TBI Publications

Objective: To evaluate the efficacy of a novel intervention facilitating volunteer activity to improve well-being in individuals with traumatic brain injury (TBI). Design: Randomized two-arm controlled trial, with a wait-list control condition (ClinicalTrials.gov NCT#01728350). Setting: Community-based setting. Participants: Seventy-four community-dwelling individuals at least 1-year post TBI, who had completed ...

Objective: To evaluate the impact of physical, mental, and total health condition burden on functional outcome and life satisfaction up to 10 years after moderate to severe traumatic brain injury (TBI). Setting: Six TBI Model Systems centers. Participants: Three hundred ninety-three participants in the TBI Model Systems National Database. ...

Objective: To develop a pain interference item bank, computer adaptive test (CAT), and short form for use by individuals with traumatic brain injury (TBI). Design: Cross-sectional survey study. Setting: Five TBI Model Systems rehabilitation hospitals. Participants: Individuals with TBI (N=590). Interventions: Not applicable. Outcome measures: Traumatic Brain Injury-Quality of ...

The minimal clinically important difference (MCID) is receiving increasing interest and importance in medical practice and research. The MCID is the smallest improvement in scores in the domain of interest that patients perceive as beneficial. In clinical trials, comparing the proportion of individuals between treatment and control groups who ...

Studies have shown reduced life expectancy following moderate-severe traumatic brain injury (TBI) with death from unintentional poisoning (UP) being 11 times higher following TBI than in the general population. The characteristics of those who die of unintentional poisoning are compared with the characteristics of those who die of other ...

To examine the association between social Internet use and real-world societal participation in survivors of moderate-severe traumatic brain injury. Objective: To examine the association between social Internet use and real-world societal participation in survivors of moderate-severe traumatic brain injury. Design: Prospective cross-sectional observational study. Setting: Ten Traumatic Brain Injury Model Systems Centers. Participants: A ...

STUDY OBJECTIVES: To compare OSA, demographic, and TBI characteristics across the American Academy of Sleep Medicine (AASM) and Centers for Medicare and Medicare (CMS) scoring rules in moderate to severe TBI undergoing inpatient neurorehabilitation. METHODS: This is a secondary analysis from a prospective clinical trial of sleep apnea at six TBI ...

OBJECTIVE: To determine the diagnostic sensitivity and specificity and comparative effectiveness of traditional sleep apnea screening tools in traumatic brain injury (TBI) neurorehabilitation admissions. DESIGN: Prospective diagnostic comparative effectiveness trial of sleep apnea screening tools relative to the criterion standard, attended level 1 polysomnography including encephalography. SETTING: Six TBI Model System Inpatient ...

Study reviewed the literature examining the association between acute hospital physical function and various hospital outcomes and healthcare utilization. A search of the MEDLINE database was performed using term that included acute functional outcomes and frailty outcomes. Studies up to September 2017 were selected if they were in English and ...

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 ...

Study examined the level of agreement between self-reported dose and the dose reflected in administrative records of outpatient physical, occupational, and speech therapies at 6 and 12 months after severe traumatic brain injury (TBI). Sixty-five people with severe TBI living in the community provided 6-month data; 54 provided 12-month data. ...

Study evaluated the efficacy of an in-home, 12-week physical therapy intervention that utilized a virtual reality (VR) gaming system to improve balance in individuals with traumatic brain injury (TBI), compared to a traditional home-based exercise program (HEP). Sixty-three individuals at least 1-year post-TBI were randomized to traditional HEP or VR ...

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 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). ...

Article discusses the ethical and legal implications of the use of cell phones by patients with brain injury during inpatient rehabilitation. The first author outlines issues in the context of wireless device use in the hospital, and more specifically for those with cognitive impairment. The second author shares a case ...

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 analyzed the compatibility of several databases to determine the feasibility of linking acute care and longitudinal trauma databases. The data dictionaries of 5 trauma databases were examined to determine the extent of common data collection. Databases included 2 acute care databases (American Burn Association’s National Burn Data Standard and ...

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 ...

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 developed, calibrated, and evaluated a new patient-reported outcome measures of cognitive concerns for individuals with traumatic brain injury (TBI). The TBI-QOL Headache Pain Executive Function and TBI-QOL Cognition-General Concerns item banks developed using data collected at five TBI Model Systems rehabilitation centers in the United States from adults with ...