusions: Females and students with less severe or less visible deficits were less likely to receive special education services. While transition services may help students obtain special education for the first year after TBI, identifying students with TBI who have subtle or later-developing deficits remains a challenge. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - March 1, 2021 Category: Neurology Tags: Pediatric TBI 2021 Source Type: research

Concussion Symptom Treatment and Education Program: A Feasibility Study
Objective: To evaluate the feasibility and potential benefits of a manualized, brief cognitive-behavioral therapy–based intervention program for children and adolescents with persistent postconcussive symptoms. Setting: Two outpatient pediatric concussion programs in the United States. Participants: Patients aged 8 to 17 years who sustained concussions between 2 and 12 months prior to enrollment. Design: Pre-/postretrospective study. Main Measures: SCAT-3; HBI; PedsQL 4.0 Generic Core Scales; and RCADS. Results: Thirty children and adolescents completed the treatment program. Self- ...
Source: The Journal of Head Trauma Rehabilitation - March 1, 2021 Category: Neurology Tags: Pediatric TBI 2021 Source Type: research