Journal of Rehabilitation Research and Development最新文献_第8页

Implementation of telementoring for pain management in Veterans Health Administration: Spatial analysis. 退伍军人健康管理中疼痛管理的远程监控实施:空间分析。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2014.10.0247

Evan Carey, Joseph W. Frank, R. Kerns, P. Ho, S. Kirsh

{"title":"Implementation of telementoring for pain management in Veterans Health Administration: Spatial analysis.","authors":"Evan Carey, Joseph W. Frank, R. Kerns, P. Ho, S. Kirsh","doi":"10.1682/JRRD.2014.10.0247","DOIUrl":"https://doi.org/10.1682/JRRD.2014.10.0247","url":null,"abstract":"In 2011, the Veterans Health Administration (VHA) implemented a pilot telementoring program across seven healthcare networks called the Specialty Care Access Network-Extension for Community Healthcare Outcomes (SCAN-ECHO) for pain management. A VHA healthcare network is a group of hospitals and clinics administratively linked in a geographic area. We created a series of county-level maps in one network displaying (1) the location of Veterans with chronic pain, (2) VHA sites (i.e., coordinating center, other medical centers, outpatient clinics), (3) proportion of Veterans being seen in-person at pain specialty clinics, and (4) proportion of Veterans with access to a primary care provider participating in Pain SCAN-ECHO. We calculated the geodesic distance from Veterans' homes to nearest VHA pain specialty care clinics. We used logistic regression to determine the association between distance and Pain SCAN-ECHO primary care provider participation. Mapping showed counties closer to the Pain SCAN-ECHO coordinating center had a higher rate of Veterans whose providers participated in Pain SCAN-ECHO than those further away. Regression models within networks revealed wide heterogeneity in the reach of Pain SCAN-ECHO to Veterans with low spatial access to pain care. Using geographic information systems can reveal the spatial reach of technology-based healthcare programs and inform future expansion.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 1 1","pages":"147-56"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2014.10.0247","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67551584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 17

Association between pain outcomes and race and opioid treatment: Retrospective cohort study of Veterans. 疼痛结局与种族和阿片类药物治疗的关系:退伍军人的回顾性队列研究。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2014.10.0252

Diana J. Burgess, A. Gravely, D. Nelson, M. Bair, R. Kerns, D. Higgins, M. Farmer, M. Partin

{"title":"Association between pain outcomes and race and opioid treatment: Retrospective cohort study of Veterans.","authors":"Diana J. Burgess, A. Gravely, D. Nelson, M. Bair, R. Kerns, D. Higgins, M. Farmer, M. Partin","doi":"10.1682/JRRD.2014.10.0252","DOIUrl":"https://doi.org/10.1682/JRRD.2014.10.0252","url":null,"abstract":"We examined whether pain outcomes (pain interference, perceived pain treatment effectiveness) vary by race and then whether opioid use moderates these associations. These analyses are part of a retrospective cohort study among 3,505 black and 46,203 non-Hispanic, white Department of Veterans Affairs (VA) patients with diagnoses of chronic musculoskeletal pain who responded to the 2007 VA Survey of Healthcare Experiences of Patients (SHEP). We used electronic medical record data to identify prescriptions for pharmacologic pain treatments in the year after diagnosis (Pain Diagnosis index visit) and before the SHEP index visit (the visit that made one eligible to complete the SHEP); pain outcomes came from the SHEP. We found no significant associations between race and pain interference or perceived effectiveness of pain treatment. VA patients with opioid prescriptions between the Pain Diagnosis index visit and the SHEP index visit reported greater pain interference on the SHEP than those without opioid prescriptions during that period. Opioid prescriptions were not associated with perceived treatment effectiveness for most patients. Findings raise questions about benefits of opioids for musculoskeletal pain and point to the need for alternative treatments for addressing chronic noncancer pain.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 1 1","pages":"13-24"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2014.10.0252","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67551640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

Multivariate assessment of subjective and objective measures of social and family satisfaction in Veterans with history of traumatic brain injury. 创伤性脑损伤退伍军人社会和家庭满意度主客观指标的多变量评价。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2014.11.0295

H. Orff, Chelsea C. Hays, E. Twamley

{"title":"Multivariate assessment of subjective and objective measures of social and family satisfaction in Veterans with history of traumatic brain injury.","authors":"H. Orff, Chelsea C. Hays, E. Twamley","doi":"10.1682/JRRD.2014.11.0295","DOIUrl":"https://doi.org/10.1682/JRRD.2014.11.0295","url":null,"abstract":"Approximately 20% of current-era Veterans have sustained a traumatic brain injury (TBI), which can result in persistent postconcussive symptoms. These symptoms may disrupt family and social functioning. We explored psychiatric, postconcussive, and cognitive factors as correlates of objective functioning and subjective satisfaction in family and social relationships. At entry into a supported employment study, 50 unemployed Veterans with a history of mild to moderate TBI and current cognitive impairment were administered baseline assessments. Multivariate stepwise regressions determined that higher levels of depressive symptomatology were strongly associated with less frequent social contact, as well as lower subjective satisfaction with family and social relationships. Worse verbal fluency predicted less frequent social contact, whereas worse processing speed and switching predicted higher levels of subjective satisfaction with family relationships. The pattern of results remained similar when examining those Veterans with only mild TBI. Depressive symptoms and cognitive functioning may impact Veterans' social contact and satisfaction with family and social relationships. Evidence-based interventions addressing depression and cognition may therefore aid in improving community reintegration and satisfaction with social and family relationships.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 5 1","pages":"541-550"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2014.11.0295","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67551839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Everyday sitting behavior of full-time wheelchair users. 全职轮椅使用者的日常坐着行为。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2015.07.0130

S. Sonenblum, S. Sprigle, James S. Martin

{"title":"Everyday sitting behavior of full-time wheelchair users.","authors":"S. Sonenblum, S. Sprigle, James S. Martin","doi":"10.1682/JRRD.2015.07.0130","DOIUrl":"https://doi.org/10.1682/JRRD.2015.07.0130","url":null,"abstract":"The objective of this study was to describe the in-seat movement and weight-shifting behavior of full-time wheelchair users. We measured everyday sitting behavior for 192 d across 28 individuals who used manual wheelchairs as their primary mobility device. To obtain the measurements, we used eight thin force sensors placed under participants' wheelchair cushions. On a typical day, participants spent an average of 10.6 +/- 3.0 h in their wheelchair and transferred out of the wheelchair 8.4 +/- 4.3 times. Participants only performed pressure reliefs (90% off-loading of the entire buttocks for at least 15 s) 0.4 +/- 0.5 times per hour they were seated in the chair, but they performed weight shifts (WSs) (30%-90% off-loading of at least one side of the buttocks for 15 s) with a frequency of 2.4 +/- 2.2 times per hour. Despite the higher frequency of WSs, they were not performed in a routine manner. Half of the days studied included one segment of upright sitting lasting at least 2 h without a WS. Given these observations, we conclude that seating evaluations should emphasize positioning individuals in a way that facilitates reaching, leaning, and transferring in a safe manner, not only to improve function but also to affect buttocks loading.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 5 1","pages":"585-598"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2015.07.0130","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67551858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 41

Sensor-based balance training with motion feedback in people with mild cognitive impairment. 基于传感器的运动反馈平衡训练在轻度认知障碍患者中的应用。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2015.05.0089

Michael Schwenk, Marwan Sabbagh, Ivy Lin, Pharah Morgan, Gurtej S Grewal, Jane Mohler, David W Coon, Bijan Najafi

{"title":"Sensor-based balance training with motion feedback in people with mild cognitive impairment.","authors":"Michael Schwenk, Marwan Sabbagh, Ivy Lin, Pharah Morgan, Gurtej S Grewal, Jane Mohler, David W Coon, Bijan Najafi","doi":"10.1682/JRRD.2015.05.0089","DOIUrl":"https://doi.org/10.1682/JRRD.2015.05.0089","url":null,"abstract":"Some individuals with mild cognitive impairment (MCI) experience not only cognitive deficits but also a decline in motor function, including postural balance. This pilot study sought to estimate the feasibility, user experience, and effects of a novel sensor-based balance training program. Patients with amnestic MCI (mean age 78.2 yr) were randomized to an intervention group (IG, n = 12) or control group (CG, n = 10). The IG underwent balance training (4 wk, twice a week) that included weight shifting and virtual obstacle crossing. Real-time visual/audio lower-limb motion feedback was provided from wearable sensors. The CG received no training. User experience was measured by a questionnaire. Postintervention effects on balance (center of mass sway during standing with eyes open [EO] and eyes closed), gait (speed, variability), cognition, and fear of falling were measured. Eleven participants (92%) completed the training and expressed fun, safety, and helpfulness of sensor feedback. Sway (EO, p = 0.04) and fear of falling (p = 0.02) were reduced in the IG compared to the CG. Changes in other measures were nonsignificant. Results suggest that the sensor-based training paradigm is well accepted in the target population and beneficial for improving postural control. Future studies should evaluate the added value of the sensor-based training compared to traditional training.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 6","pages":"945-958"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2015.05.0089","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34971397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 52

Case study: Gluteal compartment syndrome as a cause of lumbosacral radiculoplexopathy and complex regional pain syndrome. 案例研究:臀间室综合征是腰骶神经根丛病和复杂区域疼痛综合征的病因。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2015.01.0007

Andrew Lederman, David Turk, Antonio Howard, Srinivas Reddy, Michelle Stern

{"title":"Case study: Gluteal compartment syndrome as a cause of lumbosacral radiculoplexopathy and complex regional pain syndrome.","authors":"Andrew Lederman, David Turk, Antonio Howard, Srinivas Reddy, Michelle Stern","doi":"10.1682/JRRD.2015.01.0007","DOIUrl":"https://doi.org/10.1682/JRRD.2015.01.0007","url":null,"abstract":"We present the case of a 24 yr old male who was diagnosed with gluteal compartment syndrome and was subsequently found to have developed lumbosacral radiculoplexopathy and complex regional pain syndrome. The patient's gluteal compartment syndrome was diagnosed within 24 h of presentation to the emergency room, and he underwent emergent compartment release. While recovering postoperatively, persistent weakness was noted in the right lower limb. Results of electrodiagnostic testing were consistent with a lumbosacral radiculoplexopathy. After admission to inpatient rehabilitation, the patient complained of pain, burning sensation, and numbness in the distal right lower limb. Based on clinical findings, he was diagnosed with complex regional pain syndrome type II, or causalgia, and was referred for a lumbar sympathetic block under fluoroscopic guidance. Sympathetic block resulted in relief of the patient's symptoms. He was discharged home with good pain control on oral medications.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 4","pages":"483-6"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2015.01.0007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34314692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Association between mild traumatic brain injury and mental health problems and self-reported cognitive dysfunction in Iraq and Afghanistan Veterans. 伊拉克和阿富汗退伍军人轻度创伤性脑损伤与心理健康问题和自我报告的认知功能障碍之间的关系

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2014.12.0301

Karen H Seal, Daniel Bertenthal, Kristin Samuelson, Shira Maguen, Sant Kumar, Jennifer J Vasterling

{"title":"Association between mild traumatic brain injury and mental health problems and self-reported cognitive dysfunction in Iraq and Afghanistan Veterans.","authors":"Karen H Seal, Daniel Bertenthal, Kristin Samuelson, Shira Maguen, Sant Kumar, Jennifer J Vasterling","doi":"10.1682/JRRD.2014.12.0301","DOIUrl":"https://doi.org/10.1682/JRRD.2014.12.0301","url":null,"abstract":"The Department of Veterans Affairs traumatic brain injury (TBI) screening program is intended to detect and expedite treatment for TBI and postconcussive symptoms. Between April 14, 2007, and May 31, 2012, of 66,089 Iraq and Afghanistan Veterans who screened positive on first-level TBI screening and later completed comprehensive TBI evaluation that includes the Neurobehavioral Symptoms Inventory, 72% reported moderate to very severe cognitive impairment (problems with attention, concentration, memory, etc.) that interfered with daily activities. This included 42% who were found not to have sustained combat-related mild TBI (mTBI). In contrast, 70.0% received a posttraumatic stress disorder (PTSD) diagnosis and 45.8% received a depression diagnosis. Compared with Veterans without mTBI, PTSD, or depression diagnoses, the lowest risk for self-reported cognitive impairment was in Veterans with confirmed mTBI only; a greater risk was found in those with PTSD diagnoses, with the greatest risk in Veterans with PTSD, depression, and confirmed mTBI, suggesting only a weakly additive effect of mTBI. These findings suggest that Veterans with multiple mental health comorbidities, not just those with TBI, report moderate to very severe cognitive impairment. Mental health treatment for conditions such as PTSD and depression (with or without TBI) may result in improvements in cognitive functioning and/or include assessment and support for Veterans experiencing cognitive problems.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 2","pages":"185-98"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2014.12.0301","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34456567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 53

Implementation of a brief anxiety assessment and evaluation in a Department of Veterans Affairs geriatric primary care clinic. 在退伍军人事务部老年初级保健诊所实施简短的焦虑评估和评价。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2014.10.0258

Christine E Gould, Sherry A Beaudreau, Gail Gullickson, J Lisa Tenover, Elizabeth A Bauer, J W Terri Huh

{"title":"Implementation of a brief anxiety assessment and evaluation in a Department of Veterans Affairs geriatric primary care clinic.","authors":"Christine E Gould, Sherry A Beaudreau, Gail Gullickson, J Lisa Tenover, Elizabeth A Bauer, J W Terri Huh","doi":"10.1682/JRRD.2014.10.0258","DOIUrl":"https://doi.org/10.1682/JRRD.2014.10.0258","url":null,"abstract":"Anxiety disorders are common and debilitating in older individuals, yet anxiety is often not formally assessed in primary care. We conducted a quality improvement project to examine the feasibility of implementing a brief anxiety assessment, the Geriatric Anxiety Inventory (GAI), in a Department of Veterans Affairs geriatric primary care clinic. We compared the GAI with a depression assessment, the 15-item Geriatric Depression Scale (GDS-15). Fifty older Veterans (mean = 78.5 +/- 7.4 yr) completed the GAI and GDS-15. Mean completion time and feedback to patients was brief (6.20 min; n = 10). Good internal consistency (alpha = 0.82) was found for GAI scores. Patients with psychiatric diagnoses obtained significantly higher GAI scores (mean = 4.73 +/- 1.15) compared with patients without psychiatric diagnoses (mean = 1.15 +/- 1.86, t(11.46) = -3.10, p = 0.01). Findings suggest that the GAI is acceptable to patients but may not be suitable for differentiating anxiety symptoms or disorders from depression. Interdisciplinary team members continued to implement the GAI after project completion to screen for and track anxiety symptoms in our geriatric primary care patients. Detecting anxiety with the GAI had the benefit of allowing providers to initiate conversations about available treatments and track symptoms as part of noting treatment progress.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 3","pages":"335-44"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2014.10.0258","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34458496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Impact testing of the residual limb: System response to changes in prosthetic stiffness. 残肢的冲击试验:系统对假肢刚度变化的反应。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2014.10.0234

Erin Boutwell, Rebecca Stine, Steven Gard

{"title":"Impact testing of the residual limb: System response to changes in prosthetic stiffness.","authors":"Erin Boutwell, Rebecca Stine, Steven Gard","doi":"10.1682/JRRD.2014.10.0234","DOIUrl":"https://doi.org/10.1682/JRRD.2014.10.0234","url":null,"abstract":"Currently, it is unknown whether changing prosthetic limb stiffness affects the total limb stiffness and influences the shock absorption of an individual with transtibial amputation. The hypotheses tested within this study are that a decrease in longitudinal prosthetic stiffness will produce (1) a reduced total limb stiffness, and (2) reduced magnitude of peak impact forces and increased time delay to peak force. Fourteen subjects with a transtibial amputation participated in this study. Prosthetic stiffness was modified by means of a shock-absorbing pylon that provides reduced longitudinal stiffness through compression of a helical spring within the pylon. A sudden loading evaluation device was built to examine changes in limb loading mechanics during a sudden impact event. No significant change was found in the peak force magnitude or timing of the peak force between prosthetic limb stiffness conditions. Total limb stiffness estimates ranged from 14.9 to 17.9 kN/m but were not significantly different between conditions. Thus, the prosthetic-side total limb stiffness was unaffected by changes in prosthetic limb stiffness. The insensitivity of the total limb stiffness to prosthetic stiffness may be explained by the mechanical characteristics (i.e., stiffness and damping) of the anatomical tissue within the residual limb.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 3","pages":"369-78"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2014.10.0234","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34554670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Utility of the Validity-10 scale across the recovery trajectory following traumatic brain injury. 有效性-10量表在创伤性脑损伤后恢复轨迹中的效用。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2015.01.0009

Sara M Lippa, Rael T Lange, Jason M Bailie, Jan E Kennedy, Tracey A Brickell, Louis M French

{"title":"Utility of the Validity-10 scale across the recovery trajectory following traumatic brain injury.","authors":"Sara M Lippa, Rael T Lange, Jason M Bailie, Jan E Kennedy, Tracey A Brickell, Louis M French","doi":"10.1682/JRRD.2015.01.0009","DOIUrl":"https://doi.org/10.1682/JRRD.2015.01.0009","url":null,"abstract":"The Validity-10 scale was recently developed to screen for symptom exaggeration in patients following traumatic brain injury (TBI). However, it has only been validated on patients with TBI largely in the chronic phase of recovery. The influence of time since injury on the Validity-10 scale was investigated in 2,661 male servicemembers with TBI presenting to six U.S. Defense and Veterans Brain Injury Centers. Participants completed the Neurobehavioral Symptom Inventory (NSI). The Validity-10 scale and NSI total score were both weakly statistically significantly (1) positively correlated with time since injury, (2) negatively correlated with bodily injury severity, and (3) higher in participants undergoing medical board evaluations than in participants who returned to duty or were still hospitalized. Participants were statistically more likely to screen positive for possible symptom exaggeration on the Validity-10 scale as time since injury increased. However, the Validity-10 scale was only weakly related to time since injury, TBI severity, bodily injury severity, disposition, age, and return to duty status. That false positives are not increased in the acute phase of recovery and that the Validity-10 scale is not strongly related to clinical factors support the use of the Validity-10 scale in the acute recovery phase and across the TBI recovery trajectory.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 3","pages":"379-90"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2015.01.0009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34555134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 18