Abstracts of the 2nd Annual Meeting of the Canadian Concussion Network/Réseau Canadien des Commotions (CCN-RCC)
No abstract available (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - September 1, 2022 Category: Neurology Tags: Abstract Source Type: research

The Utility of the Patient Health Questionnaire (PHQ-9) Sleep Disturbance Item as a Screener for Insomnia in Individuals With Moderate to Severe Traumatic Brain Injury
Conclusions: The PHQ-9 sleep item may serve as a useful screener to allow for detection of potential sleep disturbance among individuals with moderate to severe TBI. Those who screen positive using this item included in a commonly used measure of depression can be prioritized for further and more comprehensive assessment of sleep disorders. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - September 1, 2022 Category: Neurology Tags: Original Articles Source Type: research

The Role of Neuroinflammation in Neuropsychiatric Disorders Following Traumatic Brain Injury: A Systematic Review
Conclusion: This review identifies both theoretical and empirical support for neuroinflammatory response as feasible mechanisms underlying neuropsychiatric disorders after TBI. Further understanding of these processes in this context has significant clinical implications for guiding the development of novel treatments to reduce psychiatric symptoms postinjury. Future directions to address current limitations in the literature are discussed. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - September 1, 2022 Category: Neurology Tags: Original Articles Source Type: research

Community-Based Interventions After Acquired Brain Injury—A Systematic Review of Intervention Types and Their Effectiveness
Conclusions: Because of lack of pooled effects within types of community-based interventions, specific evidence-based recommendations within holistic, physical, and specific interventions designed to mitigate long-lasting ABI problems cannot be made. This review highlights the need for future studies to address methodological issues concerning larger sample size, lack of clear description interventions and comparator, missing reports of effects in change scores, need for consistent use of recommended outcome measures, and investigating the wide variety in intervention responsiveness among participants with ABI. Systema...
Source: The Journal of Head Trauma Rehabilitation - September 1, 2022 Category: Neurology Tags: Original Articles Source Type: research

Exploring Vestibular Ocular Motor Screening in Adults With Persistent Complaints After Mild Traumatic Brain Injury
Objective: The purpose of this study was to (1) explore differences in vestibular ocular motor screening (VOMS) symptoms between healthy adults and adults with persistent symptoms after mild traumatic brain injury (mTBI), and (2) explore the relationships between VOMS symptoms and other measures (self-reported vestibular symptoms, clinical measures of balance and gait, and higher-level motor ability tasks). Setting: Research laboratory setting. Participants: Fifty-three persons with persistent symptoms (>3 weeks) following mTBI and 57 healthy controls were recruited. Eligibility for participation included...
Source: The Journal of Head Trauma Rehabilitation - September 1, 2022 Category: Neurology Tags: Original Articles Source Type: research

Patient-Reported Problem Areas in Chronic Traumatic Brain Injury
Conclusion: The Target Outcomes approach is a useful assessment method in a population with chronic TBI. The standardized questionnaires capture the spectrum of problems, whereas the Target Outcomes approach captures the prioritized individual problems hindering everyday life after TBI. While the standardized measures are an irreplaceable part of the assessment, Target Outcomes ensures patient involvement and may help clinicians better tailor relevant rehabilitation efforts. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - September 1, 2022 Category: Neurology Tags: Original Articles Source Type: research

Association Between TBI-Related Hearing Impairment and Cognition: A TRACK-TBI Study
Conclusion: We conclude that TBI-related hearing impairment at 6 months postinjury was significantly associated with worse executive functioning but not cognitive processing speed. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - September 1, 2022 Category: Neurology Tags: Original Articles Source Type: research

Immediate Post-Concussion and Cognitive Testing (ImPACT): Effects of Data Integration Strategies on Classification Accuracy
Conclusion: The standard interpretive procedure produced a higher sensitivity than the DFAs; however, its PPV did not exceed chance levels. Conversely, DFA equations produced superior PPVs; however, their sensitivity hovered around 50%, leaving a substantial proportion of individuals with concussion undetected. Cognitive composite scores did not appear to offer significant incremental utility in relation to symptom self-report. Base rate conditions and psychometric factors appeared to contribute to ImPACT's limited classification accuracy. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - September 1, 2022 Category: Neurology Tags: Original Articles Source Type: research

Effect of Race and Nativity on Functional Outcomes Following Traumatic Brain Injury Among Asian, Hispanic, and Non-Hispanic White Survivors in the United States: A NIDILRR TBI Model Systems Study
Conclusions: This study reveals racial/ethnic disparities post-TBI functional recovery. Despite lower injury severity and apparent financial resource advantages, Asians did not experience better functional outcomes. Although the effect of nativity was not established in this study, contextual factors related to ethnicity and immigration experiences should be further investigated. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - September 1, 2022 Category: Neurology Tags: Original Articles Source Type: research

Short-Term Neurologic Manifestations of Repetitive Head Impacts Among Athletes: A Scoping Review
Conclusion: The results of this scoping review suggest that the evidence linking RHIs to short-term declines in neurologic function is relatively sparse and lacking in methodological rigor. Although most studies failed to find a link, those that did were more likely to use objective measures of RHIs and to control for confounders. More careful trial design may be needed to definitively establish a causal link between RHIs and short-term neurologic dysfunction. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - September 1, 2022 Category: Neurology Tags: Original Articles Source Type: research

Reactive Balance Responses After Mild Traumatic Brain Injury: A Scoping Review
Conclusion: The limited number of studies available on this topic highlights the lack of investigation on reactive postural responses after mTBI. This review provides a new direction for balance assessments after mTBI and recommends incorporating all 3 classes of postural control in future research. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - September 1, 2022 Category: Neurology Tags: Original Articles Source Type: research

Concussion Evaluation Patterns Among US Adults
Conclusion: More than a quarter of adults reported a lifetime concussion; however, half of them were not evaluated for their last concussion by a healthcare provider. Examination by a healthcare professional for a suspected concussion may prevent or mitigate potential long-term sequelae. Furthermore, current US surveillance methods may underestimate the burden of TBI because many individuals do not seek evaluation. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - September 1, 2022 Category: Neurology Tags: Original Articles Source Type: research

Parent Interventions Improve Behavior After Pediatric Traumatic Brain Injury: A Systematic Review and Meta-analysis
Conclusion: Improved child behavior outcomes resulting from parent interventions for pediatric TBI are well supported by the evidence in the peer-reviewed literature. Clinicians are encouraged to consider child and parent factors as they relate to child behavior outcomes. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - September 1, 2022 Category: Neurology Tags: Original Articles Source Type: research

Adult Cognitive Outcomes Following Childhood Mild Traumatic Brain Injury: A Scoping Review
Conclusion: The weight of the available evidence suggests that childhood mTBI does not have a significant impact on adult cognitive functioning. However, further research is needed to provide a more comprehensive understanding of the long-term cognitive outcomes of childhood mTBI and to identify predictors of those outcomes in adulthood. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - September 1, 2022 Category: Neurology Tags: Original Articles Source Type: research

Postconcussion Symptoms After an Uncomplicated Mild Traumatic Brain Injury in Older Adults: Frequency, Risk Factors, and Impact on Quality of Life
Background: Postconcussion symptoms (PCSs) are common complaints reported by patients after a mild traumatic brain injury (TBI), and these symptoms may lower quality of life. Previous investigations have primarily focused on PCSs in children, adults, and athletes. The frequency, and risk factors, and effects of PCSs for older adults with mild TBIs are unclear. Purpose: To investigate the frequency and risk factors of PCSs, and investigate their effects on quality of life over time after mild TBI in older adults. Methods: A prospective longitudinal study was performed. All participants were enrolled from t...
Source: The Journal of Head Trauma Rehabilitation - September 1, 2022 Category: Neurology Tags: Original Articles Source Type: research