TBI Publications

Article addresses the issue of spasticity management in the intensive care unit and acute care setting. Treatment delivered in those settings can be problematic as medical instability and impaired level of consciousness complicate the decision-making process. The authors review the literature and offer guidance to clinicians through a case ...

This archival study examined the effectiveness of using a normative floor effect method to detect suboptimal performance in a clinical sample of 120 cases consecutively referred for a neuropsychological evaluation. These cases were divided into moderate-severe TBI, mild TBI, and poor effort litigants (demonstrating suboptimal effort). Percentiles, sensitivity, ...

The present study examined the influence of African American acculturation on the performance of neuropsychological tests following traumatic brain injury (TBI). Seventy one participants already enrolled in a larger-scale study assessing the impact of TBI (i.e., the South Eastern Michigan Traumatic Brain Injury Model Systems project) completed a self-report ...

OBJECTIVE: To determine the measurement properties and diagnostic utility of the JFK Coma Recovery Scale-Revised (CRS-R). DESIGN: Analysis of interrater and test-retest reliability, internal consistency, concurrent validity, and diagnostic accuracy. SETTING: Acute inpatient brain injury rehabilitation hospital. PARTICIPANTS: Convenience sample of 80 patients with severe acquired brain injury admitted ...

Disorders of consciousness continue to be the subject of hot debate in healthcare settings, research consortiums, bioethics departments and media forums. There are no standards of care to guide assessment and treatment decisions resulting in wide disparities in daily practice. In response to this problem, expert panels in neurology ...

OBJECTIVES: Participation in meaningful life situations is an important aspect of functioning after traumatic brain injury (TBI). However, to date, few studies have included measures of social participation or community integration as outcome measures after TBI rehabilitation. This paper is a selective review of the literature that examines the ...

OBJECTIVE: To evaluate the effectiveness of an intensive cognitive rehabilitation program (ICRP) compared with standard neurorehabilitation (SRP) for persons with traumatic brain injury (TBI). DESIGN: Nonrandomized controlled intervention trial. SETTING: Community-based, postacute outpatient brain injury rehabilitation program. PARTICIPANTS: Fifty-six persons with TBI. INTERVENTIONS: Participants in ICRP (n=27) received an ...

Objective: To study cognitive, communication, and social changes experienced by individuals between 1 and 5 years after traumatic brain injury (TBI). Design: Prospective cohort. Setting and Participants: TBI Model System Database with 927 eligible subjects using a cohort with complete 1- and 5-year data (N = 292). Main Outcome ...

While many outcomes after traumatic brain injury (TBI) have been systematically investigated, the most basic of all outcomes--survival--has been neglected. The purpose of this study was to investigate mortality in a cohort of 2,178 individuals with TBI completing inpatient rehabilitation in one of 15 National Institute on Disability and ...

BACKGROUND: The incidence of late posttraumatic seizures (LPTS) in individuals with traumatic brain injury (TBI) ranges anywhere from 5% to 18.9% in civilian populations up to 32% to 50% in military personnel. OBJECTIVE: This article reviews the current knowledge about the incidence and prevalence of LPTS following a TBI, ...

OBJECTIVE: To study cognitive, communication, and social changes experienced by individuals between 1 and 5 years after traumatic brain injury (TBI). DESIGN: Prospective cohort. SETTING AND PARTICIPANTS: TBI Model System Database with 927 eligible subjects using a cohort with complete 1- and 5-year data (N = 292). MAIN OUTCOME ...

OBJECTIVE: Study functional changes between one and five years after traumatic brain injury (TBI). DESIGN: Prospective cohort. SETTING AND PARTICIPANTS: TBI Model Systems National Database subjects using cohort with complete one and five year data (n = 301). MAIN OUTCOME MEASURES: Disability Rating Scale (DRS) Level of Functioning and ...

Study examined the direction and predictors of change in the Disability Rating Scale (DRS) level of functioning and employability items between 1 and 5 years after traumatic brain injury (TBI). Data were obtained from 3,787 subjects enrolled in the TBI Model Systems National Database. The Functional Independence Measure was ...

OBJECTIVE: To study cognitive, communication, and social changes experienced by individuals between 1 and 5 years after traumatic brain injury (TBI). DESIGN: Prospective cohort. SETTING AND PARTICIPANTS: TBI Model System Database with 927 eligible subjects using a cohort with complete 1- and 5-year data (N = 292). ...

Objective: To study cognitive, communication, and social changes experienced by individuals between 1 and 5 years after traumatic brain injury (TBI). Design: Prospective cohort. Setting and Participants: TBI Model System Database with 927 eligible subjects using a cohort with complete 1- and 5-year data (N = 292). Main Outcome Measures: ...

BACKGROUND: The incidence of late posttraumatic seizures (LPTS) in individuals with traumatic brain injury (TBI) ranges anywhere from 5% to 18.9% in civilian populations up to 32% to 50% in military personnel. OBJECTIVE: This article reviews the current knowledge about the incidence and prevalence of LPTS following a TBI, the ...

Study evaluated the reliability, validity, and normative performance of the Cognitive Log (Cog-Log), a bedside screening measure that assesses orientation, memory, praxis, concentration, response inhibition, and executive functioning in rehabilitation inpatients. Participants included 150 patients with acquired brain injury and 83 young adults without acquired brain injury were included ...

Article describes the sensations of instability reported by patients with traumatic brain injury (TBI). Ten subjects with TBI and complaints of instability and 10 without TBI were evaluated for gait and balance deficits using the Dizziness Handicap Inventory (DHI), caloric irrigation, optokinetic testing, a Dix-Hallpike Test, posturography, and motion ...

Article describes the use of a confidential consultation Web site to provide expert recommendations and advice to front-line telephone staff at a different site who provided information and assistance to individuals with traumatic brain injury (TBI). The use of the Internet consultation method proved convenient to all users, improved ...