A group of 1,341 patients with traumatic brain injury (TBI) who were employed before injury completed a 1-year follow-up assessment regarding their return-to-work (RTW) outcome. Patients were categorized into 1 of 3 groups depending on the pre-injury occupation: (1) professional/managerial, (2) skilled, or (3) manual labor. Chi-square analyses were ...
Article presenting outcome data for a vocational rehabilitation (VR) program for persons with brain injuries from economically disadvantaged communities. The program combines work adjustment training and supported employment. Data are from a sample of 38 persons with brain injury who were contacted an average of 18.67 months after completing ...
Study examines the relationship between emotional distress and perception of deficits in 50 people with brain injury and their significant others. Forty percent of the brain injury patients and 24 percent of their significant others reported symptoms of depression, while 54 percent of TBI group and 39 percent of ...
Study examines the impact of a traumatic brain injury (TBI) on the primary caregiver of the injured person 1 year after the injury. Sixty-one participants completed questionnaires to determine the amount of social support received by caregivers (assessed by the Relative and Friend Support Index and the Social Support ...
Pilot study evaluating the effects on patient re-orientation of placing large-type calendars near the beds of patients who have experienced brain injuries. Thirty consecutive patients with brain injury were randomly assigned either to a room with a calendar or a room without a calendar. It was found that age, ...
Study investigates the long-term follow-up costs of supported employment as well as the wage and employment characteristics of 59 individuals with moderate to severe traumatic brain injury (TBI) who were placed in at least 1 supported employment position during the 14-year study period. Analyses were conducted to determine the ...
Article examines the adequacy of provider payment incentives through the Ticket to Work program for helping people with mental retardation/developmental disabilities (MR/DD) acquire and retain employment. The Ticket to Work provides financial support to employment networks that provide job acquisition and retention services to Supplemental Security Income (SSI) and/or ...
Article reviews published literature as well as information from the Rehabilitation Services Administration 911 and the Social Security Administration Benefits Planning, Assistance and Outreach databases to describe return-to-work outcomes over the past 2 decades for individuals with traumatic brain injury (TBI). Over the years, there has been a shift ...
Study examined the impact of environmental barriers reported by people with traumatic brain injury (TBI) and their employment, community mobility, social integration, and life satisfaction outcomes. Participants were surveyed using the Craig Hospital Inventory of Environmental Factors, which rates the frequency and impact of 25 barriers. Results showed that ...
Dr. Kirksey demonstrated early leadership skills when she was elected Chief Resident during her residency. She has continued her leadership role in the UAB-SCIMS by assuming direction of the inpatient SCI rehabilitation team and service, serving as ...
Article discusses the feasibility of using observational studies as an alternative to randomized clinical trials (RCTs) for assessing the effectiveness of traumatic brain injury (TBI) rehabilitation. While RCTs have been regarded as the gold standard for evidence of treatment efficacy, ethical, scientific, and resource factors may limit the expansion ...
Article discusses the results from the initial evaluation of the psychometric properties of the Moss Attention Rating Scale, an instrument designed to assess attention-related behaviors in patients with traumatic brain injury (TBI). Overall, the initial results support the feasibility of using the scale in inpatient TBI rehabilitation. Further research ...
Article describes the prevalence and risk factors of deep vein thrombosis (DVT) among 709 consecutive patients admitted for initial neurorehabilitation following brain injury, including traumatic brain injury (TBI), intracranial hemorrhage (ICH), primary brain tumor, and hypoxia/other. The admission screening protocol combined venous duplex ultrasonography (VDU) and a commercial D-dimer ...
Article reviews studies that examine the use of neurophysiologic techniques such as H-reflex, F-wave, and flexion withdrawal reflex, in the objective evaluation of response to intrathecal baclofen administration. Most studies describe the effects of baclofen administration on different aspects of spinal excitability. The techniques described serve as a valuable ...
Authors review literature related to the return to work for persons with traumatic brain injuries. Issues discussed include return to work outcomes, factors influencing return to work, race and ethnicity, and vocational programs that enhance employment, including the supported employment model. Provides guidelines for employment specialists who use the ...
Article presenting 3 case reports of women who developed superior sagittal sinus thrombosis (SSST) after suffering a gunshot wound to the head. The case reports describe presentation, time courses, and treatment. Clinical implications are discussed.
Article addresses the issue of spasticity management in the intensive care unit and acute care setting. Treatment delivered in those settings can be problematic as medical instability and impaired level of consciousness complicate the decision-making process. The authors review the literature and offer guidance to clinicians through a case ...
Study examining the ability of 1st-year physical medicine and rehabilitation (PM&R) residents to accurately predict functional outcome in acute rehabilitation setting. Residents at a rehabilitation hospital made predictions of discharge FIM (Functional Independence Measure) scores after assessing patients (n = 242) at admission. Findings indicate that the residents' predictive ...
Summarizes pharmacological responses to agitation among people who are in an intensive care setting. Discusses antipsychotic, neuroleptic, opioid, benzodiazepine, paralyzing, sedative, and antidepressant agents, as well as propofol.
Describes the case of a 38-year-old male with traumatic brain injury (TBI) resulting from a fall (initial Glasgow Coma Scale rating 12). A central venous catheter was placed to help manage associated chest and abdominal injuries. The agitated patient twisted off several hubs from the central venous catheter with ...