Journal of Head Trauma Rehabilitation最新文献

{"title":"Research Letter: Rehabilitation Planning Using Rasch Analysis of the Mayo-Portland Adaptability Inventory, 4th Edition.","authors":"James F Malec","doi":"10.1097/HTR.0000000000001042","DOIUrl":"https://doi.org/10.1097/HTR.0000000000001042","url":null,"abstract":"<p><strong>Objective: </strong>To present a method for examining associations among items and total T-score for the Mayo-Portland Adaptability Inventory (4th edition; MPAI-4) that can assist in rehabilitation planning.</p><p><strong>Setting: </strong>Advanced postacute brain injury rehabilitation programs.</p><p><strong>Method: </strong>Description and presentation of a rehabilitation planning guide based on Rasch analysis of the MPAI-4 and application in 2 cases of participants with traumatic brain injury.</p><p><strong>Results: </strong>Initial individualized rehabilitation treatment recommendations derived from examination of the rehabilitation planning guide for specific participants are described.</p><p><strong>Conclusions: </strong>Systematic examination of a visual depiction of associations among MPAI-4 items and total T-score identified through Rasch analysis is useful for rehabilitation planning and in communication and education with participants and families.</p>","PeriodicalId":15901,"journal":{"name":"Journal of Head Trauma Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143492036","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":"Long-Term Clinical Outcomes Associated With the Veterans Health Administration's Traumatic Brain Injury and Mental Health Screens.","authors":"Shannon R Miles, Peter A Toyinbo, Heather G Belanger, Hari H Venkatachalam, Stephen L Luther, Nina A Sayer","doi":"10.1097/HTR.0000000000001047","DOIUrl":"https://doi.org/10.1097/HTR.0000000000001047","url":null,"abstract":"<p><strong>Objective: </strong>Examine if the mandated Veterans Affairs traumatic brain injury (TBI) screen is associated with long-term postconcussive symptoms as compared to how the mandated mental health (MH) screen is associated with long-term MH symptoms.</p><p><strong>Setting: </strong>Veterans Health Administration.</p><p><strong>Participants: </strong>Patients (N = 1628) who were previously screened for TBI with current postconcussive symptoms and MH conditions completed a survey assessing current postconcussive symptoms, depression, posttraumatic stress disorder, alcohol use, and physical and emotional well-being. Participants were mostly male (83%), less than 40 years old (38%), and identified as White (64%). Forty-five percent screened positive for MH conditions; 11% screened positive for TBI.</p><p><strong>Design: </strong>Cohort survey study of random sample of post-9/11 veterans combined with retrospective database analysis. Bayesian Network Analysis was used to compare how the TBI and MH screens related to long-term postconcussive and MH symptoms. The pathway on the Bayesian Network graph leading to postconcussive symptoms was thoroughly examined with a regression.</p><p><strong>Main measures: </strong>Neurobehavioral Symptom Inventory to measure postconcussive symptoms.</p><p><strong>Results: </strong>A Bayesian network arch demonstrated TBI screening was related to use of TBI services within 6 months after the screening but not related to long-term postconcussive or MH symptoms. In comparison, the MH screen led to post-screen MH services, postconcussive symptoms, and most of the other secondary outcomes, including posttraumatic stress disorder and depression. The regression model showed that a positive MH screen, more MH service use, negative life events, and moderate depression were associated with greater postconcussive symptoms years after screening.</p><p><strong>Conclusion: </strong>While both TBI and MH screening were associated with increased service use, only the MH screen was associated with long-term postconcussive symptoms. Findings raise questions about whether the TBI screening program adds value over and above the MH screening program.</p>","PeriodicalId":15901,"journal":{"name":"Journal of Head Trauma Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143449328","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":"Reviewer Acknowledgment.","authors":"","doi":"10.1097/HTR.0000000000001043","DOIUrl":"https://doi.org/10.1097/HTR.0000000000001043","url":null,"abstract":"","PeriodicalId":15901,"journal":{"name":"Journal of Head Trauma Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143449330","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":"Developing Brain Injury Resource Facilitation for Acquired Brain Injury: Indications and Unmet Needs.","authors":"Bei Zhang, Tatyana Mollayeva, Srikant Devaraj, Cara Meixner, Judy Dettmer, John D Corrigan, Peggy Reisher, Flora M Hammond, Maria Pollifrone, Samantha Backhaus, Lance E Trexler","doi":"10.1097/HTR.0000000000001024","DOIUrl":"10.1097/HTR.0000000000001024","url":null,"abstract":"<p><p>Owing to major progress in the survivorship following acquired brain injury (ABI), there exists a pressing need for the development of systems of care and rehabilitation tailored to ABI. One of the supportive systems is brain injury resource facilitation (brain injury RF), which focuses on having therapeutic, social, and financial resources readily available and easily accessible for persons with ABI. Brain injury RF comprises identification of a person's strengths and challenges, goal setting, resource identification, coordination, access, utilization, monitoring, evaluation, and advocacy. Brain injury RF is critically important in bridging community services for persons with ABI and eliminating disjointed approaches of care that fail to address the full range of the individual's needs and long-term success. Over recent years, multiple stakeholders in the field of ABI have worked to develop and implement strategies for timely brain injury RF. This white paper aims to provide an overview of the current status of brain injury RF and an analysis on the challenges and opportunities in brain injury RF for ABI. Practical policy recommendations for its implementation are proposed to the potential funders of brain injury RF programs at the national, state, and community levels. We call for attention to this pressing need in society and advocate for a novel, pragmatic, and culturally informed approach in the development of brain injury RF in communities where people with ABI reside.</p>","PeriodicalId":15901,"journal":{"name":"Journal of Head Trauma Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143408584","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":"Co-Occurrence of Traumatic Brain Injury and Post-Traumatic Stress Disorder in a National Sample of UK Police Officers: Impact on Social Well-Being and Employment Outcomes.","authors":"Nicholas I J Smith, Lee Hogarth, James Tonks, John D Corrigan, Stan Gilmour, W Huw Williams","doi":"10.1097/HTR.0000000000001041","DOIUrl":"https://doi.org/10.1097/HTR.0000000000001041","url":null,"abstract":"<p><strong>Objective: </strong>To determine the lifetime prevalence of traumatic brain injury (TBI) in UK police officers and evaluate associations between mild TBI (mTBI), persistent post-concussion-like symptoms (PPCS), post-traumatic stress disorder (PTSD) and complex PTSD (C-PTSD).</p><p><strong>Setting: </strong>Online survey of serving police officers across England, Scotland and Wales.</p><p><strong>Participants: </strong>A total of 617 currently serving police officers were eligible for the study and the final sample consisted of 573 participants. Subgroup comparisons were made between individuals with no TBI history (n = 355), a single mTBI (n = 88) and multiple mTBIs (n = 130).</p><p><strong>Design: </strong>Cross-sectional survey assessing lifetime history of TBI, PPCS and PTSD symptoms.</p><p><strong>Main measures: </strong>Lifetime TBI prevalence was assessed with the Ohio State TBI-Identification Method. Post-concussion-like symptoms were evaluated with the Rivermead Post-Concussion Symptoms Questionnaire (RPQ) and PTSD/C-PTSD were measured using the International Trauma Questionnaire.</p><p><strong>Results: </strong>Lifetime prevalence of TBI was 38% (n = 234), with 23% reporting multiple TBIs. One-way ANOVAs demonstrated that individuals with multiple TBIs exhibited significantly greater cognitive (unadjusted R2 = .02, P = .001) and somatic symptoms (unadjusted R2 = .02, P < .001) and reported more severe total RPQ symptoms (unadjusted R2 = .02, P = .009) compared to those without mTBI history. Multiple TBI history was associated with increased severity across all PTSD/C-PTSD domains (P < .004), and a significantly higher C-PTSD prevalence (P = .001). These results remained significant in ANCOVAs, adjusting for demographic, occupational and trauma-exposure variables (P < .04).</p><p><strong>Conclusions: </strong>Comorbidity between TBI and C-PTSD is prevalent in this sample of police officers. Symptom endorsement is additive in those with mTBI history, this could lead to risk to employment, relationship breakdown, and further mental health problems. Routine occupational health checks should monitor both TBI and associated symptoms over time. If necessary, police officers with head or neck injuries should follow a graduated return-to-duty protocol, including a gradual increase in activity level and appropriate mental health intervention.</p>","PeriodicalId":15901,"journal":{"name":"Journal of Head Trauma Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143408647","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":"Reciprocal Causation Among Pain, Physical Health, and Mental Health 1 Year Post-Traumatic Brain Injury: A Cross-Lagged Panel Model From the TRACK-TBI Study.","authors":"Carly Wender, Paul B Perrin, Denise Krch","doi":"10.1097/HTR.0000000000000946","DOIUrl":"https://doi.org/10.1097/HTR.0000000000000946","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the relative causal influence of physical and mental health on pain in persons with traumatic brain injury (TBI) within the year following injury.</p><p><strong>Setting: </strong>Transforming Research and Clinical Knowledge in TBI (TRACK-TBI) was a multicenter study that collected data from 18 level 1 trauma centers around the United States.</p><p><strong>Participants: </strong>TRACK-TBI recruited adults who experienced an acute TBI. For this secondary analysis, participants were included if they endorsed pain during at least 1 follow-up within 1 year post-TBI.</p><p><strong>Design: </strong>Secondary analysis using structural equation modeling of the longitudinal TRACK-TBI dataset of an inception cohort.</p><p><strong>Interventions: </strong>None.</p><p><strong>Main outcomes and measures: </strong>The primary outcomes are pain, physical health, and mental health. Pain was measured by averaging the T-scores of the Patient-Reported Outcomes Measurement Information System (PROMIS) Pain Intensity and Pain Interference scales. Physical and mental health were measured with the raw component scores (physical component score and mental component score, respectively) on the Short Form Health Survey.</p><p><strong>Results: </strong>Eighty-nine percent of the TRACK-TBI cohort (n = 2022) reported pain throughout 1 year postinjury. This sample (n = 1796) was primarily white (77%) men (67%) in their early forties with mild (87%) closed head injuries (99%) related to motor or road vehicle accidents (57%). Based on the final trimmed model, there was a stronger dominance of pain on physical and mental health than physical and mental health on pain. Thus, pain is a bigger driver of physical and mental health than vice versa.</p><p><strong>Conclusions: </strong>Persistent pain is highly prevalent post-TBI and is a bigger driver of physical and mental health 1 year post-TBI than the other way round. Future research should aim to better understand the causes of pain post-TBI to inform what treatments are most effective at reducing pain intensity and interference post-TBI.</p>","PeriodicalId":15901,"journal":{"name":"Journal of Head Trauma Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143365072","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":"Association of Frailty, Comorbidities and Muscularity With GOS and 30-Day Mortality After TBI in Elderly Patients-A Retrospective Study in 1104 Patients.","authors":"Sebastian Niedermeyer, Thomas Weig, Mathias Leiber, Aylin Gencer, Sophia Stöcklein, Nicole A Terpolilli","doi":"10.1097/HTR.0000000000001020","DOIUrl":"https://doi.org/10.1097/HTR.0000000000001020","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess the prognostic value of various frailty assessment tools in predicting 30-day mortality and Glasgow outcome scale (GOS) at discharge in elderly patients with traumatic brain injury (TBI). Additionally, the study evaluated the role of muscularity as surrogate for frailty in the context of TBI.</p><p><strong>Setting: </strong>Data were collected from patients treated as inpatients in a single hospital.</p><p><strong>Participants: </strong>All patients aged 60 years or older who were admitted for TBI between 1/2010 and 12/2020.</p><p><strong>Design: </strong>A single-center study, with retrospective analysis of clinical notes and computed tomography (CT) imaging at admission.</p><p><strong>Mean measures: </strong>Assessment of frailty by different frailty grading scales, comorbidities by the Charlson Comorbidity Index (CCI), assessment of muscularity by muscle area measurements and their association with outcome of TBI.</p><p><strong>Results: </strong>A total of 1104 patients with a median age of 78 years (IQR 72-84) were identified. The overall mortality rate was 12.9% (n = 137). Multivariate regression models identified frailty measured by the Clinical Frailty Scale (CFS) (P < .0001) as predictive variable for short-term mortality and the CCI as predictive variable for GOS at discharge (P = .009); muscle area measurements as surrogate markers of sarcopenia were not associated with outcome in our cohort. Implementing frailty as measured by CFS and CCI into prognostic models for short-term mortality increased their predictive power (increase of area under the ROC curve from 0.897 to 0.919).</p><p><strong>Conclusions: </strong>Geriatric-specific models are necessary for a more accurate prognosis estimation of elderly patients with TBI. Our findings suggest that frailty measured by CFS and assessment of comorbidities by CCI adds prognostic value, while muscularity at various locations (as assessed in CT imaging) had no effect on 30-day mortality after TBI.</p>","PeriodicalId":15901,"journal":{"name":"Journal of Head Trauma Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143370839","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":"Cross-Lagged Associations Among Sleep, Headache, and Pain in Pediatric Mild Traumatic Brain Injury: An A-CAP Study.","authors":"Safira Dharsee, Ali Hassan, Melanie Noel, Amy M Bender, Miriam H Beauchamp, William Craig, Quynh Doan, Stephen B Freedman, Jocelyn Gravel, Roger Zemek, Keith Owen Yeates","doi":"10.1097/HTR.0000000000001038","DOIUrl":"https://doi.org/10.1097/HTR.0000000000001038","url":null,"abstract":"<p><strong>Objective: </strong>To test cross-lagged associations among sleep, headache, and pain in pediatric mild traumatic brain injury (mTBI).</p><p><strong>Setting, participants, design: </strong>Children and adolescents aged 8.0 to 16.9 years who sustained a mTBI and presented to 1 of 5 pediatric emergency departments across Canada completed assessments at 1-week, 3 months, and 6 months post-injury as part of a larger prospective cohort study.</p><p><strong>Main measures: </strong>Sleep disturbance was measured using 7 sleep items from the Child Behaviour Checklist. Sleep duration was measured using average weekday and weekend sleep from the Healthy Lifestyle Behaviours Questionnaire. Pain intensity was measured using an 11-point numerical rating scale. Headache severity and associated functional impairment were measured using the Headache Impact Test and 1 item from the Health and Behaviour Inventory. Analyses included trivariate-indicator random-intercept cross-lagged panel models.</p><p><strong>Results: </strong>Of 633 recruited children, 563 were included in the current study. Headache showed significant within-person, bidirectional, cross-lagged associations with sleep disturbance and duration, as well as with pain intensity. More specifically, worse headache predicted greater sleep disturbance (1-week to 3 months and 3 months to 6 months: Bs = .47, Ps ≤ .013) and shorter sleep duration (1-week to 3 months: B = -.21, P = .006), while greater sleep disturbance predicted worse headache (1-week to 3 months: B = .08, P = .001). Worse headache also predicted higher pain intensity (1-week to 3 months & 3 months to 6 months: Bs ≥ 1.27, P s < .001), while higher pain intensity predicted worse headache (3 months to 6 months: Bs ≥ .03, Ps ≤ .042). No cross-lagged associations involving sleep disturbance or duration with pain intensity were significant.</p><p><strong>Conclusions: </strong>Significant bi-directional, cross-lagged associations exist between headache and both sleep and pain. The findings suggest that early intervention for headaches may help prevent later sleep disturbance and pain after pediatric mTBI.</p>","PeriodicalId":15901,"journal":{"name":"Journal of Head Trauma Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143370840","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":"Evaluating the Implementation of an Occupational Therapy-Led Concussion Clinic Model Into Usual Practice: A Mixed Methods Study.","authors":"Adrianne Natoli, Ethan Hunt, Emma Hays, Eloise Thompson, Samantha Ioannidis, David J Read, Toni D Withiel, Celia Marston","doi":"10.1097/HTR.0000000000001025","DOIUrl":"https://doi.org/10.1097/HTR.0000000000001025","url":null,"abstract":"<p><strong>Objectives: </strong>(1) To evaluate the implementation of Australia's first occupational therapy-led concussion clinic model into usual practice by examining acceptability and fidelity among clinicians and service users, and (2) to explore the feasibility of embedding outcome measures into the service to facilitate longer-term clinic evaluation.</p><p><strong>Setting and participants: </strong>A large tertiary trauma hospital service in Melbourne, Australia. Participants were patients referred to the concussion clinic and occupational therapists working in the service.</p><p><strong>Design: </strong>Prospective, single-site, mixed methods design.</p><p><strong>Main measures: </strong>Acceptability outcomes were evaluated using clinician interviews and the Client Satisfaction Questionnaire-8. Clinic fidelity was assessed by service usage data. Long-term patient outcomes assessed concussion (Rivermead Post-Concussive Questionnaire), mood symptoms (Patient Health Questionnaire-9), and participation in activities of daily living (Community Integration Questionnaire-Revised).</p><p><strong>Results: </strong>Over 18 months, 73% (n = 177) of patients were referred to the clinic, and 75% attended. Adherence to protocol was achieved; however, the completion rate of post-treatment measures was low. Almost half of the patients required specialist referrals beyond the clinic model for persistent symptoms. The interviewed occupational therapists (n = 6) viewed the clinic as a \"safety net for patients,\" believed they were \"learning as we go,\" recognized that the \"clinic had potential to grow,\" but admitted, \"we could be doing more.\" High attendance rates and patient satisfaction further supported clinic acceptance at an end-user level.</p><p><strong>Conclusion: </strong>An occupational therapy-led concussion clinic is accepted by patients and clinicians to capture the immediate needs of people with concussions after discharge. However, coordinated pathways to multidisciplinary care are needed to address the long-term needs of people with persistent concussion symptoms and problems returning to daily activities.</p>","PeriodicalId":15901,"journal":{"name":"Journal of Head Trauma Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143370841","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":"Quantifying the Relationship Between Clinician-Administered Measures of Vestibulo-Ocular Reflex and Oculomotor Function and Patient-Reported Outcome After Pediatric Mild Traumatic Brain Injury.","authors":"Adrienne Crampton, Pierre Langevin, Kathryn J Schneider, Lisa Grilli, Mathilde Chevignard, Michal Katz-Leurer, Miriam H Beauchamp, Chantel Debert, Isabelle J Gagnon","doi":"10.1097/HTR.0000000000001021","DOIUrl":"https://doi.org/10.1097/HTR.0000000000001021","url":null,"abstract":"<p><strong>Background: </strong>In pediatric mild traumatic brain injury (mTBI), high rates of abnormalities are observed in vestibulo-ocular reflex (VOR) and oculomotor (OM) function, but there is a lack of understanding of how these impairments may affect daily functioning.</p><p><strong>Objectives: </strong>To determine the extent to which clinician-administered measures of VOR and OM function are associated with patient-reported levels of activity limitations and participation restriction in children and adolescents within 31 days post-mTBI.</p><p><strong>Design: </strong>Cross-sectional design.</p><p><strong>Setting: </strong>Tertiary care pediatric hospital.</p><p><strong>Participants: </strong>Participants with mTBI aged 7 to 17.99 years.</p><p><strong>Procedures: </strong>Participants were assessed on a battery of VOR and OM tests within 31 days of injury.</p><p><strong>Outcome measures: </strong>The Dizziness Handicap Inventory (DHI) and Cardiff Visual Ability Questionnaire (CVAQ) measured patient-reported dizziness and visual disability. The vestibular/ocular motor screening tool (VOMS), Head Thrust Test, computerized Dynamic Visual Acuity (DVA) Test, and video Head Impulse Test were administered to assess VOR and OM function.</p><p><strong>Analysis: </strong>Linear regression examined the associations between clinician-administered measures of VOR and OM function and patient-reported functional outcomes.</p><p><strong>Results: </strong>The sample consisted of 100 youth (54.4% female; mean age 13.92 [2.63]; mean time since injury: 18.26 [6.16] days). Associations were found between (1) DHI score and age (1.773 [0.473-3.073], P = .01), VOR symptom provocation (18.499 [11.312-25.686], P ≤ .001), and DVA (-29.433 [-59.206 to -2.60], P = .03); and (2) CVAQ score and version symptom provocation (0.796 [0.185-1.406], P = .01). High abnormal proportions (up to 56.7%) were found in VOMS performance.</p><p><strong>Discussion: </strong>The symptom provocation induced by VOR and OM tasks was associated with patient-reported dizziness and visual disability outcomes, highlighting the detrimental impact of symptoms on daily functioning.</p><p><strong>Implications: </strong>The findings of this study will assist clinicians when interpreting patient-reported measures of activity limitation and participation restriction.</p>","PeriodicalId":15901,"journal":{"name":"Journal of Head Trauma Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070865","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}