TBI Publications

OBJECTIVE: To investigate the psychometric properties of the Brief Symptom Inventory-18 (BSI-18) among persons with traumatic brain injury (TBI). DESIGN: Inception cohort design with cross-sectional follow-up of 6 months to 15 years. SETTING: Rehabilitation hospital. PARTICIPANTS: Adults (N=257) with moderate to severe TBI (81 inpatients and 176 follow-up participants, ...

Objective: Examined the role of circadian preference on facial emotion recognition among rehabilitation inpatients. Design: 47 patients with stroke and 24 patients with orthopedic diagnoses were screened for circadian preference and assessed at preferred and nonpreferred times of day on a computerized task of facial emotion recognition. Results: Disproportionate ...

OBJECTIVE: To investigate the extent to which neuropsychologic and functional outcome after complicated mild traumatic brain injury (TBI) parallels that of moderate TBI recovery. DESIGN: A longitudinal study comparing neuropsychologic and functional status of persons with complicated mild TBI and moderate TBI at discharge from inpatient rehabilitation and at ...

OBJECTIVE: To examine the predictive validity of a brief neuropsychologic test battery consisting of the Galveston Orientation and Amnesia Test, the California Verbal Learning Test-II, Trail-Making Test (TMT), Symbol Digit Modalities Test, grooved pegboard, phonemic and categorical word generation tasks, the Wechsler Test of Adult Reading (WTAR), and the ...

OBJECTIVE: To examine the interrater agreement and responsiveness to change of the Moss Attention Rating Scale (MARS), 22-item version, during acute inpatient rehabilitation after traumatic brain injury (TBI). DESIGN: Observational study of clinician ratings (physical therapy [PT], occupational therapy [OT], speech-language pathology [SLP], nursing) of each patient's attentional function ...

OBJECTIVE: To compare 2 techniques of botulinum toxin injection for elbow flexor hypertonia. DESIGN: Parallel-group, randomized, controlled trial with blinded outcome assessment. SETTING: Laboratory, tertiary rehabilitation hospital. PARTICIPANTS: Adults (N=31) with acquired brain injury (21 with traumatic brain injury, 8 with stroke, 2 with hypoxic encephalopathy) provided 36 sets ...

Background A 53-year-old male with a history of hypertension, diabetes mellitus, and factor V deficiency presented to an emergency room with progressively increasing headache, slurred speech, and left upper extremity weakness. Over the previous 3 months, he had been receiving warfarin for prophylaxis of deep venous thrombosis following knee ...

Objective: To evaluate the effectiveness of comprehensive, holistic neuropsychologic (NP) rehabilitation compared with standard, multidisciplinary rehabilitation for people with traumatic brain injury (TBI). Design: Randomized practical controlled trial. Setting: Postacute brain injury rehabilitation center within a suburban rehabilitation hospital. Participants: Participants with TBI were recruited from clinical referrals and ...

Objective: To identify cognitive predictors of medical decision-making capacity (MDC) in participants with moderate to severe traumatic brain injury (TBI). Participants: At baseline, participants were 34 adults with TBI and 20 healthy adults. At 6-month follow-up, participants were 24 adults with TBI and 20 healthy adults. Main Outcome Measures: ...

Objective: Evaluate an intervention to improve an alliance between an interdisciplinary team and clients with traumatic brain injury attending post–acute brain injury rehabilitation. Design: Prospective design, 2 consecutive samples—historical control (CNT) and treatment (TX).Methods: Sample of 104 clients (69 CNT, 35 TX) admitted to post–acute brain injury rehabilitation completed ...

OBJECTIVE: To examine the temporal relationship between self-reported injury-related functional limitations and depressive symptomatology after traumatic brain injury (TBI). DESIGN: A longitudinal cohort study with 3 evaluation points. SETTING: A level I trauma center. PARTICIPANTS: Adolescents and adults (N=135) with complicated mild to severe TBI (72% had complicated mild ...

Primary objective: To further evaluate the construct validity of the La Trobe Communication Questionnaire (LCQ) and to investigate the extent to which self-ratings of adults with traumatic brain injury compared to ratings made by close others and self-ratings made by non-injured matched controls. Research design: Prospective cohort study. Methods ...

Abstract not available

Objectives: To examine age-related differences in functional outcomes following traumatic brain injury. Participants and procedure: Seventy-six patients admitted to a pediatric acute rehabilitation hospital were compared with 2548 adult patients in the National Institute on Disability and Rehabilitation Research–funded traumatic brain injury model systems national database. Main outcome measures: ...

ABSTRACT Objective: To examine racial differences in employment status and occupational status 1 year after a traumatic brain injury (TBI). Design: Retrospective study. Setting: Longitudinal dataset of the Traumatic Brain Injury Model Systems national database. Participants: Subjects with primarily moderate to severe TBI (3468 whites vs 1791 minorities) hospitalized ...

Objective: To determine whether older persons are at increased risk for progressive functional decline after traumatic brain injury (TBI). Design: Longitudinal cohort study. Setting: Traumatic Brain Injury Model Systems (TBIMS) rehabilitation centers. Participants: Subjects enrolled in the TBIMS national dataset. Interventions: Not applicable. Main Outcome Measures: Disability Rating Scale ...

Objective: To evaluate the ability of functional magnetic resonance imaging (fMRI) measures collected from people with traumatic brain injury (TBI) to provide predictive value for rehabilitation outcomes over and above standard predictors. Design: Prospective study. Setting: Academic medical center. Participants: Persons (N_54) with TBI greater than 1 year postinjury. ...

Objective: To determine whether older persons are at increased risk for progressive functional decline after traumatic brain injury (TBI). Design: Longitudinal cohort study. Setting: Traumatic Brain Injury Model Systems (TBIMS) rehabilitation centers. Participants: Subjects enrolled in the TBIMS national dataset. Interventions: Not applicable. Main Outcome Measures: Disability Rating Scale (DRS), ...

ABSTRACT Objective: To examine racial differences in employment status and occupational status 1 year after a traumatic brain injury (TBI). Design: Retrospective study. Setting: Longitudinal dataset of the Traumatic Brain Injury Model Systems national database. Participants: Subjects with primarily moderate to severe TBI (3468 whites vs 1791 minorities) hospitalized between ...

Limited epidemiologic data undermine the identification of patients in a minimally conscious state (MCS) and needed health policy analysis. Based on the natural history of disorders of consciousness and the evolution of MCS, we propose 2 models to characterize MCS epidemiology: a severity model to integrate diagnostic and severity ...