Association of Self-Paced Physical and Cognitive Activities Across the First Week Postconcussion With Symptom Resolution in Youth
Conclusion: Self-paced physical and cognitive activities across the first week postinjury alone neither hastened nor prolonged concussion recovery. Youth with concussion may have some latitude to determine their activity levels. (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

Reviewer Acknowledgment
No abstract available (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - March 1, 2021 Category: Neurology Tags: Original Articles Source Type: research

Mood, Psychological, and Behavioral Factors of Health-Related Quality of Life Throughout Recovery From Sport Concussion
Conclusion: Sleep disturbance and stigma were negatively affected by SC, highlighting potential areas for clinical interventions to maximize recovery in males and females. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - March 1, 2021 Category: Neurology Tags: Original Articles Source Type: research

Predictors of Concussion Outcomes in Individuals With ADHD
Conclusion: The current findings represent a promising step toward the optimization of concussion management in individuals with ADHD. With a more thorough understanding of the demographic and comorbidity variables, clinical care decisions and intervention strategies can be developed to help individuals with ADHD who might be at a higher risk of poorer outcomes following a concussion. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - March 1, 2021 Category: Neurology Tags: Original Articles Source Type: research

A Within-Subjects Comparison of Clinical Outcomes for Patients' First and Second Concussions
Conclusions: The findings provide preliminary evidence that there is no clinical difference between patients' first and second concussions when both injuries were treated through a concussion specialty clinic. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - March 1, 2021 Category: Neurology Tags: Original Articles Source Type: research

Introducing the ImPACT-5: An Empirically Derived Multivariate Validity Composite
Conclusions: The ImPACT-5s were superior to the standard EVIImPACT and comparable to existing aftermarket EVIImPACT, with the flexibility to optimize the detection model for either sensitivity or specificity. The wide range of ImPACT-5 cutoffs allows for a more nuanced clinical interpretation. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - March 1, 2021 Category: Neurology Tags: Original Articles Source Type: research

Persistent Postconcussion Symptoms: An Expert Consensus-Based Definition Using the Delphi Method
Conclusion: This Delphi consensus proposes a set of criteria that support a more uniform definition of persistent symptoms in mild TBI among clinicians and researchers. This definition may help clinicians better identify persistent postconcussion symptoms and improve patient management. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - March 1, 2021 Category: Neurology Tags: Original Articles Source Type: research

Clinical Detection and Recovery of Vestibular and Oculomotor Impairments Among Amateur Athletes Following Sport-Related Concussion: A Prospective, Matched-Cohort Study
Conclusion: The VOMS may be most useful as a clinical screening tool to rule out, rather than confirm, the presence of sport-related concussion. The VOMS may be appropriate to inform the recovery of vestibular and oculomotor impairments exhibited by concussed individuals over time. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - March 1, 2021 Category: Neurology Tags: Original Articles Source Type: research

De-implementing Prolonged Rest Advice for Concussion in Primary Care Settings: A Pilot Stepped Wedge Cluster Randomized Trial
Conclusions: Education outreach visits might facilitate de-implementation of prolonged rest advice after concussion, but methodological changes will be necessary to improve the feasibility of a larger trial. The qualitative findings highlight opportunities for refining the intervention. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - March 1, 2021 Category: Neurology Tags: Original Articles Source Type: research

Negative Attribution Bias and Related Risk Factors After Brain Injury
Conclusion: People with TBI who have higher trait aggression and poor social inferencing skills may be prone to negative interpretations of people's ambiguous actions. Negative attributions and social inferencing skills should be considered when treating anger problems after TBI. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - January 1, 2021 Category: Neurology Tags: Focus on Clinical Research and Practice Source Type: research

Reinjury After Moderate to Severe TBI: Rates and Risk Factors in the NIDILRR Traumatic Brain Injury Model Systems
Objectives: To compare characteristics of those who do and do not sustain subsequent traumatic brain injuries (TBIs) following index TBI and to identify reinjury risk factors. Design: Secondary data analysis of an ongoing longitudinal cohort study. Setting: TBI Model Systems Centers. Participants: In total, 11 353 individuals aged 16+ years. Main Outcome Measures: Ohio State University TBI Identification Method. Results: In total, 7.9% of individuals reported sustaining a TBI post–index TBI. Twenty percent of reinjuries occurred within a year of the index TBI. Reinjury risk followed...
Source: The Journal of Head Trauma Rehabilitation - January 1, 2021 Category: Neurology Tags: Focus on Clinical Research and Practice Source Type: research

Lifetime History of Traumatic Brain Injury With Loss of Consciousness and the Likelihood for Lifetime Depression and Risk Behaviors: 2017 BRFSS North Carolina
Conclusion: These findings underscore the importance of increasing awareness among healthcare providers of the prevalence of lifetime depression and risk behaviors among individuals with a history of TBI and the need for improved screening and referrals to evidence-based services. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - January 1, 2021 Category: Neurology Tags: Focus on Clinical Research and Practice Source Type: research

Risk Factors for Suicidal Ideation Following Mild Traumatic Brain Injury: A TRACK-TBI Study
Objective: To identify risk factors for suicidal ideation (SI) following mild traumatic brain injury (mTBI). Setting: Eleven US level 1 trauma centers. Participants: A total of 1158 emergency department patients with mTBI (Glasgow Coma Scale score = 13-15) enrolled in the Transforming Research and Clinical Knowledge in Traumatic Brain Injury (TRACK-TBI) study. Design: Prospective observational study; weights-adjusted multivariable logistic regression models (n's = 727-883) estimated associations of baseline factors and post-TBI symptoms with SI at 2 weeks and 3, 6, and 12 months postinjury. Main...
Source: The Journal of Head Trauma Rehabilitation - January 1, 2021 Category: Neurology Tags: Focus on Clinical Research and Practice Source Type: research

Evaluating the Cross-Sectional and Longitudinal Relationships Predicting Suicidal Ideation Following Traumatic Brain Injury
Conclusions: Substance misuse, unemployment, depression, and greater extracranial injury burden independently contributed to year 1 SI; in turn, year 1 SI and year 2 depression contributed to year 2 SI. Older age and female sex were associated with year 1 depression. Understanding and mitigating these risk factors are crucial for effectively managing post-TBI SI to prevent postinjury suicide. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - January 1, 2021 Category: Neurology Tags: Focus on Clinical Research and Practice Source Type: research

Understanding Traumatic Brain Injury in Females: A State-of-the-Art Summary and Future Directions
In this report, we identify existing issues and challenges related to research on traumatic brain injury (TBI) in females and provide future directions for research. In 2017, the National Institutes of Health, in partnership with the Center for Neuroscience and Regenerative Medicine and the Defense and Veterans Brain Injury Center, hosted a workshop that focused on the unique challenges facing researchers, clinicians, patients, and other stakeholders regarding TBI in women. The goal of this “Understanding TBI in Women” workshop was to bring together researchers and clinicians to identify knowledge gaps, best practices,...
Source: The Journal of Head Trauma Rehabilitation - January 1, 2021 Category: Neurology Tags: Special Communication Source Type: research