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Article presents the protocol for a study to investigate whether an 8-week low-carbohydrate/high-protein (LC/HP) dietary intervention will show improvements in metabolic function, body composition, the composition of gut bacteria, and quality of life in people with spinal cord injury (SCI). One hundred participants with chronic traumatic SCI (3 years postinjury, ...

Study evaluated the psychometric properties of the Spinal Cord Injury-Functional Index (SCI-FI) instruments in a community-dwelling sample. A total of 269 individuals recruited from 6 SCI Model Systems sites completed computer adaptive test and short-form versions of 4 SCI-FI/Capacity (C) banks (i.e., Ambulation, Basic Mobility, Fine Motor, Self-Care) and 1 ...

Study investigated whether a brief moderate-intensity locomotor-related motor skill training (MST) circuit, with and without transcranial direct current stimulation (tDCS), improved walking and balance outcomes in people with motor-incomplete spinal cord injury (MISCI). In addition, researchers examined potential differences between within-day (online) and between-day (offline) effects of MST. Twenty-six adults ...

Study examined how demographic and injury characteristics identify satisfaction with life (SWL) following spinal cord injury (SCI) and assessed the differential effects of a wellness intervention by baseline SWL groups. Seventy-two individuals with SCI were randomized to an intervention group or control group. The intervention aimed to increase self-efficacy, and ...

Study explored women’s experiences of living with spinal cord injury (SCI) and neurogenic bladder and bowel (NBB), a chronic condition hindering the functioning and quality of life of people with SCI. Secondary analysis of semi-structured interviews from a larger qualitative study of 50 women with SCI was conducted. Transcripts were ...

Study examined the rate of readmission from inpatient rehabilitation facilities (IRFs) to acute care hospitals (ACHs) during the first 30 days of rehabilitation stay, the variation in 30-day readmission rate across IRFs, and the extent that patient and facility characteristics contribute to this variation. Adult IRF discharges from 944 IRFs ...

Study identified barriers and supports that caregivers of individuals with military-related traumatic brain injury (TBI) encounter when navigating the military healthcare system. Participants included 45 caregivers of service members and veterans (SMV) who sustained a medically documented mild, moderate, severe, or penetrating TBI. Nine in-person focus group discussions were conducted ...

Study investigated the effectiveness of a 5-session manualized intervention for addressing needs of caregivers of individuals in acute traumatic brain injury (TBI) rehabilitation. Ninety-three patients with moderate-to-severe TBI and their family members were enrolled in the study, with 42 randomized to the treatment group and 51 to the control group. ...

Assessing the minimal clinical change that a patient would perceive as beneficial is impossible in unconscious and non-communicative patients. The authors propose a novel probability-based approach to developing a minimal clinically significant change for the two most commonly used scales in patients with disorders of consciousness: the Coma Recovery Scale ...

Study explored how acute cortisol profiles affect cognition among traumatic brain injury (TBI) survivors. It was hypothesized that serum and cerebral spinal fluid (CSF) cortisol trajectories over days 0–5 post-injury are associated with cognition 6-month post-injury. The study evaluated 94 participants with severe TBI, collected acute serum and/or CSF samples ...

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 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 ...