Article
Clinical Neurology
Andrea Klang, Yasmina Molero, Paul Lichtenstein, Henrik Larsson, Brian Matthew D'Onofrio, Niklas Marklund, Christian Oldenburg, Elham Rostami
Summary: The study found that there is insufficient and unequal access to rehabilitation for traumatic brain injury (TBI) patients. It highlights the importance of organizing and standardizing post-TBI rehabilitation to meet the needs of all patients, regardless of their age, socioeconomic status, or living area.
NEUROREHABILITATION AND NEURAL REPAIR
(2023)
Review
Neurosciences
Yulan Zhang, Zhihai Huang, Honglin Xia, Jing Xiong, Xu Ma, Chengyi Liu
Summary: Traumatic brain injury (TBI) is a significant public health issue worldwide, and while guidelines typically recommend rest post-TBI, recent evidence suggests that exercise may enhance functional outcomes. Exercise has shown promise in improving cognitive recovery, mood disorders, and post-concussion syndrome in TBI patients, though challenges remain in clinical application and understanding the underlying mechanisms of exercise's benefits.
EXPERIMENTAL NEUROLOGY
(2022)
Review
Clinical Neurology
Cassidy Q. B. Mostert, Ranjit D. Singh, Maxime Gerritsen, Erwin J. O. Kompanje, Gerard M. Ribbers, Wilco C. Peul, Jeroen T. J. M. van Dijck
Summary: This systematic review investigated the long-term outcome after severe traumatic brain injury (sTBI) and found limited and heterogeneous literature in this area. Mortality and unfavorable outcome rates were high, but a considerable proportion of survivors achieved favorable outcomes.
ACTA NEUROCHIRURGICA
(2022)
Article
Biochemistry & Molecular Biology
Roberta Bruschetta, Gennaro Tartarisco, Lucia Francesca Lucca, Elio Leto, Maria Ursino, Paolo Tonin, Giovanni Pioggia, Antonio Cerasa
Summary: This study compares traditional regression modeling with machine learning algorithms for the prognosis of TBI patients. The results show similar accuracy between linear regression and machine learning algorithms, with the naive bayes algorithm performing the worst. The study highlights the utility of comparing these approaches when using a small number of reliable predictor variables after TBI.
Article
Critical Care Medicine
Marie-Claude Guerrette, Michelle McKerral
Summary: This study aimed to identify predictors of social participation (SP) in patients with traumatic brain injury (TBI) during rehabilitation. The results showed that education years and MPAI-4 ability and adjustment scores at rehabilitation intake were significant predictors of SP in the inpatient-outpatient sample. In the outpatient sample, pre-morbid hypertension and mental health diagnosis, total indirect rehabilitation hours received, and MPAI-4 ability and adjustment scores at rehabilitation intake were significant predictors of SP.
JOURNAL OF NEUROTRAUMA
(2023)
Article
Biochemistry & Molecular Biology
Luke Berger, Barbara Holshouser, Joy G. Nichols, Jamie Pivonka-Jones, Stephen Ashwal, Brenda Bartnik-Olson
Summary: This study examines the predictive ability of global white matter and gray matter metabolite ratios following pediatric traumatic brain injury (TBI), and their relationship to neuropsychological assessments at 12 months. The results show that the metabolite ratios were significantly lower in the TBI groups compared to controls during the acute phase, but normalized at 12 months. Acute gray matter and white matter metabolite ratios were significantly correlated to 12-month assessments of IQ, attention, and memory.
Article
Critical Care Medicine
Laura M. Heath, M. Rafae Kidwai, Brenda Colella, Georges Monette, Pavel Tselichtchev, Jennifer C. Tomaszczyk, Robin E. Green
Summary: This study examined the long-term trajectories of anxiety and depressive symptoms following moderate-severe traumatic brain injury (TBI), identified predictors of these trajectories, and explored their impact on 1-year return to productivity. The findings showed that there were four distinct trajectories for anxiety and depression, with most individuals experiencing stable or low levels over time. However, a subset of individuals showed rapid worsening of anxiety or depression, and those with worsening symptoms were less likely to return to productivity by 1-year post-injury.
JOURNAL OF NEUROTRAUMA
(2023)
Article
Rehabilitation
F. Allonsius, A. J. de Kloet, F. van Markus-Doornbosch, T. P. M. Vliet Vlieland, M. van der Holst
Summary: This study describes the family impact and health-related quality of life (HRQoL) in young patients (5-24 years) after traumatic and non-traumatic brain injuries (TBI/nTBI). The family impact remains a significant problem over time, while the patients' HRQoL improved. It is important to provide family support throughout the rehabilitation process.
DISABILITY AND REHABILITATION
(2023)
Article
Rehabilitation
Eric Xie, Michael Pellegrini, Zhibin Chen, Laura Jolliff, Maria Crotty, Julie Ratcliffe, Jacqui Morarty, Terence J. O'Brien, Natasha A. Lannin
Summary: This study aimed to determine the potential benefit of rehabilitation and the influence of substance use on outcomes in patients with traumatic brain injury (TBI). It found that a history of substance use was associated with lower reported quality of life at 12 months post-TBI.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2023)
Article
Clinical Neurology
Elena Rossato, Elisabetta Verzini, Michele Scandola, Federico Ferrari, Silvia Bonadiman
Summary: This study evaluated the role of the Level of Cognitive Functioning Scale (LCF) in patients with TBI and found that LCF can provide valuable indications for the prognosis of TBI patients, helping in the development of individual rehabilitation plans.
NEUROLOGICAL SCIENCES
(2021)
Review
Critical Care Medicine
David Hacker, Christopher A. Jones, Eyrsa Yasin, Sophie Preece, Holly Davies, Andrew Hawkins, Antonio Belli, Emily Paton
Summary: Cognitive outcomes were compared between mild traumatic brain injury (mTBI) with positive brain imaging (complicated mTBI) and mTBI with normal imaging (uncomplicated mTBI) as well as moderate to severe TBI. The findings showed that complicated mTBI had poorer cognitive outcomes than uncomplicated mTBI, but the deficits were not as severe as in moderate-severe TBI. The deficits in complicated mTBI were present in processing speed, memory, executive function, and language beyond 3 months post-injury.
JOURNAL OF NEUROTRAUMA
(2023)
Article
Medicine, General & Internal
Nada Andelic, Cecilie Roe, Olli Tenovuo, Philippe Azouvi, Helen Dawes, Marek Majdan, Jukka Ranta, Emilie I. Howe, Eveline J. A. Wiegers, Cathrine Tverdal, Ida Borgen, Marit V. Forslund, Ingerid Kleffelgaard, Hilde M. Dahl, Louis Jacob, Melanie Cogne, Juan Lu, Nicole von Steinbuechel, Marina Zeldovich
Summary: This study aimed to assess rehabilitation needs and services for individuals with moderate-to-severe disability after traumatic brain injury. The study found that severity of brain injury, physical and cognitive impairments increased the likelihood of receiving rehabilitation, while psychological problems decreased it.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Neuroimaging
Xiaoyun Liang, Chun-Hung Yeh, Juan F. D. Dominguez, Govinda Poudel, Stephan P. Swinnen, Karen Caeyenberghs
Summary: The study identified white matter changes in TBI patients and significant increases in macrostructural white matter in left sensorimotor tracts following balance training. However, these changes were not associated with behavioral changes.
NEUROIMAGE-CLINICAL
(2021)
Article
Rehabilitation
Elham Mahmoudi, Paul Lin, Mark D. Peterson, Michelle A. Meade, Denise G. Tate, Neil Kamdar
Summary: Middle-aged and older adults with traumatic spinal cord injury (TSCI) have a higher risk of developing Alzheimer disease and related dementia (ADRD). Improved clinical screening and early interventions to preserve cognitive function are crucial for this patient population.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2021)
Review
Biochemistry & Molecular Biology
Antonio Cerasa, Gennaro Tartarisco, Roberta Bruschetta, Irene Ciancarelli, Giovanni Morone, Rocco Salvatore Calabro, Giovanni Pioggia, Paolo Tonin, Marco Iosa
Summary: In predicting the outcome of brain injury patients, machine learning (ML) algorithms do not demonstrate clear advantages over traditional statistical methods. While specific ML algorithms perform better in stroke prediction, the heterogeneity of features extracted from low-dimensional clinical data reduces enthusiasm for their application in clinical practice. To better capture and predict the dynamic changes in brain injury patients, ML algorithms should be applied to high-dimensional data extracted from neuroimaging, EEG, and genetics.
Article
Rehabilitation
Lynn A. Worobey, R. Lee Kirby, Rachel E. Cowan, Trevor A. Dyson-Hudson, Mary Shea, Allen W. Heinemann, Jessica Presperin Pedersen, Michael L. Boninger
Summary: The study aimed to test the impact of remote training on trainer confidence and trainee capacity. The results showed that remote training improved trainer confidence and significantly increased trainees' wheelchair skills capacity and confidence.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Article
Rehabilitation
Lynn A. Worobey, Gina McKernan, Maria Toro, Jonathan Pearlman, Rachel E. Cowan, Allen W. Heinemann, Trevor A. Dyson-Hudson, Jessica Presperin Pedersen, Matthew Mesoros, Michael L. Boninger
Summary: This study assessed the effectiveness of group wheelchair maintenance training and identified participant characteristics associated with training responsiveness. The results showed that the training improved maintenance capacity and performance for both manual and power wheelchair users. Furthermore, delivering the training in a structured group format reduced costs and enhanced the likelihood of adoption into clinical practice.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Article
Clinical Neurology
Jessica Pruente, Allen W. Heinemann, Kathy Zebracki, Shubra Mukherjee, Deborah Gaebler-Spira
Summary: The study aimed to describe the adult outcomes of spinal cord injury (SCI) caused by gun injuries compared to non-violent etiologies, as well as their utilization of health services. The results showed that the gun injury group had lower educational attainment and income level, despite similar employment rates. The study suggests that gun injuries are associated with decreased educational attainment and lifetime income.
JOURNAL OF SPINAL CORD MEDICINE
(2023)
Article
Rehabilitation
Jasin Wong, Angelika Kudla, Tri Pham, Nnaemezie Ezeife, Deborah Crown, Pamela Capraro, Robert Trierweiler, Stephanie Tomazin, Allen W. Heinemann
Summary: The study examined the challenges faced by long-haulers, including the difficulties and uncertainties encountered by rehabilitation professionals in working with these patients. Individualized services are provided to meet the diverse needs of long-haulers, highlighting the issues surrounding their return-to-work process.
REHABILITATION COUNSELING BULLETIN
(2022)
Article
Rehabilitation
Trudy Mallinson, Allan J. Kozlowski, Mark Johnston, Jennifer Weaver, Lauren Terhorst, Namrata Grampurohit, Shannon Juengst, Linda Ehrlich-Jones, Allen W. Heinemann, John Melvin, Pallavi Sood, Ann Van de Winckel
Summary: The application of Rasch Measurement Theory in rehabilitation assessments has been increasing, and clear, consistent, transparent reporting is crucial for advancing rehabilitation science and practice.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Review
Rehabilitation
T. S. Jesus, B. Z. Stern, J. Struhar, A. Deutsch, A. W. Heinemann
Summary: This study aims to characterize the use of patient experience feedback for person-centered rehabilitation quality improvement and codesign activities. The results showed that there were few examples of such use in the rehabilitation literature, and patient experience improvement activities relied mainly on retrospective survey data without combining more actionable forms of patient experience feedback. Further research is needed to design activities that collect and utilize patient experience feedback for rehabilitation service improvements.
CLINICAL REHABILITATION
(2023)
Article
Development Studies
James F. Oehmke, Sera L. Young, Allen W. Heinemann, Mandivamba Rukuni, Alexandre Lyambabaje, Lori A. Post
Summary: Positive agricultural and food policy environments are crucial for agricultural growth and transformation success. This paper introduces a novel, empirically-based policy readiness index that allows for cross-country comparability through Rasch modeling. The results provide statistically-valid measures of policy readiness and difficulty in various dimensions of policy actions, advancing the dialogue on agricultural transformation policies.
Article
Rehabilitation
Han Su, Jasin Wong, Angelika Kudla, Mirang Park, Robert Trierweiler, Pamela Capraro, Deborah Crown, Nnaemezie Ezeife, Stephanie Tomazin, Elizabeth G. S. Munsell, Allen W. Heinemann
Summary: This research aimed to explore disability phenotypes, frequently used accommodations, and employee- and job-related factors associated with the extent of job accommodation use. The survey identified three disability phenotypes and found that flexible working schedules, telework, and access to a support person in the workplace were the most common accommodations. Accommodation use was found to be associated with employee- and job-related factors.
JOURNAL OF OCCUPATIONAL REHABILITATION
(2023)
Editorial Material
Rehabilitation
Stefano Negrini, Kristian Borg, Anne Cusick, Giorgio Ferriero, Walter R. Frontera, Douglas P. Gross, Allen Heinemann, Wendy Machalicek, Ann Patricia Moore, Randolph J. Nudo, Dominic Perennou, Henk Stam, Carlotte Kiekens
JOURNAL OF OCCUPATIONAL REHABILITATION
(2022)
Article
Rehabilitation
Linda Resnik, Matthew Borgia, Allen W. Heinemann, Phillip Stevens, Melissa A. Clark, Pengsheng Ni
Summary: This study aims to develop a self-report measure of activity performance for upper limb prosthesis users that quantifies outcomes by level of amputation and prosthesis type. Through a telephone survey and analysis of the data, the study obtained some psychometric properties of the measure. The measure showed differences in performance among users with different levels of amputation.
DISABILITY AND REHABILITATION
(2023)
Article
Engineering, Biomedical
Daniel Pinto, Allen W. Heinemann, Shuo-Hsiu Chang, Susan Charlifue, Edelle C. Field-Fote, Catherine L. Furbish, Arun Jayaraman, Candace Tefertiller, Heather B. Taylor, Dustin D. French
Summary: This study aimed to estimate the cost-effectiveness of locomotor training strategies following spinal cord injury (SCI) by injury status (complete versus incomplete). The results showed that conventional training was more cost-effective than overground robotic training for patients with incomplete SCI, while overground robotic training was more cost-effective than conventional training for patients with complete SCI.
JOURNAL OF NEUROENGINEERING AND REHABILITATION
(2023)
Article
Critical Care Medicine
Jonathan S. Theros, Katelyn B. Zumpf, Tara Lagu, Saieesh Rao, Brian J. Nasca, Allen W. Heinemann, Michael B. Shapiro, Karl Y. Bilimoria, Anne M. Stey
Summary: Post-acute care following SCI or TBI has a significant impact on neurological function recovery. Inpatient rehabilitation facilities (IRFs) show better outcomes and lower mortality rates compared to skilled nursing facilities (SNFs). This study explores the access to inpatient rehabilitation based on insurance and estimates the associated costs.
JOURNAL OF NEUROTRAUMA
(2023)
Review
Gerontology
Jasin Wong, Jessica Pedersen, Niveda Tennety, Lindsay DuBois, Rudyard Chiu, Dhrumil Shah, Glenn Malecki, Q. Eileen Wafford, Allen W. W. Heinemann
Summary: Home and community-based services (HCBS) help people with disabilities and older adults live in their homes, and it is important to use person-centered approaches when developing support plans. This study identified key competencies for delivering person-centered supports and examined the relationship between HCBS and its outcomes.
JOURNAL OF APPLIED GERONTOLOGY
(2023)
Editorial Material
Rehabilitation
Stefano Negrini, Kristian Borg, Anne Cusick, Giorgio Ferriero, Walter R. Frontera, Douglas P. Gross, Allen Heinemann, Wendy Machalicek, Ann Patricia Moore, Randolph J. Nudo, Dominic Perennou, Henk Stam, Carlotte Kiekens
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
(2023)
Article
Rehabilitation
Lynn A. Worobey, R. Lee Kirby, Rachel E. Cowan, Trevor A. Dyson-Hudson, Mary Shea, Allen W. Heinemann, Jessica Presperin Pedersen, Rachel Hibbs, Michael L. Boninger
Summary: This study aimed to test the efficacy of remote learning in teaching clinicians manual wheelchair skills. The results showed that remote learning can increase capacity and confidence in wheelchair skills, as well as knowledge about training and assessment. Therefore, this model has the potential to be an effective method for training rehabilitation professionals.
DISABILITY AND REHABILITATION-ASSISTIVE TECHNOLOGY
(2022)
