Brain Impairment最新文献_第5页

Thinking small and big: integrating individual, clinician and systems levels of understanding to improve outcomes after acquired brain injury. 以小见大：综合个人、临床医生和系统层面的理解，改善后天性脑损伤后的治疗效果。

IF 0.8 4区医学

Brain Impairment Pub Date : 2023-12-01 Epub Date: 2023-11-17 DOI: 10.1017/BrImp.2023.14

Dana Wong

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Functional improvements associated with cranioplasty after stroke and traumatic brain injury: a cohort study 脑卒中和创伤性脑损伤后颅骨成形术相关的功能改善:一项队列研究

IF 0.8 4区医学

Brain Impairment Pub Date : 2023-11-17 DOI: 10.1017/brimp.2023.2

F. Coelho, G.S. Noleto, D.J.F. Solla, P.N. Martins, A.F. Andrade, M.J. Teixeira, W.S. Paiva, R. Anghinah

{"title":"Functional improvements associated with cranioplasty after stroke and traumatic brain injury: a cohort study","authors":"F. Coelho, G.S. Noleto, D.J.F. Solla, P.N. Martins, A.F. Andrade, M.J. Teixeira, W.S. Paiva, R. Anghinah","doi":"10.1017/brimp.2023.2","DOIUrl":"https://doi.org/10.1017/brimp.2023.2","url":null,"abstract":"Objective:Decompressive craniectomy is part of the acute management of several neurosurgical illnesses, and is commonly followed by cranioplasty. Data are still scarce on the functional and cognitive outcomes following cranioplasty. We aim to evaluate these outcomes in patients who underwent cranioplasty following traumatic brain injury (TBI) or stroke.Methods:In this prospective cohort, we assessed 1-month and 6-month neuropsychological and functional outcomes in TBI and stroke patients who underwent cranioplasty at a Brazilian tertiary center. The primary outcome was the change in the Digits Test at 1 and 6 months after cranioplasty. Repeated measures general linear models were employed to assess the patients' evolution and interactions with baseline characteristics. Effect size was estimated by the partial η2.Results:A total of 20 TBI and 14 stroke patients were included (mean age 42 ± 14 years; 52.9% male; average schooling 9.5 ± 3.8 years; 91.2% right-handed). We found significant improvements in the Digits Tests up to 6 months after cranioplasty (p = 0.004, partial η2 = 0.183), as well as in attention, episodic memory, verbal fluency, working memory, inhibitory control, visuoconstructive and visuospatial abilities (partial η2 0.106–0.305). We found no interaction between the cranioplasty effect and age, sex or schooling. Patients submitted to cranioplasty earlier (<1 year) after injury had better outcomes.Conclusion:Cognitive and functional outcomes improved after cranioplasty following decompressive craniectomy for stroke or TBI. This effect was consistent regardless of age, sex, or education level and persisted after 6 months. Some degree of spontaneous improvement might have contributed to the results.","PeriodicalId":56329,"journal":{"name":"Brain Impairment","volume":"16 2","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138510087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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ASSBI / NZRA AWARDS - Kevin Walsh Award for Most Outstanding Masters Student 2012 ASSBI / NZRA 奖项 - 凯文-沃尔什 2012 年最杰出硕士生奖

IF 0.8 4区医学

Brain Impairment Pub Date : 2023-11-17 DOI: 10.1017/brimp.2023.13

引用次数: 0

How is assistive technology meeting the needs and goals of people with brain impairment? Building evidence to support practice. 辅助技术如何满足脑损伤患者的需求和目标？建立支持实践的证据。

IF 1.1 4区医学

Brain Impairment Pub Date : 2023-05-01 DOI: 10.1071/IB23030

Libby Callaway, Jacki Liddle

引用次数: 0

ASSBI / NZRA AWARDS - Kevin Walsh Award for Most Outstanding Masters Student 2012 ASSBI / NZRA奖- 2012年Kevin Walsh最杰出硕士生奖

IF 0.8 4区医学

Brain Impairment Pub Date : 2022-12-01 DOI: 10.1017/BrImp.2022.29

A. Armstrong, J. Dahm, B. Dimech-Betancourt, Katherine A R Frencham, Diane, Parcell, Sue Sloan, K. Trezise, C. Ziino, Dana K. Wong, D. Lawson, R. Stolwyk, D. Cadilhac, Nicolette Kamberis, R. Nair

{"title":"ASSBI / NZRA AWARDS - Kevin Walsh Award for Most Outstanding Masters Student 2012","authors":"A. Armstrong, J. Dahm, B. Dimech-Betancourt, Katherine A R Frencham, Diane, Parcell, Sue Sloan, K. Trezise, C. Ziino, Dana K. Wong, D. Lawson, R. Stolwyk, D. Cadilhac, Nicolette Kamberis, R. Nair","doi":"10.1017/BrImp.2022.29","DOIUrl":"https://doi.org/10.1017/BrImp.2022.29","url":null,"abstract":"S THURSDAY 5TH MAY Workshop: Adult ADHD: Assessment, Diagnosis and Intervention Caroline Fisher1, Nicci Grace1, Mary Castellani1 and Eddie Tsang1 1Neuropsychology Service, The Melbourne Clinic, Melbourne, Australia This workshop is targeted at clinicians who are interested in developing clinical knowledge and skills in the assessment and diagnosis of adults with ADHD, as well as ways to support with neurocognitive intervention. Increasingly, adults of all ages are being referred to neuropsychology for diagnostic clarification of possible ADHD. This is likely due to increased community awareness and greater understanding of this condition. Adults with ADHD typically also present with longstanding challenges with mental health and emotional dysregulation, and this can be a complicating factor when providing diagnostic clarification. The workshop will be interactive and include case studies. It will cover three main areas: 1) Clinical features of ADHD in adults, what to look for and ask about in history taking. How undiagnosed ADHD may have impacted on functioning, as well as common mental health and neurodevelopmental comorbidities. 2) Recommendations for conducting a neuropsychology diagnostic assessment including; clinical and cognitive features of ADHD in adults and how to identify these alongside other Abstract 347","PeriodicalId":56329,"journal":{"name":"Brain Impairment","volume":"94 1","pages":"344 - 407"},"PeriodicalIF":0.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84300663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

2022 ASSBI PRESIDENTIAL ADDRESS. Reflections on language and primary progressive aphasias 2022年总统就职演说。关于语言与原发性进行性失语症的思考

IF 0.8 4区医学

Brain Impairment Pub Date : 2022-12-01 DOI: 10.1017/BrImp.2022.25

O. Piguet

引用次数: 0

Identifying Trends of Dysautonomia Signs and Symptoms Associated with Protracted Concussion Recovery during the Buffalo Concussion Treadmill Test: A Retrospective Study 在布法罗脑震荡跑步机试验中识别与长时间脑震荡恢复相关的自主神经异常体征和症状的趋势:一项回顾性研究

IF 0.8 4区医学

Brain Impairment Pub Date : 2022-03-25 DOI: 10.1017/brimp.2022.5

Lauren Ziaks, Jenna Tucker, T. Koc, Alexa Schaefer, Kristin R. Hanson

{"title":"Identifying Trends of Dysautonomia Signs and Symptoms Associated with Protracted Concussion Recovery during the Buffalo Concussion Treadmill Test: A Retrospective Study","authors":"Lauren Ziaks, Jenna Tucker, T. Koc, Alexa Schaefer, Kristin R. Hanson","doi":"10.1017/brimp.2022.5","DOIUrl":"https://doi.org/10.1017/brimp.2022.5","url":null,"abstract":"\u0000 \u0000 \u0000 To identify trends of provoked dysautonomia signs and symptoms during the Buffalo Concussion Treadmill Test (BCTT).\u0000 \u0000 \u0000 \u0000 This is a retrospective cohort study of 101 patient charts post-concussion who were screened for suspected dysautonomia.\u0000 \u0000 \u0000 \u0000 Patients with suspected dysautonomia were assessed for exercise intolerance using a BCTT. Symptoms and rate of perceived exertion were recorded on a standardized form. Digital pulse oximetry was used to collect heart rate (HR) and oxygen saturation. Descriptive analyses were conducted on BCTT results.\u0000 \u0000 \u0000 \u0000 Of 101 patient charts, 57 were excluded from analysis, including four patients who completed the BCTT by asymptomatically reaching the target HR zone for their estimated HR max. The remaining 44 patients demonstrated: 35 (79.5%) poor HR stabilization defined as a drop or plateau in HR during exercise, 28 (63.8%) exacerbated concussion symptoms, 13 (29.5%) autonomic nervous system response such as hot flushed sensation, 12 (27.3%) rebound symptoms during recovery phases, and 8 (18.2%) desaturation of 90% or below. The mean delta (80% expected HR max – 80% achieved HR max) on the initial test was 80.66 (± 23.08) beats per minute.\u0000 \u0000 \u0000 \u0000 This study is the first to identify trends of signs and symptoms during the BCTT in an expanded population with suspected dysautonomia after concussion. Future studies are indicated to validate these findings and contribute to development of modified termination criteria for the BCTT in individuals with suspected dysautonomia associated with protracted concussion recovery.\u0000","PeriodicalId":56329,"journal":{"name":"Brain Impairment","volume":"48 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2022-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79763996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lower limb muscle performance during a closed chain single leg squat and a squat jump in people with leg weakness after stroke: A comparative study 中风后下肢无力者单腿闭锁深蹲和深蹲跳时下肢肌肉的表现:比较研究

IF 0.8 4区医学

Brain Impairment Pub Date : 2022-03-25 DOI: 10.1017/brimp.2022.4

Genevieve Tolé, Gavin Williams, A. Holland, R. Clark

{"title":"Lower limb muscle performance during a closed chain single leg squat and a squat jump in people with leg weakness after stroke: A comparative study","authors":"Genevieve Tolé, Gavin Williams, A. Holland, R. Clark","doi":"10.1017/brimp.2022.4","DOIUrl":"https://doi.org/10.1017/brimp.2022.4","url":null,"abstract":"\u0000 \u0000 \u0000 To determine if the intention to perform an exercise at speed leads to beneficial alterations in kinematic and kinetic components of the movement in people with post-stroke hemiplegia.\u0000 \u0000 \u0000 \u0000 Comparative study.\u0000 \u0000 \u0000 \u0000 Subacute metropolitan rehabilitation hospital.\u0000 \u0000 \u0000 \u0000 Convenience sample of patients admitted as an inpatient or outpatient with a diagnosis of stroke with lower limb weakness, functional ambulation category score ≥3, and ability to walk ≥14metres.\u0000 \u0000 \u0000 \u0000 Participants performed a single leg squat exercise on their paretic and nonparetic legs on a leg sled under three conditions: 1) self-selected speed (SS), 2) fast speed (FS), 3) jump squat (JS). Measures of displacement, flight time, peak concentric velocity, and muscle excitation (via electromyography) were compared between legs and conditions.\u0000 \u0000 \u0000 \u0000 Eleven participants (age: 56 ± 17 years; median time since stroke onset: 3.3 [IQR 3,41] months) were tested. All participants achieved a jump during the JS, as measured by displacement and flight time respectively, on both their paretic (0.25 ± 0.16 m and 0.42 ± 0.18 s) and nonparetic (0.49 ± 0.36 m and 0.73 ± 0.28 s) legs; however it was significantly lower on the non-paretic leg (p < 0.05). Peak concentric velocity increased concordantly with intended movement speed (JS-FS paretic: 0.96 m/s, non-paretic: 0.54 m/s; FS-SS paretic 0.69 m/s, nonparetic 0.38 m/s; JS-SS paretic 1.66 m/s, non-paretic 0.92 m/s). Similarly, muscle excitation increased significantly (p < 0.05) with faster speed for the paretic and nonparetic vastus lateralis. For gastrocnemius, the only significant difference was an increase during nonparetic JS vs. SS and FS.\u0000 \u0000 \u0000 \u0000 Speed affects the kinematic and kinetic components of the movement. Performing exercises ballistically may improve training outcomes for people post-stroke.\u0000","PeriodicalId":56329,"journal":{"name":"Brain Impairment","volume":"4 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2022-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87761445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lower limb muscle performance during a closed chain single leg squat and a squat jump in people with leg weakness after stroke: A comparative study. 中风后腿部无力者在闭链单腿深蹲和深蹲跳中的下肢肌肉表现：比较研究

IF 1.1 4区医学

Brain Impairment Pub Date : 2022-03-01 DOI: 10.1071/IB22031

Genevieve Tolé, Gavin Williams, Anne E Holland, Ross A Clark

{"title":"Lower limb muscle performance during a closed chain single leg squat and a squat jump in people with leg weakness after stroke: A comparative study.","authors":"Genevieve Tolé, Gavin Williams, Anne E Holland, Ross A Clark","doi":"10.1071/IB22031","DOIUrl":"https://doi.org/10.1071/IB22031","url":null,"abstract":"Objective: To determine if the intention to perform an exercise at speed leads to beneficial alterations in kinematic and kinetic components of the movement in people with post-stroke hemiplegia.Design: Comparative study.Setting: Subacute metropolitan rehabilitation hospital.Participants: Convenience sample of patients admitted as an inpatient or outpatient with a diagnosis of stroke with lower limb weakness, functional ambulation category score â‰¥3, and ability to walk â‰¥14metres.Methods: Participants performed a single leg squat exercise on their paretic and nonparetic legs on a leg sled under three conditions: 1) self-selected speed (SS), 2) fast speed (FS), 3) jump squat (JS). Measures of displacement, flight time, peak concentric velocity, and muscle excitation (via electromyography) were compared between legs and conditions.Results: Eleven participants (age: 56 Â± 17 years; median time since stroke onset: 3.3 [IQR 3,41] months) were tested. All participants achieved a jump during the JS, as measured by displacement and flight time respectively, on both their paretic (0.25 Â± 0.16 m and 0.42 Â± 0.18 s) and nonparetic (0.49 Â± 0.36 m and 0.73 Â± 0.28 s) legs; however it was significantly lower on the non-paretic leg (p p Conclusions: Speed affects the kinematic and kinetic components of the movement. Performing exercises ballistically may improve training outcomes for people post-stroke.","PeriodicalId":56329,"journal":{"name":"Brain Impairment","volume":"25 ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Identifying Trends of Dysautonomia Signs and Symptoms Associated with Protracted Concussion Recovery during the Buffalo Concussion Treadmill Test: A Retrospective Study. 在布法罗脑震荡跑步机测试中识别与脑震荡长期恢复相关的自主神经失调症状和体征趋势：回顾性研究。

IF 1.1 4区医学

Brain Impairment Pub Date : 2022-03-01 DOI: 10.1071/IB22030

Lauren Ziaks, Jenna Tucker, Thomas Koc, Alexa Schaefer, Kristina Hanson

{"title":"Identifying Trends of Dysautonomia Signs and Symptoms Associated with Protracted Concussion Recovery during the Buffalo Concussion Treadmill Test: A Retrospective Study.","authors":"Lauren Ziaks, Jenna Tucker, Thomas Koc, Alexa Schaefer, Kristina Hanson","doi":"10.1071/IB22030","DOIUrl":"https://doi.org/10.1071/IB22030","url":null,"abstract":"Objective: To identify trends of provoked dysautonomia signs and symptoms during the Buffalo Concussion Treadmill Test (BCTT).Subjects: This is a retrospective cohort study of 101 patient charts post-concussion who were screened for suspected dysautonomia.Methods: Patients with suspected dysautonomia were assessed for exercise intolerance using a BCTT. Symptoms and rate of perceived exertion were recorded on a standardized form. Digital pulse oximetry was used to collect heart rate (HR) and oxygen saturation. Descriptive analyses were conducted on BCTT results.Results: Of 101 patient charts, 57 were excluded from analysis, including four patients who completed the BCTT by asymptomatically reaching the target HR zone for their estimated HR max. The remaining 44 patients demonstrated: 35 (79.5%) poor HR stabilization defined as a drop or plateau in HR during exercise, 28 (63.8%) exacerbated concussion symptoms, 13 (29.5%) autonomic nervous system response such as hot flushed sensation, 12 (27.3%) rebound symptoms during recovery phases, and 8 (18.2%) desaturation of 90% or below. The mean delta (80% expected HR max â€\" 80% achieved HR max) on the initial test was 80.66 (Â± 23.08) beats per minute.Conclusions: This study is the first to identify trends of signs and symptoms during the BCTT in an expanded population with suspected dysautonomia after concussion. Future studies are indicated to validate these findings and contribute to development of modified termination criteria for the BCTT in individuals with suspected dysautonomia associated with protracted concussion recovery.","PeriodicalId":56329,"journal":{"name":"Brain Impairment","volume":"25 ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0