TBI Publications

Study investigated whether ascending arousal network (AAn) connectivity is reduced in patients presenting with traumatic coma. The AAn is a collection of subcortical pathways that connect the rostral brainstem tegmentum to the hypothalamus, thalamus, and basal forebrain. High-angular-resolution diffusion imaging was performed in 16 patients with acute severe traumatic brain ...

To design a new measure of caregiver-specific anxiety for use in caregivers of individuals with traumatic brain injury (TBI), the Traumatic Brain Injury Caregiver Quality of Life (TBI-CareQOL) Caregiver-Specific Anxiety item bank.

This review article critically evaluates the available therapeutic options for patients with prolonged disorders of consciousness (more than 28 days) that have been studied in the past 6 years. The authors discuss pharmacological and nonpharmacological interventions with the strongest evidence and for which robust randomized controlled trials (RCTs) have been ...

OBJECTIVE: To develop, calibrate, and evaluate the test-retest reliability of a new patient-reported outcome measure of headache pain relevant for individuals with traumatic brain injury (TBI). SETTING: Six TBI Model Systems rehabilitation centers in the United States. PARTICIPANTS: Adults with medically confirmed documentation of TBI. DESIGN: Cross-sectional calibration field ...

Objective: To describe trajectories of functioning up to 5 years after traumatic brain injury (TBI) that required inpatient rehabilitation in the United States using individual growth curve models conditioned on factors associated with variability in functioning and independence over time. Design: Secondary analysis of population-weighted data from a multicenter longitudinal cohort ...

Study determined the level of participation among patients with traumatic brain injury (TBI) between 2005 and 2017 who were admitted to inpatient rehabilitation unable to follow commands and subsequently enrolled in the TBI Model Systems National Database. The Participation Assessment with Recombined Tools-Objective (PART-O) Productivity, Social Relations, and Out and ...

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. ...

Study developed a Rasch-based crosswalk between 2 postconcussive symptom measures, the Neurobehavioral Symptom Inventory (NSI) and the Rivermead Postconcussive Symptom Questionnaire (RPQ), and utilized Rasch analysis to formulate a new proposed scale containing the best theoretical and psychometric items. NSI and RPQ data were analyzed for 497 community-dwelling adults who ...

Study developed and evaluated the use of computer adaptive tests (CATs) to administer the Mobility and Upper Extremity item banks from the Traumatic Brain Injury Quality of Life (TBI-QOL) measurement system relevant for individuals with traumatic brain injury (TBI). Data were collected at five rehabilitation facilities funded as part of ...

Study identified trends in demographics, particularly age, as well as medical characteristics of patients admitted to medical rehabilitation facilities after sustaining a traumatic brain injury (TBI). Data from the Uniform Data System for Medical Rehabilitation were analyzed for 233,843 patients admitted to 1,290 medical rehabilitation facilities after sustaining a TBI ...

Caregivers have expressed interest in survey research, yet there is limited information available about survey response burden, ie, the time, effort, and other demands needed to complete the survey. This may be particularly important for caregivers due to excessive time demands and/or stress associated with caregiving. ...

Study evaluated the basic psychometric features of a modified version of the Coma Recovery Scale-Revised (CRS-R) for use in young children with disorders of consciousness. The CRS-R was modified to create the Coma Recovery Scale for Pediatrics (CRS-P) and administered to 33 typically developing children (ages 8 to 59 months). ...

Weight gain is prevalent among people with traumatic brain injury (TBI) and may be attributable to environmental or injury-specific factors such as mobility impairment, endocrine dysfunction, behavioral and emotional disorders, and sensory loss. Few weight management programs exist to meet the unique needs of this population. Researchers modified a ...

Study examined the relationship between cognitive status to employment status 1 year after moderate-severe traumatic brain injury (TBI). Three hundred twenty people with moderate-severe TBI, all employed at injury, were enrolled during inpatient rehabilitation in a TBI Model System center and evaluated at 1-year postinjury. Follow-up measures included whether and ...

Objective: To examine the effectiveness of the Therapeutic Couples Intervention (TCI) on caregiver needs and burden after brain injury. Research method: Individuals with brain injury and their intimate partners/caregivers (n = 75) participated in a 2-arm, parallel, randomized trial with a waitlist control. The TCI consisted of 5 2-hr sessions, with ...

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 examined the predictive ability of depression when considering long-term employment outcomes for individuals with moderate-to-severe traumatic brain injury (TBI) after controlling for key preinjury and injury-related variables. Data were obtained from individuals between 18 and 60 years old with moderate-to-severe TBI enrolled in the TBI Model Systems database. The ...

Study determined the incidence and predictors of comorbid cerebrovascular injuries in patients with moderate-to-severe traumatic brain injury (TBI) and investigated whether it influences rehabilitation outcomes. Data on new traumatic cerebral artery injury (TCAI) lesions of head/neck and new cerebral infarcts (CIs) were abstracted from neuroimaging reports and clinical notes of ...