Download or read book The Effects of Persistent Mild Traumatic Brain Injury Symptoms on the Neurophysiological Health of Adults written by Kelsey N. Bryk and published by . This book was released on 2021 with total page 195 pages. Available in PDF, EPUB and Kindle. Book excerpt: BACKGROUND: Mild traumatic brain injury (mTBI) accounts for approximately 70-90% of the 2.8 million TBIs sustained annually, and up to 40% of those may result in persistent symptoms lasting beyond a normal clinical recovery timeline. Persistent concussion symptoms (PCS) can manifest into life-changing disabilities, lost work and financial income, elevated risks of depression and anxiety, and reduced quality of life (QoL), as well as more subtle deficits in the ability to perform a cognitive and motor task concurrently, a common activity of daily living. Dual-task gait conditions have revealed the adaptation of a conservative gait strategy following mTBI in young athletes, however it is unknown if this strategy is present among adults with PCS. Together an assessment of symptoms, QoL, cognition, and postural control can provide an overall understanding of the subtle deficits in an adult PCS population. PURPOSE: The overall purpose of this dissertation was to identify and quantify neurophysiological impairments in adults with PCS. METHODS: For aim 1, PCS patients (n=15, 43.9+11.8 years, 11 females, 110-1314 days since injury) and healthy controls (n=24, 41.6+10.4 years, 16 females) performed dual-task gait and gait initiation conditions in a motion capture laboratory. Dual-task costs were calculated for gait, gait initiation, and cognitive variables to determine task prioritization. For aim 2, the same PCS patients and healthy controls completed questionnaires to assess symptoms and quality of life, performed a variety of common post-concussion clinical assessments (i.e.: Clinical Reaction Time, King-Devick, Tandem gait task), and a brief sensorimotor and cognitive assessment on the Kinesiological Instrument for Normal and Altered Reaching Movements (KINARM, Kingston, Ontario). Once normality was established, groups were compared using either an independent samples t-test (normal distribution) or a Mann-Whitney U test (non-normal distribution). Additionally, for aim 2, we examined the associations between KINARM variables and clinical assessment performance using a Pearson correlation test. A point-biserial correlation was run to determine the relationship between KINARM variables and VOMS failure (a categorical variable). RESULTS: For aim 1, PCS patients had significantly worse DTCs for gait (e.g.: Gait Speed DTCs: PCS = -13.1 + 11.9%, Controls = -4.3 + 6.4%, p = 0.009, d = .921) and gait initiation (e.g.: APA phase M/L displacement (-34.8 + 21.8% and -10.6 + 25.3%, p = .004, d = 1.01) when compared to the healthy controls. For aim 2, PCS patients had significantly worse symptoms, psychological issues, and overall quality of life compared to healthy controls (e.g.: Rivermead number of symptoms (Range = 0-16): PCS = 13.5 + 2.2, Controls = 4.0 + 3.8, p

Download or read book Translational Research in Traumatic Brain Injury written by Daniel Laskowitz and published by CRC Press. This book was released on 2016-04-21 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt: Traumatic brain injury (TBI) remains a significant source of death and permanent disability, contributing to nearly one-third of all injury related deaths in the United States and exacting a profound personal and economic toll. Despite the increased resources that have recently been brought to bear to improve our understanding of TBI, the developme

Download or read book Management of Adults With Traumatic Brain Injury written by David B. Arciniegas and published by American Psychiatric Pub. This book was released on 2013-04-03 with total page 598 pages. Available in PDF, EPUB and Kindle. Book excerpt: Traumatic brain injury (TBI) is a public health issue of worldwide proportions, affecting motorists, victims of interpersonal violence, athletes, military service members, and Veterans, among others. Management of Adults with Traumatic Brain Injury provides evidence-informed guidance on the core topics in brain injury medicine, including the epidemiology and pathophysiology of TBI, the medical evaluation and neuropsychological assessment of persons with TBI, and the common cognitive, emotional, behavioral, and other neurological disturbances for which persons with TBI and their families seek clinical care. The volume offers many useful features to its readers, including: Chapters written by an internationally known group of editors and contributors offering cutting-edge, multidisciplinary perspectives in brain injury medicine. Guidance on the identification and management of early and late postinjury neuropsychiatric disturbances as well as their psychological and psychosocial consequences. Identification of special issues relevant to the evaluation and treatment of TBI and postconcussive symptoms among military service members, and Veterans. Discussion of the ethics and methods of forensic assessment of persons with TBI. Key Clinical Points that highlight concepts, assessment issues, and clinical management strategies in each chapter. A wealth of tables and figures to enhance the accessibility and clinical utility of the book, as well as appendices of additional readings and relevant websites for persons and families affected by TBI and the clinicians providing their care. Impressive breadth and depth of coverage, logical structure, clinically rich detail, and concise presentation make Management of Adults with Traumatic Brain Injury a must-read for every physician, nurse, and mental health practitioner working to improve the lives of persons with TBI.

Download or read book Sports Related Concussions in Youth written by National Research Council and published by National Academies Press. This book was released on 2014-02-04 with total page 215 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the past decade, few subjects at the intersection of medicine and sports have generated as much public interest as sports-related concussions - especially among youth. Despite growing awareness of sports-related concussions and campaigns to educate athletes, coaches, physicians, and parents of young athletes about concussion recognition and management, confusion and controversy persist in many areas. Currently, diagnosis is based primarily on the symptoms reported by the individual rather than on objective diagnostic markers, and there is little empirical evidence for the optimal degree and duration of physical rest needed to promote recovery or the best timing and approach for returning to full physical activity. Sports-Related Concussions in Youth: Improving the Science, Changing the Culture reviews the science of sports-related concussions in youth from elementary school through young adulthood, as well as in military personnel and their dependents. This report recommends actions that can be taken by a range of audiences - including research funding agencies, legislatures, state and school superintendents and athletic directors, military organizations, and equipment manufacturers, as well as youth who participate in sports and their parents - to improve what is known about concussions and to reduce their occurrence. Sports-Related Concussions in Youth finds that while some studies provide useful information, much remains unknown about the extent of concussions in youth; how to diagnose, manage, and prevent concussions; and the short- and long-term consequences of concussions as well as repetitive head impacts that do not result in concussion symptoms. The culture of sports negatively influences athletes' self-reporting of concussion symptoms and their adherence to return-to-play guidance. Athletes, their teammates, and, in some cases, coaches and parents may not fully appreciate the health threats posed by concussions. Similarly, military recruits are immersed in a culture that includes devotion to duty and service before self, and the critical nature of concussions may often go unheeded. According to Sports-Related Concussions in Youth, if the youth sports community can adopt the belief that concussions are serious injuries and emphasize care for players with concussions until they are fully recovered, then the culture in which these athletes perform and compete will become much safer. Improving understanding of the extent, causes, effects, and prevention of sports-related concussions is vitally important for the health and well-being of youth athletes. The findings and recommendations in this report set a direction for research to reach this goal.

Download or read book Brain Neurotrauma written by Firas H. Kobeissy and published by CRC Press. This book was released on 2015-02-25 with total page 718 pages. Available in PDF, EPUB and Kindle. Book excerpt: With the contribution from more than one hundred CNS neurotrauma experts, this book provides a comprehensive and up-to-date account on the latest developments in the area of neurotrauma including biomarker studies, experimental models, diagnostic methods, and neurotherapeutic intervention strategies in brain injury research. It discusses neurotrauma mechanisms, biomarker discovery, and neurocognitive and neurobehavioral deficits. Also included are medical interventions and recent neurotherapeutics used in the area of brain injury that have been translated to the area of rehabilitation research. In addition, a section is devoted to models of milder CNS injury, including sports injuries.

Download or read book Traumatic Brain Injury and Neuropsychological Impairment written by Rolland S. Parker and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 462 pages. Available in PDF, EPUB and Kindle. Book excerpt: The brain is a delicate, complex, and easily disrupted organ. Unfortunately, the frequency of brain injury and the impairing effects of even seemingly minor injury is generally unknown to the public, the media, and, surprisingly, even many health professionals. It is hoped that this book will make a contribution to the welfare of brain-damaged people through a comprehensive and detailed state ment concerning their impairment and how to recognize it. Increased under standing of impairment, and the significant symptoms that reveal it, will enhance treatment planning, and aid in avoiding the error of assuming that symptoms are emotional, malingering, or exaggerations. In writing this book I have drawn on my experience in assessing individuals of all ages who have undergone traumatic brain injury, in order to alert the public, their families, concerned professionals, teaching physicians, psychologists, and attorneys to the clinical and technical issues that will aid in understanding and serving these people. Experience as a psychotherapist and career counselor offered a clinical perspective from which to document the conclusion that trau matic brain damage frequently impairs adaptive capacity of children and adults after even relatively "minor" injury.

Download or read book Understanding Traumatic Brain Injury written by Harvey S. Levin and published by Oxford University Press, USA. This book was released on 2014 with total page 486 pages. Available in PDF, EPUB and Kindle. Book excerpt: Progress in research on traumatic brain injury is presented in this book encompassing translational and clinical investigations. Observational and interventional studies are discussed by leading investigators of TBI in adults and children. Contributors from various countries provide a global perspective on this worldwide health problem.

Download or read book Mild Traumatic Brain Injury and Postconcussion Syndrome written by Michael McCrea and published by Oxford University Press, USA. This book was released on 2008 with total page 223 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the first neuropsychology book to translate exciting findings from the recent explosion of research on sport-related concussion to the broader context of mild traumatic brain injury (MTBI) and post-concussive syndrome (PCS) in the general population. In addition, it includes a Continuing Education (CE) component administered by the American Academy of Clinical Neuropsychology. Traumatic brain injuries constitute a major global public health problem, but until now, MTBIs, which constitute up to 90 percent of all treated TBIs, have been difficult to evaluate and manage clinically because of the absence of a viable model. Dr. McCrea's book thus provides a welcome evidence base for all clinicians - including psychologists, neuropsychologists, neurologists, neurosurgeons, rehabilitation medicine physicians, physiatrists, and nurses - involved in the clinical diagnosis and treatment of MTBI, as well as attorneys involved in personal injury litigation and personal injury defense. Each section of the book ends with a helpful summary of the 'Top 10 Conclusions.' Instructions for earning AACN-administered CE credit are included.

Download or read book Neuropsychological Management of Mild Traumatic Brain Injury written by Sarah A. Raskin and published by Oxford University Press. This book was released on 1999-11-11 with total page 299 pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite the importance of the problem, strikingly little has been written about effective approaches to the treatment of individuals with mild to moderate brain injury. This book is designed for neuropsychologists, counseling and rehabilitation psychologists, and other rehabilitation professionals who work with individuals who have sustained brain injuries of mild to moderate severity. It provides a context for understanding and evaluating the common consequences of such injuries and offers both theoretical perspectives and practical suggestions for helping individuals to adjust to and compensate for residual difficulties. Early chapters focus on different domains of cognitive functioning, while later chapters describe clinical approaches to helping clients manage common emotional reactions such as depression, irritability, and anxiety. While the book acknowledges and discusses the controversy about the origins of persistent symptoms following mild brain injures, it does not focus on the controversy. Rather, it adopts a "what works" approach to dealing with individuals who have persistent symptoms and perceptions that contribute to disability and to emotional distress. Many of these individuals benefit significantly from neuropsychological intervention. Case examples throughout the book illustrate the adaptation of cognitive, cognitive-behavioral, and traditional psychotherapeutic approaches to individuals with mild to moderate brain injury. Self-regulation and self-management of both cognitive failures and emotional responses are described as appropriate and effective in this population.

Download or read book Fatigue in Multiple Sclerosis written by Christian Dettmers and published by Frontiers Media SA. This book was released on 2016-02-03 with total page 89 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dear Readers, If you are engaged in the treatment of patients with MS (pwMS), this e-book’s aim is to offer novel insights to improve on an understanding of one of the major problems of pwMS: fatigue. Although there is increasing research into fatigue and its impact on MS, this collection of ten articles supports a better understanding of fatigue in MS patients. It explores pathophysiological concepts, provoking mechanisms, objective measurements, personality interactions, pharmacological and non-pharmacological interventions and summarizes clinical management. It is written by neurologists, psychologists, scientists and therapists and addresses this group of people, who deal with pwMS in private, clinical, rehabilitation or scientific settings. Its aim is to communicate high-quality information, knowledge and experience on MS to healthcare professionals, while providing global support for the international MS community.

Download or read book The Evaluation and Treatment of Mild Traumatic Brain Injury written by Nils R. Varney and published by Psychology Press. This book was released on 1999-05 with total page 556 pages. Available in PDF, EPUB and Kindle. Book excerpt: Moving beyond the debate over whether and to what degree mild head injury has lasting neuropsychological sequelae, this book is predicated on the assumption that it does cause some problems in some circumstances for some people. It focuses on the practical questions of who is injured, how injuries manifest themselves, and what evaluation and treatment strategies are optimal, for families as well as patients. The distinguished authors bring to their task not only scientific expertise but extensive day-to-day clinical experience. This book will be widely welcomed as the first comprehensive overview of what we have learned from research and clinical experience about these difficult cases.

Download or read book Nutrition and Traumatic Brain Injury written by Institute of Medicine and published by National Academies Press. This book was released on 2011-07-01 with total page 444 pages. Available in PDF, EPUB and Kindle. Book excerpt: Traumatic brain injury (TBI) accounts for up to one-third of combat-related injuries in Iraq and Afghanistan, according to some estimates. TBI is also a major problem among civilians, especially those who engage in certain sports. At the request of the Department of Defense, the IOM examined the potential role of nutrition in the treatment of and resilience against TBI.

Download or read book Traumatic Brain Injury written by Jack W. Tsao and published by Springer Nature. This book was released on 2019-11-19 with total page 465 pages. Available in PDF, EPUB and Kindle. Book excerpt: This thoroughly revised and updated work covers numerous advances in traumatic brain injury diagnosis, evaluation, treatment, and pathophysiology. Since publication of the first edition in 2012, there has been greatly increased public awareness of the clinical consequences of even the mildest of head injuries, and the result has been a concerted effort of countries around the world to increase research funding. This second edition continues to focus on mild traumatic brain injury--or concussion--and contains updates to all the original chapters as well as adding new chapters addressing clinical sequelae, including pediatric concussion, visual changes, chronic traumatic encephalopathy, and blast-associated TBI. Traumatic Brain Injury: A Clinician's Guide to Diagnosis, Management, and Rehabilitation, Second Edition, is a comprehensive resource designed for neurologists, primary care clinicians, sports physicians, and other medical providers, including psychologists and neuropsychologists, as well as athletic trainers who may evaluate and care for individuals who have sustained a TBI. The book features summaries of the most pertinent areas of diagnosis and therapy, which can be readily accessed by the busy clinician/professional. In addition, the book's treatment algorithms provide a highly practical reference to cutting edge therapies, and an updated appendix of ICD codes is included. An outstanding contribution to the literature, Traumatic Brain Injury: A Clinician's Guide to Diagnosis, Management, and Rehabilitation, Second Edition, again offers an invaluable resource for all providers who treat patients with TBI.

Download or read book Long term Outcome from Mild Traumatic Brain Injury and the Potential Neurophysiological Underpinnings for Persistent Post concussion Syndrome written by Philip J. Dean and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Neurotrauma written by Raj K. Narayan and published by McGraw-Hill. This book was released on 1996 with total page 1558 pages. Available in PDF, EPUB and Kindle. Book excerpt: This reference is a comprehensive work in the field of neurotrauma and critical care. It incorporates the fields of head injury, spinal injury and basic neurotrauma research into one source. The major emphasis is on the treatment of patients with head and spinal cord injury, including the management of all other problems that bear upon the care of these patients.

Download or read book Traumatic Brain Injury and Neuropsychological Impairment written by Arthur Greenspan and published by . This book was released on 1990-07-23 with total page 468 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Headache in Children and Adolescents written by Ishaq Abu-Arafeh and published by Springer. This book was released on 2016-08-16 with total page 227 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book assists appropriate headache assessment and decision-making in pediatrics. It covers many aspects and causes of headache disorders in children and adolescents using case studies to illustrate important points in history, examination, diagnosis, choice of management approach, therapy selection, and communication of the most helpful advice to the child and parents. Case studies have been taken from real clinical practice and presented in a consistent style. They are discussed by the authors to highlight important points in history, important positive and negative points in examination, the diagnosis, and full analysis and justification of treatment options. Headache in Children and Adolescents: A Case-Based Approach is an ideal reference for primary care physicians, paediatricians, neurologists and paediatric neurologists in their daily practice, in their consulting rooms and wards.