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Study investigated the relationships between pre-existing migraines and acute (within 72 hours) symptoms and cognitive performance after a suspected concussion. From a total of 39,161 adolescent athletes who underwent baseline preseason testing, 633 were assessed within 3 days of a suspected concussion. Of these, 59 (9.3 percent) reported a history ...

Study described pain intensity and interference at baseline and 1 year post injury in burn, traumatic brain injury (TBI), and spinal cord injury (SCI) survivors compared to each other and with the general population (GP). It also evaluated the feasibility and utility of custom Patient Reported Outcomes Measurement Information System ...

Study investigated whether the “sacral sparing” definition for completeness of traumatic spinal cord injury (SCI) is a more stable definition than the previously used Frankel Classification. A retrospective analysis was conducted of 804 individuals with traumatic SCI who were enrolled in the SCI Model Systems database between 2011 and 2018. ...

Study investigated which characteristics of wheelchair users with spinal cord injury (SCI) are associated with greater perceived discrimination in the healthcare setting, and how such discrimination relates to 2 outcomes: pain and depressive symptoms. Data were collected between 2011 and 2016 from 410 full-time wheelchair users with SCI from 9 ...

Study compared the effects of an 8‐week isocaloric high‐protein (HP) diet versus a combined exercise regimen (Comb‐Ex) in individuals with long‐standing spinal cord injury (SCI). Twenty individuals with SCI enrolled in the University of Alabama at Birmingham SCI Model System were randomly assigned to the Comb-Ex or HP-diet group; 11 ...

Study examined the safety and effectiveness of micro-fragmented adipose tissue (MFAT) injections under ultrasound guidance for treatment of refractory shoulder pain caused by rotator cuff disease in wheelchair users with spinal cord injury (SCI). Ten wheelchair users with chronic SCI who had moderate-to-severe shoulder pain caused by refractory rotator cuff ...

Study characterized employment stability over the first 5 years after injury and identified predictors of employment stability in working-age individuals after moderate-to-severe traumatic brain injury (TBI) that may be clinically addressed. The study included 5,683 individuals enrolled in the Traumatic Brain Injury Model Systems National Database since 2001, aged 18-59, ...

Study examined the independent and interactive effects of aging and chronicity on functional outcomes after traumatic brain injury (TBI). Participants were 1,993 individuals who sustained a moderate/severe TBI and received acute inpatient rehabilitation at specialized centers with high follow-up as part of their involvement in the TBI Model Systems longitudinal ...

Article describes an adaptive strategy for assigning wait times for participants randomized to the control group in waitlist control (WLC) trials. WLC clinical trials are popular among psychologists and rehabilitation specialists partly because all participants receive the intervention. In 2-arm WLC trials, individuals randomized to the treatment group receive immediate ...

Article provides general information about the Traumatic Brain Injury-Quality of Life (TBI-QOL) measurement system and introduces a special journal issue focused on this topic. Specific details on the development and calibration of the TBI-QOL Fatigue, Headache, Cognition (General Concerns and Executive Functioning), Communication, and Physical Functioning (Mobility and Upper Extremity) ...

Study examined the presence of distinct anxiety trajectories across the first 10 years after traumatic brain injury (TBI) and identified demographic, preinjury, injury-related, and treatment factors associated with overall anxiety levels and class membership in different anxiety trajectory subgroups. Participants were enrolled in the TBI Model Systems National Database, were ...

Study explored the presence of distinct anxiety trajectories across the first 10 years after traumatic brain injury (TBI), and identified demographic, preinjury, injury-related, and treatment factors associated with overall anxiety levels and class membership in different anxiety trajectory subgroups. Data were analyzed for 2,836 participants with moderate-to-severe TBI enrolled in ...

Study examined longitudinal changes in ascending arousal network (AAN) connectivity during post-traumatic recovery of consciousness and identified AAN connections that may discriminate between patients with or without a chronic disorder of consciousness (DoC) after severe traumatic brain injury. Sixteen patients with acute traumatic coma and 16 matched healthy controls were ...

Study evaluated the association among lifetime traumatic brain injury (TBI) exposure, opioid use, and pain in a nationally representative sample of 1,022 adults over age 50 who participated in the Health and Retirement Study (HRS). Lifetime TBI history was measured via the Ohio State University TBI Identification Method. Three alternate ...

Study assessed associations among commonly used self-report and clinical measures of balance in chronic traumatic brain injury (TBI). Fifty-nine individuals (64 percent male, mean age 48.2 years) ambulating independently within the home participated in testing. Outcome measures included the Activities-Specific Balance Confidence Scale (ABC), a self-reported balance impairment); the Community ...

Study compared barriers and facilitators to accessing healthcare services among service members and veterans (SMVs) stratified by traumatic brain injury (TBI) severity groups. Fifty-five SMVs (including 10 caregivers as proxies) ≥2 years post-TBI were recruited from five Veterans Affairs (VA) TBI Model Systems centers and grouped by TBI severity (mild/moderate, ...

Article describes the methods and rationale for a randomized controlled trial for depression or anxiety after moderate to severe traumatic brain injury (TBI), including the interventions, measures, and data analytic plan. The study will test 2 treatments based on behavioral activation (BA), a promising model to promote both positive mood ...

Study tracked the behavioral and functional recovery of patients with prolonged traumatic disorders of consciousness (DoC) following discharge from the acute care setting. Standardized behavioral data were acquired from 95 patients in a minimally conscious (MCS) or vegetative state (VS) recruited from 11 clinic sites and randomly assigned to the ...