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  • Publications

    Characterization of headache after traumatic brain injury

    Headache is a common and persistent symptom following traumatic brain injury (TBI). Headaches following TBI are defined primarily by their temporal association to injury, but have no defining clinical features. To provide a framework for treatment, primary headache symptoms were used to characterize headache. Three hundred and seventy-eight participants ...
  • Publications

    Benefits of exercise maintenance after traumatic brain injury

    OBJECTIVE: To examine the effect of exercise intervention on exercise maintenance, depression, quality of life, and mental health at 6 months for people with traumatic brain injury (TBI) with at least mild depression. DESIGN: Treatment group participants were assessed at baseline, after a 10-week exercise intervention, and 6 months ...
  • Publications

    Change in inpatient rehabilitation admissions for individuals with traumatic brain injury after implementation of the Medicare inpatient rehabilitation facility prospective payment system

    OBJECTIVE: To evaluate the impact of Medicare's inpatient rehabilitation facility (IRF) prospective payment system (PPS) on use of inpatient rehabilitation for individuals with traumatic brain injury (TBI). DESIGN: Retrospective cohort study of patients with TBI. SETTING: One hundred twenty-three level I and II trauma centers across the U.S. who ...
  • Publications

    Association of sleep and co-occurring psychological conditions at 1 year after traumatic brain injury

    OBJECTIVES: To compare individuals' sleep 1 year after traumatic brain injury (TBI) with that of a healthy comparison group, and examine the relationship between sleep, co-occurring conditions, and functional status in those with TBI. DESIGN: Longitudinal assessment of a prospectively studied sample of individuals with moderate to severe TBI. ...
  • Publications

    Association of Depressive Symptoms With Functional Outcome After Traumatic Brain Injury

    OBJECTIVE: To test whether improved functional status correlates with more depressive symptoms after traumatic brain injury (TBI). This is based on the concept that increasing awareness of deficits may exacerbate depression, even while survivors are making functional improvements. PARTICIPANTS: A total of 471 individuals with TBI (72% white; 71% ...
  • Publications

    Effects of platelet and plasma transfusion on outcome in traumatic brain injury patients with moderate bleeding diatheses

    Object Coagulopathy and thrombocytopenia are common after traumatic brain injury (TBI), yet transfusion thresholds for mildly to moderately abnormal ranges of international normalized ratio and platelet count remain controversial. This study evaluates associations between fresh frozen plasma (FFP) and platelet transfusions with long-term functional outcome and survival in TBI ...
  • J. Andrew Taylor

    Based out of Spaulding Cambridge, Dr. Taylor provides overall scientific and administrative leadership of the Spaulding NERSCIC team. Working in conjunction with Dr. Zafonte, Dr. Taylor conducts weekly meetings and provides clinical and research expertise to ensure ...
  • Publications

    Dementia resulting from traumatic brain injury: what is the pathology?

    Traumatic brain injury (TBI) is among the earliest illnesses described in human history and remains a major source of morbidity and mortality in the modern era. It is estimated that 2% of the US population lives with long-term disabilities due to a prior TBI, and incidence and prevalence rates ...
  • Publications

    Ageing and traumatic brain injury: Age, decline in function and level of assistance over the first 10 years post-injury

    Study examined the course of changes in function and need for assistance in the chronic stages of traumatic brain injury (TBI) and identified factors associated with these changes. Subjects included 478 individuals with TBI who were enrolled in the TBI Model Systems National Database and prospectively followed for at ...
  • Publications

    An exploration of clinical dementia phenotypes among individuals with and without traumatic brain injury

    Study compared the clinical profiles of individuals with dementia who did and did not report a history of traumatic brain injury (TBI). Data were collected from the National Alzheimer’s Coordinating Center Uniform Data Set. Statistical analyses focused on evaluating differences between cases (332 individuals with dementia and history of TBI) ...
  • Publications

    Three approaches to investigating functional compromise to the default mode network after traumatic axonal injury

    The default mode network (DMN) is a reliably elicited functional neural network with potential clinical implications. Its discriminant and prognostic utility following traumatic axonal injury (TAI) have not been previously investigated. The present study used three approaches to analyze DMN functional connectedness, including a whole-brain analysis [A1], network-specific analysis ...
  • Publications

    Retrieval practice improves memory in survivors of severe traumatic brain injury

    Objective: To investigate whether retrieval practice (RP) improves delayed recall after short and long delays in survivors of severe traumatic brain injury (TBI) relative to massed restudy (MR) and spaced restudy (SR). Design: 3(learning condition: MR, SR, RP)×2(delayed recall: 30min, 1wk) within-subject experiment. Setting: Nonprofit medical rehabilitation research center. ...
  • Publications

    The impact of self-awareness and depression on subjective reports of memory, quality-of-life and satisfaction with life following TBI

    Study investigated the extent to which self-awareness and depressive symptomatology are associated with self-reports of memory, quality-of-Life (QoL), and satisfaction with life in individuals with traumatic brain injury (TBI). Thirty community-dwelling adults, who sustained a TBI at least 1 year prior to study enrollment, completed questionnaires to assess the ...
  • Publications

    Life expectancy following rehabilitation: A NIDRR traumatic brain injury model systems study

    Study assessed mortality, life expectancy, risk factors, and causes of death among individuals who received inpatient traumatic brain injury (TBI) rehabilitation. Data were analyzed for 8,573 individuals who were injured between 1988 and 2009 and received inpatient rehabilitation at TBI Model Systems sites, with survival status determined as of ...
  • Publications

    Preinjury predictors of life satisfaction at 1 year after traumatic brain injury

    Study investigated the predictive value of pre-injury factors for satisfaction with life (SWL) at 1-year posttraumatic brain injury (TBI). Data were collected during inpatient rehabilitation and at 1-year post-TBI from 444 community-dwelling individuals, aged 16 to 64 years, who were enrolled in the Traumatic Brain Injury Model Systems program ...
  • Publications

    Disability rating scale

    Article provides an overview of the Disability Rating Scale (DRS), an 8-item instrument designed to measure changes in recovery in adults with traumatic brain injury, where total scores are meant to reflect a level of disability. Higher scores represent higher disability. The 8 items measured in the DRS are: ...
  • Publications

    Mortality after surviving traumatic brain injury: Risks based on age groups

    Study assessed mortality, life expectancy, risk factors, and causes of death by age groups among individuals who received inpatient traumatic brain injury (TBI) rehabilitation. Participants were 8,573 individuals injured between 1988 and 2009, and received inpatient rehabilitation at TBI Model Systems sites, with survival status determined as of December ...
  • Ross Zafonte

    Based out of Spaulding Rehab Hospital, Dr. Zafonte provides leadership to ensure that the clinical system of care across sites supports the SCIMS overall and project-specific objectives.
  • SCI Videos

    Bladder Management View All Exercise and Fitness After SCI View All Managing Bowel Function View All Managing Pain after SCI View All
  • Publications

    Structured interview to improve the reliability and psychometric integrity of the disability rating scale

    Study developed the Disability Rating Scale-Postacute Interview (DRS-PI), a standardized interview for telephone administration; assessed the psychometric properties of this interview format; and identified additional items to reduce skew. Participants were 287 individuals with traumatic brain injury (TBI) and 119 caregivers enrolled in the TBI Model Systems national database ...

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Information on this site is not meant to replace the advice of a medical professional. You should consult your health care provider regarding specific medical concerns or treatment. The contents of this site were developed under grant number 90DPKT0009 from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this website do not necessarily represent the policy of NIDILRR, ACL, HHS, and you should not assume endorsement by the federal government.