Journal of Head Trauma Rehabilitation最新文献

{"title":"Course of Fatigue and Sleep After Moderate to Severe Traumatic Brain Injury.","authors":"Jessica Bruijel, Sven Stapert, Annemiek Vermeeren, Julie Staals, Jennie Ponsford, Caroline van Heugten","doi":"10.1097/HTR.0000000000001078","DOIUrl":"https://doi.org/10.1097/HTR.0000000000001078","url":null,"abstract":"<p><strong>Objective: </strong>To examine the development of different dimensions of fatigue and subjective and objective measures of sleep in the first 18 months post moderate to severe traumatic brain injury (TBI), and explore the association with biological (processing speed), psychological (mood), and social (restrictions in participation) factors across time.</p><p><strong>Participants: </strong>Forty-two participants with moderate-severe TBI (45 ± 16 years old, 33% female).</p><p><strong>Design: </strong>Longitudinal multicenter observational cohort study with 4 measurements (3, 6, 12, and 18 months post-injury).</p><p><strong>Main measures: </strong>Dimensions of fatigue (Fatigue Severity Scale, FSS; Dutch Multifactor Fatigue Scale, DMFS), subjective (Pittsburgh Sleep Quality Index, PSQI) and objective sleep (actigraphy), processing speed (Symbol Digit Modalities Task, SDMT), mood (Hospital Anxiety and Depression Scale, HADS), and restrictions in participation (Utrecht Scale for Evaluation and Rehabilitation-Participation, USER-P).</p><p><strong>Results: </strong>Results showed reduced sleep quality (PSQI: poor sleep quality at 3 months 41%; 6 months 43%; 12 months 56%; 18 months 43%) and high levels of fatigue (FSS: severe fatigue at 3 months 41%; 6 months 38%; 12 months 33%; 18 months 34%) with no significant changes over time. Physical fatigue (DMFS: β = -0.11, P = .007) and total sleep time (β = -0.14, P = .015) decreased over time. More mood problems were associated with worse sleep quality (PSQI; β = 0.35, P = .021), shorter total sleep time (β = 0.14, P = .046), and higher levels of fatigue (FSS: β = 0.20, P = .036; DMFS-mental: β = 0.36, P = .028; DMFS-physical: β = 0.36, P = .029). Restrictions in participation were associated with fatigue but not with sleep.</p><p><strong>Conclusions: </strong>High and stable levels of fatigue and poor sleep quality in the first 18 months following moderate-severe TBI were found. These symptoms were associated with mood problems. Assessment and treatment of fatigue and sleep problems should be included in clinical practice. In line with other studies, we suggest that mood interventions might aid the treatment for fatigue and sleep quality.</p>","PeriodicalId":15901,"journal":{"name":"Journal of Head Trauma Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144707729","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":"Gender Differences in Seeking and Receiving Healthcare After Mild Traumatic Brain Injury.","authors":"Isha Kashyap, Noah D Silverberg, Ana Mikolić","doi":"10.1097/HTR.0000000000001085","DOIUrl":"https://doi.org/10.1097/HTR.0000000000001085","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate gender differences in seeking and receiving healthcare following mild traumatic brain injury (mTBI).</p><p><strong>Setting: </strong>Participants were recruited from 6 emergency departments and 2 urgent care facilities in the Greater Vancouver Area, Canada.</p><p><strong>Participants: </strong>254 adults (56% women, 2% gender-diverse; aged 18-69 years) who presented to emergency department/urgent care within 72 hours after mTBI and were randomized to usual care in the parent study.</p><p><strong>Design: </strong>Secondary analysis of a clinical trial evaluating the effectiveness of a guideline implementation tool for managing mental health complications after mTBI (ClinicalTrials.gov Registry: NCT04704037).</p><p><strong>Main measures: </strong>Self-reported use of rehabilitation and health services were assessed with questionnaires at 3- and 6-months post-injury. Chief symptoms, prescribed interventions and referrals to specialists within 6 months post-injury were extracted from general practitioner (GP) charts. Post-concussion symptoms were assessed using the Rivermead Post-Concussion Symptoms Questionnaire, and mental health symptoms using the Patient Health Questionnaire-9, the Generalized Anxiety Disorder-7, and the Primary Care Post-Traumatic Stress Disorder (PTSD) for DSM-5 at 6 months post-injury. Perceived need for mental health care was assessed with an adapted interview version of the Perceived Need for Care Questionnaire.</p><p><strong>Results: </strong>Approximately 62% of men and 74% of women reported visiting their GP within 6 months after mTBI. They received similar interventions and referrals from GPs. Besides GP visits, no substantial differences were found in use of allied health and rehabilitation services. Women reported more severe post-concussion and mental health symptoms and more frequently having unmet mental health care needs (32% vs 19%).</p><p><strong>Conclusions: </strong>Women reported worse symptoms but did not receive more specialty clinical care. Women are more likely to report having under-treated mental health problems. Future studies are needed to confirm whether women have a greater mismatch between their need for and receipt of rehabilitation services and explore mechanisms contributing to this gap.</p>","PeriodicalId":15901,"journal":{"name":"Journal of Head Trauma Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144707730","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":"Instrumented Dual-Task Tests Help for Concussion Assessment in Ice Hockey.","authors":"Frederic Meyer, Nicolas Baehler, Dario Sciacca, Lea Chabrowski, Mathieu Falbriard, Anisoara Ionescu","doi":"10.1097/HTR.0000000000001082","DOIUrl":"https://doi.org/10.1097/HTR.0000000000001082","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to validate an instrumented dual-task (DT) assessment procedure based on smartphone-embedded sensors. Data processing algorithms were developed to extract relevant features, and ice hockey players were evaluated.</p><p><strong>Participants: </strong>In total, 114 Swiss elite ice hockey players.</p><p><strong>Design: </strong>Experimental study.</p><p><strong>Main measures: </strong>Participants performed DT tests regularly during the season and within the days following a diagnosed concussion. The DT test consisted of static balance and self-paced walking, combined with counting backward by 3. In total, 265 DT tests were performed, including 38 tests between 1 day and 2 weeks after the 13 diagnosed concussions.</p><p><strong>Results: </strong>Cognitive abilities during gait were mainly affected after a concussion. A DT performance metric was defined based on features significantly associated with worsening DT performance after the concussion (P < .001, effect size d = 1.50). Finally, a model was proposed to estimate the risk of concussion based on a DT test outcome.</p><p><strong>Conclusion: </strong>DT assessments can detect residual cognitive impairments even after other clinical symptoms have resolved. These tests offer medical staff objective insights, facilitating informed decision-making during the return-to-play process.</p>","PeriodicalId":15901,"journal":{"name":"Journal of Head Trauma Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659316","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":"Objective Versus Subjective Cognitive Status Following Mild Traumatic Brain Injury: The Role of Psychological Factors.","authors":"Gabrielle A Hromas, Marlina A Novoa, Jeremy J Davis","doi":"10.1097/HTR.0000000000001075","DOIUrl":"https://doi.org/10.1097/HTR.0000000000001075","url":null,"abstract":"<p><strong>Objective: </strong>To determine whether there is a relationship between objective cognitive performance and self-reported cognitive status after mild traumatic brain injury (mTBI) and whether mental health symptoms influence this relationship.</p><p><strong>Participants and design: </strong>Secondary analysis of the Federal Interagency Traumatic Brain Injury Research Informatics System database included an initial sample of 2657 participants. Cases with missing data, questionable validity, age over 65, or mild-complicated, moderate, or severe TBI were excluded resulting in a final sample of 614 individuals (n = 138 controls and n = 476 mTBI).</p><p><strong>Main measures: </strong>Z-scores were derived using the Brief Test of Cognition by Telephone (BTACT) cognitive screener and the composite of the cognitive complaint items (CC) on the Rivermead Postconcussion Symptoms Questionnaire to represent objective and subjective cognitive status, respectively. The cognitive discrepancy was calculated by regressing BTACT on CC scores and retaining standardized residuals which produced a different score. A linear regression model was fitted using continuous cognitive discrepancy scores as the outcome and age, gender, time since injury, education, and mental health status (obtained via several self-report questionnaires) as predictors.</p><p><strong>Results: </strong>Individuals with mTBI had higher affective symptoms and cognitive complaints but did not differ from controls based on objective cognitive abilities. Affective symptoms were significantly higher in individuals with mTBI who reported higher subjective complaints than expected based on cognitive scores. Older age, female gender, and increased emotional distress were associated with greater cognitive discrepancy in the whole sample.</p><p><strong>Conclusions: </strong>Consistent with prior research, elevated psychological symptoms burden was associated with higher subjective cognitive complaints in relation to objective cognitive abilities. These results highlight the continued need for psychological intervention in post-mTBI recovery.</p>","PeriodicalId":15901,"journal":{"name":"Journal of Head Trauma Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659317","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":"Influence of Neighborhood Disadvantage on All-Cause Mortality Following Moderate-to-Severe Traumatic Brain Injury: A TBI Model Systems Cohort Study.","authors":"Brennan Hickson, Felipe Figueiredo, Raj G Kumar, Flora M Hammond, Umesh Venkatesan, C B Eagye, Amanda R Rabinowitz","doi":"10.1097/HTR.0000000000001081","DOIUrl":"https://doi.org/10.1097/HTR.0000000000001081","url":null,"abstract":"<p><strong>Objective: </strong>To examine associations between neighborhood disadvantage and all-cause mortality among patients receiving inpatient rehabilitation for moderate-to-severe traumatic brain injury (msTBI).</p><p><strong>Setting: </strong>Participants who were discharged from inpatient rehabilitation at a Traumatic Brain Injury Model Systems (TBIMS) center.</p><p><strong>Participants: </strong>A total of 6634 individuals enrolled in the TBI Model Systems National Database, who were discharged from inpatient rehabilitation for msTBI between January 1, 2010, and December 31, 2018.</p><p><strong>Design: </strong>Secondary analysis of longitudinal data.</p><p><strong>Main measures: </strong>All-cause mortality served as the primary outcome variable, measured in years from the date of discharge to the date of either expiration or censorship, with follow-up through December 31, 2019. Due to proportional hazards violations, we fit separate models for early deaths (within 4 months post-discharge) and late deaths (after 4 months post-discharge). Neighborhood disadvantage was indicated by the Distressed Communities Index (DCI), a validated measure that compares the socioeconomic conditions of United States ZIP codes.</p><p><strong>Results: </strong>Neighborhood distress level did not significantly influence early mortality risk in either univariate or multivariable Cox proportional hazards models. However, when examining deaths occurring 4 months to 10 years post-discharge, a significant association emerged. Residing in Distressed neighborhoods was linked to an increased mortality risk. In the model adjusted for sociodemographic factors, urban-rural classification, and baseline health and injury characteristics, individuals in Distressed neighborhoods experienced a 28% higher risk of death compared to those in Prosperous neighborhoods (HR: 1.28; 95% CI: 1.01-1.62). This association was somewhat attenuated and no longer significant (P = .09) after further adjusting for functional independence at discharge (Cognitive and Motor FIM) (HR: 1.22; 95% CI: 0.96-1.55).</p><p><strong>Conclusions: </strong>This study contributes to the literature by examining the role of neighborhood socioeconomic conditions on mortality risk following TBI, while controlling for established person-level risk factors. Our findings suggest that discharge to a distressed neighborhood is significantly associated with increased mortality risk among individuals who receive inpatient rehabilitation for msTBI and survive to at least 4 months post-injury. This heightened risk appears to be partly explained by reduced functional independence at discharge among those returning to disadvantaged neighborhoods. These results suggest that enhancing patients' functional independence during inpatient rehabilitation may help mitigate some of the excess mortality risk associated with adverse neighborhood conditions.</p>","PeriodicalId":15901,"journal":{"name":"Journal of Head Trauma Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659315","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":"Research Letter: Interview Versus Self-Administration of Retrospective Brain Injury Identification.","authors":"John D Corrigan, Kathryn A Hyzak, Jennifer Bogner","doi":"10.1097/HTR.0000000000001083","DOIUrl":"10.1097/HTR.0000000000001083","url":null,"abstract":"<p><strong>Objectives: </strong>(1) Determine concordance between retrospective identification of a prior history of brain injury exposure when the method of administration is either interview or self-administered; and (2) Determine the test/retest reliability of self-administered identification.</p><p><strong>Setting: </strong>American Population Panel.</p><p><strong>Participants: </strong>In total, 391 (54% female; 70% white, non-Hispanic) self-selected from 54 000 panel participants aged 18 years or older living in the United States.</p><p><strong>Design: </strong>Descriptive measures of concordance and test/retest reliability. The concordance sample was randomized for order of administration.</p><p><strong>Main measures: </strong>Ohio State University Traumatic Brain Injury Identification Method (OSU TBI-ID) with additional questions on anoxic/hypoxic events and prior diagnosis of other acquired brain injuries.</p><p><strong>Results: </strong>Substantial concordance was found for summary indices comparing OSU TBI-ID self-administered to interview results. High test/retest reliability was observed for most indices derived from the self-administered OSU TBI-ID. For both concordance and test/retest reliability, perfect agreement ranged from 85% to 90% for both the presence or absence of a history of any TBI, the presence or absence of a TBI that resulted in loss of consciousness, and the occurrence of repeated head impacts. Some indices of hypoxic/anoxic events could not be tested due to low frequency, but perfect agreement exceeded 90% for ever losing consciousness due to a drug overdose, or ever due to being choked or strangled. There was also very high perfect agreement for ever having been diagnosed with another acquired brain injury (91% for concordance; 89% for reliability).</p><p><strong>Conclusion: </strong>These findings suggest that the psychometric properties of the self-administered OSU TBI-ID are comparable to those in the interview version. High concordance and test/retest reliability were also observed for identification of other sources of acquired brain injury. Findings for items used to capture certain anoxic/hypoxic events were also supported though low endorsement rates limited some analyses.</p>","PeriodicalId":15901,"journal":{"name":"Journal of Head Trauma Rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659318","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 Prevalence, Chronology, and Clinical Correlates of Traumatic Brain Injury Among Individuals Seeking Treatment for Opioid Use Disorder.","authors":"Hannah Truitt, Ryan Hjelle, Meredith K Ginley","doi":"10.1097/HTR.0000000000001084","DOIUrl":"https://doi.org/10.1097/HTR.0000000000001084","url":null,"abstract":"<p><strong>Objective: </strong>Investigate the prevalence and characteristics of traumatic brain injuries (TBI) among persons with opioid use disorder (OUD), establish the chronology of comorbid TBI and first opioid use, and evaluate the relation between TBI and factors associated with greater harm potential of OUD.</p><p><strong>Setting: </strong>Outpatient OUD treatment clinics.</p><p><strong>Participants: </strong>Adults undergoing outpatient treatment for OUD (N = 158).</p><p><strong>Design: </strong>Observational.</p><p><strong>Main measures: </strong>The Ohio State University Traumatic Brain Injury Identification Method; Alcohol Use Disorders Identification Test.</p><p><strong>Results: </strong>A history of at least 1 TBI was reported by 48.7% of the sample. Of persons with a history of TBI, 44.2% reported multiple TBI. The odds of incurring TBI before ever using opioids were 1.5 times higher than the reverse progression. Approximately 90% of participants with TBI had been prescribed an opioid medication by a healthcare professional, which was significantly higher than for persons without TBI. Participants with TBI were at elevated risk of overdose, use of certain substances (eg, amphetamines, cocaine, sedatives, fentanyl), and riskier routes of opioid administration, as compared to patients without TBI. Use of certain substances (eg, alcohol, marijuana) and most psychosocial/demographic characteristics did not differ by TBI history.</p><p><strong>Discussion: </strong>TBI is a relatively frequent comorbidity for patients enrolled in OUD treatment. Among individuals with a history of TBI, 55.8% incurred their injury before ever using opioids. Individuals with TBI may be more likely to experience greater harm from OUD. These findings support the routine assessment of substance use and TBI in medical settings and the consideration of these factors for treatment planning.</p>","PeriodicalId":15901,"journal":{"name":"Journal of Head Trauma Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659319","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 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":"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":"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":"E320-E328"},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","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}

{"title":"Pediatric Brain Injuries Are Associated With Intimate Partner Violence-Related Brain Injuries Among Women in Adulthood.","authors":"Anjeli R Macaranas, Aylin E Tanriverdi, Annie-Lori Joseph, Grant L Iverson, Eve M Valera","doi":"10.1097/HTR.0000000000001022","DOIUrl":"10.1097/HTR.0000000000001022","url":null,"abstract":"<p><strong>Objective: </strong>Prior studies have reported associations between childhood physical abuse and intimate partner violence (IPV). However, there has been limited literature examining the relationship between pediatric brain injuries and IPV-related brain injuries later in life. We examined the association between childhood brain injuries and brain injuries sustained from IPV in adulthood.</p><p><strong>Setting: </strong>Participants were recruited through Mass General Brigham's \"Rally,\" social media, and information sheets distributed in locations likely to serve women in current or past abusive relationships (eg, domestic violence shelters, and IPV support programs).</p><p><strong>Participants: </strong>Women who have experienced IPV with and without brain injury (n = 129), ages 19 to 69.</p><p><strong>Design: </strong>Retrospective, cross-sectional study design.</p><p><strong>Main measures: </strong>We administered the Ohio State University Traumatic Brain Injury Identification Method and the Brain Injury Severity Assessment to assess brain injury history, and the Childhood Trauma Questionnaire (CTQ). A logistic regression was used to examine the association between pediatric brain injuries and IPV-related brain injuries, adjusting for childhood trauma, years of education, and age.</p><p><strong>Results: </strong>A majority of participants (64.3%) reported experiencing at least 1 IPV-related brain injury, and 30.2% experienced at least 1 childhood brain injury. Child abuse-related brain injuries occurred in 10.9% of the sample, whereas childhood brain injuries from other causes occurred in 19.4% of participants. Participants who sustained at least 1 childhood BI were significantly more likely to sustain a future IPV-related brain injury as an adult (OR = 4.652, P = .004). For each additional childhood BI sustained, participants were more likely to sustain an IPV-related BI (OR = 3.198, P = .005).</p><p><strong>Conclusion: </strong>This study illustrates a high prevalence of childhood brain injuries among women who have experienced IPV and identifies an association between pediatric brain injuries and brain injuries due to partner violence in adulthood. Our findings speak to the urgency of increasing our understanding of childhood brain injuries and whether they or other related factors might confer an increased risk for brain injuries or possibly IPV later in life.</p>","PeriodicalId":15901,"journal":{"name":"Journal of Head Trauma Rehabilitation","volume":" ","pages":"279-286"},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769523","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}