Article
Rehabilitation
Noah D. Silverberg, Grant L. Iverson, Alison Cogan, Kristen Dams-O-Connor, Richard Delmonico, Min Jeong P. Graf, Mary Alexis Iaccarino, Maria Kajankova, Joshua Kamins, Karen L. McCulloch, Gary McKinney, Drew Nagele, William J. Panenka, Amanda R. Rabinowitz, Nick Reed, Jennifer Wethe, Victoria Whitehair, Vicki Anderson, David B. Arciniegas, Mark T. Bayley, Jeffery J. Bazarian, Kathleen R. Bell, Steven P. Broglio, David Cifu, Gavin A. Davis, Jiri Dvorak, Ruben J. Echemendia, Gerard A. Gioia, Christopher C. Giza, Sidney R. Hinds II, Douglas I. Katz, Brad G. Kurowski, John J. Leddy, Natalie Le Sage, Angela Lumba-Brown, Andrew I. R. Maas, Geoffrey T. Manley, Michael McCrea, David K. Menon, Jennie Ponsford, Margot Putukian, Stacy J. Suskauer, Joukje van der Naalt, William C. Walker, Keith Owen Yeates, Ross Zafonte, Nathan D. Zasler, Roger Zemek
Summary: This study aims to develop new diagnostic criteria for mild traumatic brain injury (TBI) that are appropriate for use across the lifespan and in sports, civilian trauma, and military settings. Through a rapid evidence review and Delphi method, a 90.7% agreement on the diagnostic criteria was reached, which will improve the quality and consistency of mild TBI research and clinical care.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2023)
Review
Critical Care Medicine
Carol Cancelliere, Leslie Verville, Jacob L. Stubbs, Hainan Yu, Cesar A. Hincapie, J. David Cassidy, Jessica J. Wong, Heather M. Shearer, Gaelan Connell, Danielle Southerst, Scott Howitt, Brett Guist, Noah D. Silverberg
Summary: Studies on the long-term symptoms and disability after mild traumatic brain injury (mTBI) have produced mixed results. This systematic review and meta-analysis aimed to determine the prevalence of self-reported post-concussion symptoms (PCS) and disability following mTBI. The findings suggest that approximately one in three adults with mTBI experience at least mild severity PCS 3-6 months after the injury, but controlling for attrition bias, the true prevalence may be one in six. Well-designed studies with representative samples and high retention rates are needed to further investigate this issue.
JOURNAL OF NEUROTRAUMA
(2023)
Review
Critical Care Medicine
Carol Cancelliere, Leslie Verville, Jacob L. Stubbs, Hainan Yu, Cesar A. Hincapie, J. David Cassidy, Jessica J. Wong, Heather M. Shearer, Gaelan Connell, Danielle Southerst, Scott Howitt, Brett Guist, Noah D. Silverberg
Summary: This systematic review and meta-analysis found that nearly one in three adults with mild traumatic brain injury experience mild severity post-concussion symptoms 3-6 months later. However, controlling for attrition bias, the true prevalence may be one in six. This highlights the need for studies with representative samples and high retention rates.
JOURNAL OF NEUROTRAUMA
(2023)
Article
Neurosciences
Heidi Jeannet Graff, Nicole W. Deleu, Peter Christiansen, Hana Mala Rytter
Summary: This study found that the main barriers for individuals with mTBI in the return to work process include lack of workplace accommodations, insufficient treatment and guidance from general practitioners, and delayed and insufficient rehabilitation referral from municipal case management. Clinical practice guidelines are needed to improve referral to relevant concussion rehabilitation and facilitate a successful return to work.
NEUROPSYCHOLOGICAL REHABILITATION
(2021)
Article
Medicine, General & Internal
Benedikte a. Madsen, Silje C. R. Fure, Nada Andelic, Daniel Loke, Marianne Lovstad, Cecilie Roe, Emilie Isager Howe
Summary: Approximately 30% of individuals with mild traumatic brain injury (mTBI) experience persistent post-concussion symptoms (PPCS). Personality traits such as neuroticism, openness to experience, and conscientiousness are associated with more severe PPCS and lower return to work (RTW) in patients with mild-to-moderate TBI. However, after controlling for PPCS, personality traits are no longer significantly associated with RTW.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Clinical Neurology
Silje Christine Reistad Fure, Emilie Isager Howe, Nada Andelic, Cathrine Brunborg, Alexander Olsen, Per-Ola Rike, Oystein Spjelkavik, Heidi Enehaug, Cecilie Roe, Marianne Lovstad
Summary: This study aimed to explore work-related predictors of work participation after mild-to-moderate TBI. The results showed that predictability, quantitative demands and rewards at the workplace, employment type, symptom burden at baseline, and sex were significant predictors of work participation after 1 year.
JOURNAL OF HEAD TRAUMA REHABILITATION
(2023)
Article
Neurosciences
Molly Cairncross, Hiresh Gindwani, Anna Rita Egbert, Ivan J. Torres, James S. Hutchison, Kristen Dams O'Connor, William J. Panenka, Jeffrey R. Brubacher, Louise Meddings, Lexynn Kwan, Keith O. Yeates, Robin Green, Noah D. Silverberg
Summary: This study evaluated the effectiveness of using the Brief Test of Adult Cognition by Telephone (BTACT) to distinguish between adults with mild traumatic brain injury (mTBI) and trauma controls without head or neck injuries. The results showed that the BTACT had poor accuracy in differentiating between the two groups and did not significantly differ in terms of overall scores. Therefore, the BTACT may lack sensitivity to subacute cognitive impairment caused by mTBI.
Article
Rehabilitation
Toril Skandsen, Jonas Stenberg, Turid Follestad, Migle Karaliute, Simen B. Saksvik, Cathrine E. Einarsen, Hanna Lillehaug, Asta K. Haberg, Anne Vik, Alexander Olsen, Grant L. Iverson
Summary: Personal factors play an important role in predicting postconcussion symptoms in patients with mild traumatic brain injury (MTBI). Factors such as work status, preinjury health problems, and gender were found to be predictors of postconcussion symptoms. Intracranial abnormalities on CT scans were also identified as a risk factor for postconcussion symptoms.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2021)
Article
Rehabilitation
Joanne Petty, Vanette McLennan, Elizabeth Kendall, Charles Edmund Degeneffe
Summary: The study aimed to explore the feasibility of using VR strategies for RTW in TBI patients and analyze the evaluation methods of these interventions and outcomes. A total of 23 studies that met the criteria were identified through literature search. The findings suggest a significant neglect of research on effective RTW approaches for TBI patients in the rehabilitation literature.
DISABILITY AND REHABILITATION
(2023)
Article
Environmental Sciences
Shazya Karmali, Marie Denise Beaton, Shelina Babul
Summary: This research explores the barriers and facilitators to concussion recovery and return-to-work, as well as resource gaps. Through interviews and focus groups, the study reveals that treatment, social support, and workplace and lifestyle modifications are facilitating factors, while widespread education and training, standardized guidelines, attitude changes, mental health supports, and increased awareness are recommended to address barriers.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2022)
Article
Engineering, Biomedical
Scott Dutrisac, Jennifer Rovt, Andrew Post, Shannon Goodwin, Greg O. Cron, Alireza Jalali, Katherine Poon, Susan Brien, Hanspeter Frei, T. Blaine Hoshizaki, Oren E. Petel
Summary: The study aimed to develop a comprehensive methodology to measure displacement in specific anatomical regions of the brain, using a high-speed cineradiography system to capture two-dimensional displacement fields of brain motion and revealing a multi-modal displacement response in the brain.
ANNALS OF BIOMEDICAL ENGINEERING
(2021)
Article
Rehabilitation
Grahame K. Simpson, Philippa Mcrae, Thomas M. Gates, Maysaa Daher, Deborah Johnston, Ian D. Cameron
Summary: This study evaluated the efficacy of the Vocational Intervention Program (VIP) in the New South Wales Brain Injury Rehabilitation Program. The results showed that VIP can improve return to competitive employment at a comparable rate to the specialist health-based brain injury vocational rehabilitation center (H-VR). Therefore, larger-scale adoption of the VIP model could significantly improve vocational rehabilitation services to support individuals in returning to work after a severe brain injury.
ANNALS OF PHYSICAL AND REHABILITATION MEDICINE
(2023)
Review
Sport Sciences
Kathryn J. Schneider, Meghan L. Critchley, Vicki Anderson, Gavin A. Davis, Chantel T. Debert, Nina Feddermann-Demont, Isabelle Gagnon, Kevin M. Guskiewicz, K. Alix Hayden, Stanley Herring, Corson Johnstone, Michael Makdissi, Christina L. Master, Rosemarie Scolaro Moser, Jon S. Patricios, Johna K. Register-Mihalik, Paul E. Ronksley, Noah D. Silverberg, Keith Owen Yeates
Summary: This systematic review evaluated interventions for recovery in children, adolescents, and adults with a sport-related concussion (SRC). The results suggest that individualized cervicovestibular rehabilitation may decrease the time to return to sport for adolescents and adults with dizziness, neck pain, and/or headaches lasting more than 10 days. Vestibular rehabilitation may decrease the time to medical clearance for adolescents with vestibular symptoms/impairments. Active rehabilitation and collaborative care may decrease symptoms for adolescents with persisting symptoms lasting more than 30 days.
BRITISH JOURNAL OF SPORTS MEDICINE
(2023)
Article
Rehabilitation
Linda Fordal, Jonas Stenberg, Grant L. Iverson, Simen B. Saksvik, Migle Karaliute, Anne Vik, Alexander Olsen, Toril Skandsen
Summary: This study aimed to examine the trajectories of persistent postconcussion symptoms (PPCS) after mild traumatic brain injury (MTBI) and investigate the factors associated with symptom reporting. The results showed a similar prevalence of moderate to severe PPCS in the MTBI group at 3 and 12 months post-injury. Individual trajectory analysis revealed considerable change in both symptom severity and total scores over time in the MTBI group. In addition, the presence of intracranial lesions was associated with a higher likelihood of improvement. Female gender and personal factors such as reduced employment, pain, poor sleep, low resilience, high neuroticism and pessimism, and a psychiatric history were associated with persistent symptoms. In conclusion, personal factors play an important role in the presence of persistent symptoms during the first year after MTBI.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Review
Critical Care Medicine
Zachary M. M. Weil, Julia T. T. Ivey, Kate Karelina
Summary: Rest after traumatic brain injury has a long history and is still recommended, although the rationale was not historically grounded in theory or empirical data. The definition and parameters of rest have evolved over time, including recommendations to avoid various stimuli and cognitive effort. The modern conception of rest aims at preventing reinjury and reducing metabolic demands on injured tissue.
JOURNAL OF NEUROTRAUMA
(2023)