TBI Publications

Study examined the relationship between sleep disturbance and neurocognitive ability among 87 patients with mild to severe traumatic brain injury (TBI). Sleep disturbance was assessed using the Pittsburgh Sleep Quality Index (PSQI). Analysis revealed that performance on selected measures of cognitive functioning significantly improved prediction of sleep disturbance, accounting ...

Study examined the internal consistency, reliability, and comparability of the Mayo-Portland Adaptability Inventory (MPAI) and its subscale measures for ratings made by people with acquire brain injury, their significant others, and by rehabilitation staff. Rasch analysis was used to determine the internal consistency of the overall measure and the ...

Study examined the internal consistency, interrater agreement, concurrent validity, and floor and ceiling effects of the participation index (PI) of the Mayo-Portland Adaptability Inventory (MPAI). Rasch analysis was conducted on PI data derived from MPAIs completed by people with acquired brain injury, their significant others, and rehabilitation staff to ...

Study examined the impact of preinjury personality and injury severity on early rehabilitation outcome and on outcome approximately 1 year after traumatic brain injury (TBI). Sixty-nine people with TBI and their significant others were asked to describe the preinjury personality of the injured person using the NEO Personality Inventory-Revised. ...

Article identifies common patterns of upper motor neuron syndrome (UMNS) dysfunction in the upper extremities and the muscles that are involved. Discussion focuses on choosing upper limb muscles for focal interventions in patients with traumatic brain injury (TBI) who have UMNS. Clinicians need to know which muscles cross a ...

Study demonstrates the benefits of oral administration of baclofen in patients with spasticity secondary to brain injury. Authors also review reasons why baclofen may be more effective in the lower rather than the upper extremities.

Study examined the incidence and course of acute confusion or delirium in patients with traumatic brain injury in an acute neurorehabilitation setting. Eighty-five patients were evaluated using measures of motor restlessness (Agitated Behavior Scale), cognition (Cognitive Test for Delirium), orientation (Galveston Orientation and Amnesia Test), and delirium (Delirium Rating ...

Study conducted to examine the utility, reliability, and validity of the Loss Inventory (LI), which was designed to measure symptoms unique to grief following the onset of disability. A prospective survey was conducted in which two self-report measures, the LI and the Zung Self-Rating Depression Scale, were administered to ...

Article describes the evaluation of the Program Without Walls (PWW), a community-based approach for state rehabilitation counselors to provide vocational rehabilitation (VR) services to people with traumatic brain injury (TBI). Twenty-one consumers with TBI received person-centered, community-based services from a team of freelance consultants who were recruited, trained, and ...

Study examined the relationship between clinicians' experience, training, and confidence with portable electronic memory devices and their use of those devices in traumatic brain injury (TBI) rehabilitation. Eighty-one TBI clinicians completed the survey distributed in person or by mail. Twenty-nine respondents (36 percent) reported using portable electronic memory devices ...

Study documents medical and rehabilitation service utilization during the first 3 months following discharge from inpatient rehabilitation for traumatic brain injury. Seventy-three subjects drawn from the Georgia Model Brain Injury System completed a survey that asked about service access and intensity of service use. Results indicated that subjects with ...

Article examines the relationship between cognitive rehabilitation and cognitive science, discusses barriers to collaboration between the 2 fields, and suggests ways to overcome those barriers. Cognitive science develops theories to explain how brain processes produce mental activities. Cognitive rehabilitation attempts to ameliorate specific acquired impairments in an individual's thinking ...

Study evaluated the effects of administering Donepezil during inpatient rehabilitation to 36 patients with traumatic brain injury (TBI). Main outcome measures include Functional Independence Measure cognitive scores and rehabilitation lengths of stay. No difference in cognitive improvement was observed between the treatment group and a matched control group. Sub-set ...

Article provides information on the prevalence, course, and implications of pain after traumatic brain injury (TBI). The neural pathways and mechanisms of pain and potential sources of pain after TBI are discussed. Diagnosis of pain usually falls into one of the following pathoetiologic classifications: primary or musculoskeletal, vascular, visceral, ...

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 ...

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 ...