Journal of Head Trauma Rehabilitation最新文献

{"title":"Long-Term Health-Related Quality of Life and Perceptions of Recovery in Adults Who Received Clinical Profiles Informed Care for Concussion.","authors":"Melissa N Womble, Kori J Durfee, Sabrina Jennings, Christina M Dollar, Sheri Fedor, Philip Schatz, R J Elbin","doi":"10.1097/HTR.0000000000001079","DOIUrl":"https://doi.org/10.1097/HTR.0000000000001079","url":null,"abstract":"<p><strong>Objective: </strong>Document long-term health-related quality of life (HRQoL) and recovery perceptions in adults who received clinical profiles-informed concussion care and explore risk factors that predict poor long-term HRQoL outcomes.</p><p><strong>Setting: </strong>Outpatient specialty concussion clinic.</p><p><strong>Participants: </strong>125 adults, aged 18-65 years.</p><p><strong>Design: </strong>A retrospective cohort design documented perceived recovery, negative life events, and Patient-Reported Outcomes Measurement Information System (PROMIS) scores in adults (M = 33.44 years, SD = 13.31) who were medically cleared from concussion approximately 4.32 years (SD = 1.54, range = 1.11-6.30 years) following injury. Chi-square tests assessed associations among perceived recovery, negative life events, PROMIS scores, and select injury-related variables.</p><p><strong>Main measures: </strong>Perceived Recovery Status, PROMIS Scale v1.2-Global Health, PROMIS 29 + 2 Profile, PROMIS v2.0-Cognitive Function, and Life Events List.</p><p><strong>Results: </strong>Eighty-three percent (104/125) of participants reported still being recovered from concussion, and 85% (106/125) had <2 PROMIS scores exceeding 1SD (ie, within normal limits). Fifteen percent (19/125) exhibited >3 PROMIS scores beyond 1SD. Participants endorsing multiple negative self-events in the previous 12 months had 2.95 times greater odds (χ2[1, 125] = 4.64, P = .03, 95% CI = 1.07-8.11) of having ≥3 PROMIS scores beyond 1SD and 2.82 times greater odds (χ2[1, 125] = 4.66, P = .03, 95% CI = 1.07-7.42) of not being recovered compared to participants endorsing ≤1 negative self-events. In addition to negative self-events, only anxiety (χ2[1, 125] = 4.25, P = .04, OR: 3.64, 95% CI: 1.00-13.26) and depression (χ2[1, 125] = 5.92, P = .02, OR: 3.65, 95% CI: 1.23-10.87) history predicted ≥3 PROMIS scores beyond 1SD. Other injury-related factors, including any clinical profile, symptom burden, or prolonged recovery, did not (P>.05).</p><p><strong>Conclusion: </strong>The majority of adults treated with a clinical-profiles-informed care model for concussion had normal HRQoL scores 1-6 years following recovery.</p>","PeriodicalId":15901,"journal":{"name":"Journal of Head Trauma Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144553747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Performance and Physiological Response to the Buffalo Concussion Treadmill Test Can Identify Autonomic Dysfunction in the General Adult Population With Mild Traumatic Brain Injury: A Prospective Observational Study.","authors":"Sally Vuu, Maayken E L van den Berg, Selena Hutchins, Joanne Howie, Claire Gough, Christopher J Barr","doi":"10.1097/HTR.0000000000001076","DOIUrl":"https://doi.org/10.1097/HTR.0000000000001076","url":null,"abstract":"<p><strong>Objective: </strong>To explore the underlying mechanisms impacting on the Buffalo Concussion Treadmill Test (BCTT) performance in a general adult population with mild traumatic brain injury (TBI).</p><p><strong>Setting: </strong>Outpatient TBI rehabilitation service.</p><p><strong>Participants: </strong>Twenty-one adults with mild TBI, 17 healthy active adults, and 14 healthy sedentary adults.</p><p><strong>Design: </strong>Prospective observational study comparing BCTT performance and associated physiological responses between 3 participant groups.</p><p><strong>Main measures: </strong>During a single BCTT session, test duration, reason for test termination, age-predicted maximum heart rate (HR), and HR recovery (HRR) were recorded.</p><p><strong>Results: </strong>Fifty-two adults (60.8% male, mean ± SD age: 37.8 ± 14.6 years) were recruited. The group with mild TBI demonstrated a significantly shorter test duration (10.8 ± 5.7 min) compared to the healthy active (14.1 ± 2.9 min) and sedentary (11.6 ± 3.0 min) groups (P < .05). Eight participants (38.1%) stopped due to symptom exacerbation. The group with mild TBI had a significantly (P < .05) lower age-predicted maximum HR (84.3 ± 9.8%), compared to both healthy active (90.0 ± 0.2%) and sedentary adults (89.3 ± 2.8%) at test termination. Fast and slow phase HRR were significantly better in the healthy active group (fast: 69.6 ± 18.2 beats per minute [bpm], slow: 79.0 ± 13.8 bpm) compared to both the mild TBI (fast: 44.5 ± 18.7 bpm, slow: 61.1 ± 20.4 bpm) and healthy sedentary groups (fast 49.6 ± 20.1 bpm, slow 63.0 ± 11.7 bpm) (P < .05), with no significant difference between adults with mild TBI and healthy sedentary groups. When controlling for levels of physical activity there was no longer a detectable significant difference between the healthy active and sedentary groups in HRR.</p><p><strong>Conclusion: </strong>This study demonstrates that the inability to exercise to a threshold HR of 90% of an individual's age-predicted maximum HR is a better indicator of autonomic dysfunction. HRR may be prolonged in those with a mild TBI, but caution should be taken if attributing this to physiological dysfunction as the predominant factor appears to be physical activity levels.</p>","PeriodicalId":15901,"journal":{"name":"Journal of Head Trauma Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Purpose Renewal in Adults With Persisting Symptoms After Concussion: Results of a Non-Randomized Feasibility Trial.","authors":"Natalie V Covington, Mary Vining Radomski, Alisa Kocian, Sandra Castro-Pearson, Amanda A Herrmann, Kristina Kath, Libby Lindenfelser, Sandy Arntson Schwalbe, Sharon Gowdy Wagener, Joette Zola","doi":"10.1097/HTR.0000000000001073","DOIUrl":"https://doi.org/10.1097/HTR.0000000000001073","url":null,"abstract":"<p><strong>Background: </strong>Living with a sense of purpose in life is associated with numerous health benefits; however, some individuals with persisting symptoms after concussion are at risk for purpose disruption. The Compass Course is a group-based tele-practice intervention that supports purpose renewal after major health transitions.</p><p><strong>Objectives: </strong>To assess the feasibility, acceptability, and implementability of the Compass Course for adults with persisting symptoms after concussion, in preparation for a future randomized controlled trial.</p><p><strong>Setting: </strong>Large healthcare system in the Midwestern United States.</p><p><strong>Participants: </strong>Convenience sample of 37 adults with persisting symptoms after concussion.</p><p><strong>Design: </strong>Non-randomized pilot prospective cohort design.</p><p><strong>Intervention: </strong>Compass Course purpose renewal intervention delivered in a group setting via Zoom by an interdisciplinary team of allied health clinician-researchers (occupational therapy, speech-language pathology, psychology).</p><p><strong>Main outcome measures: </strong>Participants completed Likert scales to rate acceptability of the Compass Course intervention. Treatment fidelity was assessed by tracking the number of key intervention elements presented in each treatment session. Potential benefits of the intervention were assessed using validated measures of purpose and meaning in life.</p><p><strong>Results: </strong>Acceptability ratings were strong across the vast majority of participants. Treatment fidelity was strong with nearly perfect adherence to prespecified intervention elements. Participants who completed the intervention had gains across all purpose in life outcomes, with improvements maintained at 2-month follow-up.</p><p><strong>Conclusions: </strong>The Compass Course was highly acceptable to participants who completed the intervention; however, there was significant attrition suggesting a need for adaptations to the intervention and to trial procedures. Future work includes further intervention development, and a controlled feasibility trial to estimate treatment effects for a future well-powered clinical trial.</p>","PeriodicalId":15901,"journal":{"name":"Journal of Head Trauma Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post-Concussion Symptoms in Older Adults Following a Mild Traumatic Brain Injury.","authors":"Mathieu Massé-Pelletier, Valérie Boucher, Natalie Le Sage, Xavier Neveu, Lynne Moore, Marcel Émond, Eric Mercier","doi":"10.1097/HTR.0000000000001077","DOIUrl":"https://doi.org/10.1097/HTR.0000000000001077","url":null,"abstract":"<p><strong>Objective: </strong>Main objective: to estimate the prevalence of post-concussion symptoms (PPCS) in patients aged ≥55 years. Secondary objective: to identify the predictive factors associated with PPCS in this age group.</p><p><strong>Setting: </strong>Seven Canadian academic Level I and Level II trauma centers' emergency department (ED).</p><p><strong>Participants: </strong>356 patients aged ≥55 years consulting in the ED within 24 hours of a mild traumatic brain injury (TBI) between July 2013 and October 2016 were included in this study.</p><p><strong>Design: </strong>This is a planned sub-analysis of a prospective multicenter cohort study. Patients were identified in the ED by emergency physicians and research assistants. Participants were contacted via telephone for follow-up at 7, 30, and 90 days post-mild TBI. During these follow-ups, research assistants assessed PPCS using the Rivermead Post-Concussion Symptoms Questionnaire (RPQ). A modified Poisson regression assessed the association between PPCS and potential predictors.</p><p><strong>Main measures: </strong>The main outcome of this study was the presence of PPCS at 90 days, defined as the presence of spontaneously described severe (RPQ ≥1 symptom of 4 points, or 2 symptoms of 3 points), persistent symptoms that affect the patients' life.</p><p><strong>Results: </strong>PPCS at 90 days was observed in 16%, [95% CI 12.6-20.2] of our cohort, and most of those reporting PPCS were aged between 55 and 65 years (63.2%). We identified 4 variables associated with PPCS: cervical sprains (RR: 2.28, [95% CI 1.34-3.86], P < .01), female sex (RR: 3.12 [95% CI 1.90-5.12], P < .01), at least 3 different prescribed medications (RR: 1.68 [95% CI 1.02-2.76], P < .05) and age, which appeared to be protective (RR: 0.63 [95% CI 0.42-0.92], P < .01).</p><p><strong>Conclusion: </strong>Our results identified patient characteristics associated with PPCS that can be easily recognized in the ED, such as patient sex, the use of at least 3 different medications and the presence of cervical sprain. Early identification of older adults at higher risk of PPCS is important to optimize care and guide post-ED management.</p>","PeriodicalId":15901,"journal":{"name":"Journal of Head Trauma Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144325947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstracts of the 5th Annual Meeting of the Canadian Concussion Network/Réseau Canadien des Commotions (CCN-RCC).","authors":"","doi":"10.1097/HTR.0000000000001069","DOIUrl":"https://doi.org/10.1097/HTR.0000000000001069","url":null,"abstract":"<p><p>JOURNAL/jhetr/04.03/00001199-990000000-00274/figure1/v/2025-05-28T160415Z/r/image-jpeg The following abstracts were presented at the 5th Annual Meeting of the Canadian Concussion Network/Réseau Canadien des Commotions (CCN-RCC) in Victoria, British Columbia on June 9-10, 2025. Established in 2020, the CCN-RCC has a vision to establish and guide a coordinated national research and knowledge translation agenda in Canada. This agenda aims to reduce the risk of concussions and their consequences across four broad domains: prevention, detection/diagnosis, prognosis/modifiers, and treatment.</p>","PeriodicalId":15901,"journal":{"name":"Journal of Head Trauma Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Interaction Between Race/Ethnicity and Sex on Societal Participation Among Individuals With Traumatic Brain Injury: A NIDILRR Model Systems Study.","authors":"Anthony H Lequerica, Jennifer A Bogner, Shannon B Juengst, Denise Krch, Monique R Pappadis, Paul B Perrin, Angelle M Sander, Gale G Whiteneck","doi":"10.1097/HTR.0000000000001074","DOIUrl":"https://doi.org/10.1097/HTR.0000000000001074","url":null,"abstract":"<p><strong>Objective: </strong>To examine the interaction of race/ethnicity and sex on societal participation (productivity and overall participation) among individuals with traumatic brain injury (TBI).</p><p><strong>Setting: </strong>Community.</p><p><strong>Participants: </strong>A total of 8861 individuals aged ≥16 who identified as non-Hispanic White (1750 females, 4270 males), non-Hispanic Black (315 females, 1147 males), or Hispanic (314 females, 1065 males), and who completed a 1-year postinjury follow-up interview in the TBI Model Systems National Database.</p><p><strong>Design: </strong>Secondary analysis of a longitudinal cohort study at 1-year postinjury.</p><p><strong>Main measures: </strong>The Participation Assessment with Recombined Tools-Objective-17 (PART-O-17) Productivity items (ie, school, employment, and homemaking) and subscale, and total Summary scores were the primary outcomes used to assess societal participation. The covariates were age, years of education, and total score on the Functional Independence Measure (FIM).</p><p><strong>Results: </strong>A significant sex × race/ethnicity interaction with homemaking was identified (P = .047). Compared with Non-Hispanic White males, odds of not endorsing homemaking were 1.55 times greater for Non-Hispanic Black males and 1.71 times greater for Hispanic males. No significant sex × race/ethnicity interactions were found with employment (P = .221) or school items (P = .967). After adjusting for age, education, and FIM Total, a significant sex × race/ethnicity interaction on Productivity scores was found, F(28 852) = 10.3, P<.001, such that sex differences were observed for only Non-Hispanic Black and Hispanic participants compared to Non-Hispanic White participants. No significant interaction regarding sex differences across racial/ethnic groups was identified using the PART-O-17 Summary score.</p><p><strong>Conclusions: </strong>Compared with non-Hispanic White males, non-Hispanic Black and Hispanic males were less likely to report engaging in homemaking activities, resulting in greater sex differences among Non-Hispanic Black and Hispanic males and females on the Productivity subscale than were observed on this scale among non-Hispanic White individuals. Current community participation measures may not accurately capture the experiences of diverse populations with TBI.</p>","PeriodicalId":15901,"journal":{"name":"Journal of Head Trauma Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144159578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Traumatic Brain Injury, Chronic Pain, and Associations With Suicidal Thoughts and Behaviors: A Traumatic Brain Injury Model Systems Study.","authors":"Laura E Boylan, Amol Karmarkar, Bani Malhotra, Charmi Kanani, Jessica M Ketchum, Katherine Abassi, Stephanie D Agtarap, Aaron M Martin, Kristen Dams-O'Connor, William C Walker, Daniel W Klyce","doi":"10.1097/HTR.0000000000001070","DOIUrl":"https://doi.org/10.1097/HTR.0000000000001070","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the association that chronic pain (CP) has with suicidal ideation (SI) and suicide attempt (SA) among individuals with moderate-to-severe traumatic brain injury (TBI).</p><p><strong>Setting: </strong>Participants who completed inpatient rehabilitation at a TBI Model Systems (TBIMS) center.</p><p><strong>Participants: </strong>In total, 2579 English-speaking participants within 10 years of moderate-to-severe TBI who completed the CP Survey at TBIMS follow-up.</p><p><strong>Design: </strong>A multisite, cross-sectional observational cohort study.</p><p><strong>Main outcomes and measures: </strong>Suicidal ideation and SA; experience with CP; demographic variables, injury characteristics, behavioral health, and functional characteristics.</p><p><strong>Results: </strong>At follow-up assessment, 45.2% endorsed current CP, 14.5% reported a history of CP after TBI that had resolved, and 40.3% reported no CP since the onset of TBI. There were significant differences in prevalence of SI (P < .001) and SA (P = .018) among the pain groups, with the highest prevalence observed within the current CP group (14.8% and 2.6%, respectively). Adjusting for other covariates, multivariate logistic regression models indicated a significantly higher likelihood of SI for the current CP versus no CP group (OR = 2.05, 95% CI = 1.38, 3.06). No significant association was found between the pain groups and SA. Clinical elevated symptoms of posttraumatic stress at follow-up were associated with both SI (OR = 3.87, 95% CI = 2.76, 5.44) and SA (OR = 2.43; 95% CI = 1.25, 4.75). Those with TBI caused by violence or falls had a lower risk of SI compared to those with a vehicular-related cause of TBI. Increased SI risk was also associated with lower functional independence and participation in preinjury mental health services; risk of SA was associated with Hispanic ethnicity.</p><p><strong>Conclusions: </strong>The current study supports further investigation on how CP and its specific attributes may influence suicide-related outcomes. These findings warrant consideration of strategies to proactively assess suicide risk and the potential development of interventions targeting suicidal behavior among individuals experiencing both CP and TBI.</p>","PeriodicalId":15901,"journal":{"name":"Journal of Head Trauma Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144159587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Behavioral Activation With Remote Technology for Emotional Distress Following Moderate-Severe Traumatic Brain Injury: Results of a Randomized Controlled Trial.","authors":"Tessa Hart, Amanda Rabinowitz, Monica Vaccaro, Joshua Banks, Inna Chervoneva","doi":"10.1097/HTR.0000000000001072","DOIUrl":"10.1097/HTR.0000000000001072","url":null,"abstract":"<p><strong>Objective: </strong>Examine effects of 8-week Behavioral Activation (BA)-based treatment on emotional distress in moderate-severe traumatic brain injury (msTBI).</p><p><strong>Setting: </strong>Single TBI rehabilitation center.</p><p><strong>Participants: </strong>Sixty community-dwelling persons with msTBI sustained ≥6 months prior, with at least mild depression and/or anxiety but no suicidal ideation/ psychiatric instability.</p><p><strong>Design: </strong>Randomized controlled trial comparing 2 treatments: the BAT condition delivered in 8 sessions of BA (6 face-to-face, 2 phone) with ecological momentary assessment (EMA) and text reminders for increased activity; the INT condition, shown in a previous trial to be highly credible and mildly efficacious, used 1 face-to-face session plus 8 weeks of text reminders framed as implementation intentions for increased activity.</p><p><strong>Main measures: </strong>Global Severity Index of Brief Symptom Inventory-18 (BSI-18 GSI; primary outcome); secondary outcome measures of hypothesized BA mechanisms (environmental reward, activation); participation; and quality of life assessed at baseline, post-treatment, 2-month follow-up; Patient Global Impression of Change (PGIC) measured post-treatment.</p><p><strong>Results: </strong>Primary analysis revealed that BAT participants with higher baseline emotional distress had significantly greater improvement in distress (primary outcome) compared to INT participants at post-treatment; this response was attenuated at follow-up. Across distress levels, both measures of BA mechanism showed superior response to BAT at post-treatment and at follow-up. Other secondary outcomes did not differ significantly by treatment, although there was a trend for BAT participants to show more improved health-related quality of life. BAT participants reported significantly greater degree of meaningful change post-treatment (PGIC).</p><p><strong>Conclusions: </strong>Findings support a growing body of research suggesting that structured, theoretically based approaches to increasing activity linked to personal values can have substantial beneficial impact for many persons with chronic msTBI and emotional distress. Promising future directions include adapting the BAT treatment to remote delivery to improve its potential reach.</p>","PeriodicalId":15901,"journal":{"name":"Journal of Head Trauma Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144159560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Video-Based Analysis of Suspected Concussions in Slap Fighting: Incidence and Characteristics.","authors":"Yavuz Lima, Ogün Köyağasıoğlu, Kerry Peek, Levend Karaçoban","doi":"10.1097/HTR.0000000000001071","DOIUrl":"https://doi.org/10.1097/HTR.0000000000001071","url":null,"abstract":"<p><strong>Objective: </strong>Despite the high frequency of head impacts in slap fighting, little is known about suspected concussions in this sport. This study examined the frequency and characteristics of observable signs of suspected concussions in slap fighting among male athletes.</p><p><strong>Setting: </strong>Video-based analysis.</p><p><strong>Participants: </strong>Athletes who participated in official male power slap matches from January 1, 2023 to June 31, 2024.</p><p><strong>Design: </strong>Video footage of all official male power slap matches during the study period was retrospectively analyzed by 3 sports medicine specialists experienced in sports injuries.</p><p><strong>Main measures: </strong>The frequency, total number, and types of observable signs of suspected concussion, and whether the fight continued after signs of suspected concussion were observed.</p><p><strong>Results: </strong>A total of 115 fights (97.5%) during the study period were available for video review. Of these, 40 (38.4%) resulted in knockouts and 21 (18.3%) in technical knockouts. Observable signs of suspected concussion were observed in 79.1% of fights, averaging 1.41 concussion signs per fight, and 0.31 per slap. Forty-eight (52.7%) of the fights with signs of suspected concussion continued following observed concussion signs.</p><p><strong>Conclusion: </strong>The frequency, early identification, and management of suspected concussions in slap fighting should be prioritized, with further studies combining clinical assessments strongly recommended.</p>","PeriodicalId":15901,"journal":{"name":"Journal of Head Trauma Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144159592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Dyad Approach to Understanding Intimate Partner and Family Distress as Risk Factors for Poor Warfighter Brain Health Following Mild Traumatic Brain Injury in Military Couples.","authors":"Tracey A Brickell, Brian J Ivins, Megan M Wright, Jamie K Sullivan, Samantha M Baschenis, Kelly C Gillow, Louis M French, Rael T Lange","doi":"10.1097/HTR.0000000000001060","DOIUrl":"https://doi.org/10.1097/HTR.0000000000001060","url":null,"abstract":"<p><strong>Objective: </strong>Using a dyadic approach with military couples, the current study examined family risk factors for chronic neurobehavioral symptoms in service members and veterans (SMVs) following a mild traumatic brain injury (MTBI).</p><p><strong>Setting: </strong>Military Treatment Facility.</p><p><strong>Participants: </strong>SMV (n = 122) and intimate partner (IPs, n = 122) dyads (N = 244).</p><p><strong>Design: </strong>Prospective cohort.</p><p><strong>Main measures: </strong>SMVs completed seven neurobehavioral outcome measures. Their intimate partners completed 12 health-related quality of life (HRQOL) risk factor measures. Both members of the dyad completed three family relationships risk factor measures.</p><p><strong>Results: </strong>The number of neurobehavioral measures that were clinically elevated (≥60 T) were summed and used to classify SMVs into three outcome groups: (1) None/Few Symptoms [0-1 elevated scores]; (2) Several Symptoms [2-3 elevated scores]; and (3) Many Symptoms [4-7 elevated scores]. SMVs in the Many Symptoms group had significantly higher scores on nine family risk factor measures compared to the None/Few Symptoms group, and seven family risk factor measures compared to the Several Symptoms group. The Several Symptoms group had higher scores on one risk factor measure compared to the None/Few Symptoms group. The largest effect sizes were found for the SMV family relationships risk factor measures. SMVs were 4.2 to 13.0 times more likely to have poor neurobehavioral outcomes when they had negative versus positive family relationships.</p><p><strong>Conclusion: </strong>An important and unique addition to the literature was the finding that a range of risk factors in the SMV's family environment were strongly associated with clinically elevated chronic neurobehavioral symptoms following an MTBI. The establishment of the Family Wellness Program within the Defense Intrepid Network will open the door for family wellness to have a long-term place in military TBI treatment programs as a holistic, family-centered interdisciplinary model of care for warfighter brain health and return to duty following a TBI, and healthy, resilient, and military ready families.</p>","PeriodicalId":15901,"journal":{"name":"Journal of Head Trauma Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144110958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}