Brain injuryPub Date : 2025-08-01Epub Date: 2025-04-13DOI: 10.1080/02699052.2025.2490977
Alice Bodart, Sandra Invernizzi, Laurent Lefebvre, Mandy Rossignol
{"title":"Involvement of physiological reactivity and interoception in emotional experience after a traumatic brain injury.","authors":"Alice Bodart, Sandra Invernizzi, Laurent Lefebvre, Mandy Rossignol","doi":"10.1080/02699052.2025.2490977","DOIUrl":"10.1080/02699052.2025.2490977","url":null,"abstract":"<p><strong>Objective: </strong>Emotional experience is based, among other factors, on physiological reactivity (PR) and the awareness of this reactivity corresponding to interoception. After a traumatic brain injury (TBI), patients exhibit reduced PR and interoception, raising questions about the integrity of their emotional experience.</p><p><strong>Method: </strong>To examine this issue, 26 men with moderate to severe TBI (age: 37 ± 11) and 26 healthy male controls (age: 35 ± 14) watched emotional films (amusement, tenderness, anger, disgust). PR was measured via electrodermal activity (EDA) and heart rate variability (HRV). After each film, an emotional evaluation was completed using the Differential Emotional Scale (DES). Interoception was measured through a heartbeat counting (HBC) task and the Multidimensional Assessment of Interoceptive Awareness (MAIA) questionnaire.</p><p><strong>Results: </strong>Compared to controls, TBI participants scored lower on the MAIA Emotional Awareness and Noticing subscales, and exhibited lower EDA and HRV during the anger and tenderness films. However, emotional evaluations and HBC task scores were similar between groups. Positive correlations were found between emotional evaluation and the MAIA scale.</p><p><strong>Conclusion: </strong>These results suggest a dissociation between emotional experience and PR after TBI and decreased interoceptive sensitivity. Since interoception links PR and emotional experience, exploring the impact of reduced interoception on this dissociation could improve our understanding of post-TBI emotional functioning.</p>","PeriodicalId":9082,"journal":{"name":"Brain injury","volume":" ","pages":"847-858"},"PeriodicalIF":1.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143976725","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}
Brain injuryPub Date : 2025-08-01Epub Date: 2025-04-09DOI: 10.1080/02699052.2025.2487612
Emma O'Connor, Antigoni Kasinopoulou, Danny O'Donoghue, Jane Sekibo, Eeshvari Morey, Jack Versace, Nicholas Cummins, Thomas Pollak, Ava Easton, Sara Simblett
{"title":"\"There's a lot that's different, but it's still me\": exploring podcast narratives of emotional adjustment after encephalitis.","authors":"Emma O'Connor, Antigoni Kasinopoulou, Danny O'Donoghue, Jane Sekibo, Eeshvari Morey, Jack Versace, Nicholas Cummins, Thomas Pollak, Ava Easton, Sara Simblett","doi":"10.1080/02699052.2025.2487612","DOIUrl":"10.1080/02699052.2025.2487612","url":null,"abstract":"<p><strong>Background: </strong>Encephalitis can lead to acquired brain injury (ABI) with neuropsychiatric consequences. Emotional adjustment is important for ensuring positive, long-term outcomes. The transdiagnostic cognitive behavioral therapy (T-CBT) model offers a way of understanding adjustment post-encephalitis but has not yet been tested. We qualitatively assessed whether the T-CBT model accurately captured recovery experiences post-encephalitis and whether experiences differed between infectious and autoimmune encephalitis.</p><p><strong>Methods: </strong>A directed content analysis was used to inductively code spoken experiences of encephalitis survivors (<i>n</i> = 15), as told through public podcasts, and apply a deductive coding framework built from the T-CBT model. A second inductive content analysis was used to explore the podcast interview questions.</p><p><strong>Results: </strong>The T-CBT model broadly captured the experiences of emotional adjustment post-encephalitis. Threat to self-identity and responses to these threats, amongst other contextual factors, were important. An additional major category emerged to capture the impact of encephalitis on close others. No discernible pattern was found between survivors of infectious (<i>n</i> = 6) and autoimmune (<i>n</i> = 6) encephalitis.</p><p><strong>Conclusions: </strong>The T-CBT model with additional systemic factors can help to understand emotional adjustment after encephalitis and provides a rationale for psychological therapy as a treatment during the recovery phase.</p>","PeriodicalId":9082,"journal":{"name":"Brain injury","volume":" ","pages":"820-833"},"PeriodicalIF":1.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143957514","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}
Brain injuryPub Date : 2025-08-01Epub Date: 2025-04-14DOI: 10.1080/02699052.2025.2491787
Robin A Hanks, Grahame Simpson, Brigid Waldron Perrine, Lisa J Rapport, Robert Kotasek, Scott Millis
{"title":"Feasibility and efficacy of a group intervention to develop social support and resilience in family members of individuals with TBI.","authors":"Robin A Hanks, Grahame Simpson, Brigid Waldron Perrine, Lisa J Rapport, Robert Kotasek, Scott Millis","doi":"10.1080/02699052.2025.2491787","DOIUrl":"10.1080/02699052.2025.2491787","url":null,"abstract":"<p><strong>Objective: </strong>Evaluate the clinical utility of the Strength 2 Strength (S2S) program to compare the effectiveness of a 1-day intensive intervention to the 5-week intervention, with regard to improving resilience and social support in families and friends of persons with TBI.</p><p><strong>Methods: </strong>Thirty-three participants received the 1-day, 5-h intervention, and 32 participants received the 5-week, 2-h intervention. Eighteen participants were waitlist controls. Outcome measures included the Connor-Davidson Resilience Scale, Family Resilience Scale, Social Provision Scale, and a 6-item questionnaire to assess satisfaction with the intervention and self-care.</p><p><strong>Results: </strong>Feasibility and efficacy of the S2S intervention was demonstrated. It did not increase resilience, but it kept social support stable during the COVID-19 pandemic. The control group showed decreases in social support.</p><p><strong>Conclusions: </strong>Clinical utility of the program in friends and families of those with TBI was evident and prevented deterioration in social support. Participant satisfaction was supported by the small attrition rate. Similar effects were associated with the brief and longer versions of the intervention, indicating that this type of intervention was carried out in an efficient manner for those who are already struggling to juggle the many needs of being a care partner.</p>","PeriodicalId":9082,"journal":{"name":"Brain injury","volume":" ","pages":"859-866"},"PeriodicalIF":1.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143959629","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}
Brain injuryPub Date : 2025-08-01Epub Date: 2025-04-09DOI: 10.1080/02699052.2025.2487933
Allison D Peplowski, Andrea L Liebl
{"title":"Effects of sleep symptomatology post-concussion on return to sport in collegiate athletes.","authors":"Allison D Peplowski, Andrea L Liebl","doi":"10.1080/02699052.2025.2487933","DOIUrl":"10.1080/02699052.2025.2487933","url":null,"abstract":"<p><strong>Objective: </strong>To describe the relationship between sleep-symptom severity and number of days to return to play following concussion in student-athletes.</p><p><strong>Design: </strong>Case series.</p><p><strong>Setting: </strong>A D1 NCAA university athletic department (institutional care).</p><p><strong>Participants: </strong>The study enrolled 84 varsity athletes who suffered a sport-related concussion at the university from 2015 to 2021.</p><p><strong>Independent variables: </strong>Prior concussion(s), total symptom burden, and sleep symptomatology (sleeping more, sleeping less, trouble falling asleep, drowsiness, and fatigue) scores as reported using Post-Concussion Symptom Scale from the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT).</p><p><strong>Main outcome measure: </strong>The number of days an athlete took to return to play following concussion.</p><p><strong>Results: </strong>Individuals who reported trouble falling asleep, sleeping less, fatigue, and drowsiness took significantly longer to return to play following concussion than individuals who did not report such symptoms (F<sub>1,102</sub> = 34.12, <i>p</i> < 0.0001).</p><p><strong>Conclusions: </strong>Sleep symptomatology present after concussion is predictive of days until return to sport. This study demonstrates the importance of sleep symptomatology post-concussion for athletes.</p>","PeriodicalId":9082,"journal":{"name":"Brain injury","volume":" ","pages":"834-839"},"PeriodicalIF":1.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960923","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}
Brain injuryPub Date : 2025-08-01Epub Date: 2025-05-05DOI: 10.1080/02699052.2025.2490285
Vibeke Wagner, Jakob Rud Sørensen, Christina Kruuse, Ingrid Poulsen, Fin Biering-Sørensen, Christian Gunge Riberholt
{"title":"Robot-assisted gait training for individuals with severe acquired brain injury: a scoping review.","authors":"Vibeke Wagner, Jakob Rud Sørensen, Christina Kruuse, Ingrid Poulsen, Fin Biering-Sørensen, Christian Gunge Riberholt","doi":"10.1080/02699052.2025.2490285","DOIUrl":"10.1080/02699052.2025.2490285","url":null,"abstract":"<p><strong>Introduction: </strong>Early out-of-bed mobilization is recommended for individuals with severe acquired brain injury and impaired consciousness to promote recovery. Robot-assisted gait training (RAGT) utilizes robotic assistance to facilitate neuroplastic changes through repetitive training and feedback. We aimed to map the evidence of RAGT in non-ambulatory individuals with impaired consciousness or cognitive functioning, focusing on the rationales underpinning its use and the assessment methods employed.</p><p><strong>Method: </strong>Following the Joanna Briggs Institute and PRISMA scoping review guidelines, we systematically searched for studies involving adults with severe acquired brain injury. Source selection, data extraction, and charting were performed in duplicate.</p><p><strong>Results: </strong>Out of 10 444 records screened, seven were included, involving 162 participants. The studies included one randomized and two non-randomized clinical trials, two retrospective studies, and two case reports. RAGT aimed to improve physical recovery (<i>n</i> = 6), arousal stimulation (<i>n</i> = 4), and safety (<i>n</i> = 4). Twenty-six outcome measures were reported.</p><p><strong>Conclusion: </strong>Our review highlights a research gap in RAGT for individuals with severe brain injury and cognitive impairments. Specifically, the underlying rationales need investigation, and standardized outcome measures must be established. RAGT shows potential in improving functional recovery and consciousness, but future studies must address safety, and feasibility while navigating ethical challenges.</p>","PeriodicalId":9082,"journal":{"name":"Brain injury","volume":" ","pages":"809-819"},"PeriodicalIF":1.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143964108","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}
{"title":"Successful cognitive rehabilitation for acute right frontal aslant tract injury with impaired working memory and inattention using diffusion tensor tractography.","authors":"Masaharu Sawaki, Kazuya Motomura, Hiroyasu Yamamoto, Koei Ito, Yuto Suzuki, Masahiko Yamamoto","doi":"10.1080/02699052.2025.2490974","DOIUrl":"10.1080/02699052.2025.2490974","url":null,"abstract":"<p><strong>Background: </strong>Language impairments caused by left frontal aslant tract (FAT) damage have a good prognosis. However, the prognosis of cognitive dysfunction after right FAT injury is unknown. The present study describes successful cognitive rehabilitation for impaired working memory and inattention together with diffusion tensor tractography (DTT).</p><p><strong>Methods: </strong>A patient in his 40s with acute stroke underwent magnetic resonance imaging, computed tomography perfusion scans, DTT, and 11 neuropsychological tests for attention, frontal lobe, memory, visuospatial, intelligence, and cognitive functions. Three weeks of cognitive rehabilitation, including direct attention and metacognitive strategy training, and visual working memory tasks were performed. DTT and neuropsychological assessments were compared before and after rehabilitation.</p><p><strong>Results: </strong>Neuropsychological scores in the Trail Making Test, Clinical Assessment for Attention, and Frontal Assessment Battery increased with step-by-step rehabilitation, leading to early reinstatement as a system engineer. DTT revealed that the FAT posterior segment adjacent to the lesion increased its distal branching in the inferior frontal gyrus.</p><p><strong>Conclusion: </strong>In this case study, cognitive rehabilitation for three weeks restored impaired working memory and attention while enhancing right FAT integrity. Visualizing white matter using DTT in the acute phase provides essential insights for selecting appropriate training tasks to facilitate functional recovery from neuropsychological disturbances.</p>","PeriodicalId":9082,"journal":{"name":"Brain injury","volume":" ","pages":"886-892"},"PeriodicalIF":1.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143962130","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}
Brain injuryPub Date : 2025-08-01Epub Date: 2025-04-21DOI: 10.1080/02699052.2025.2492746
Keith L Main, Andrei A Vakhtin, Jiachen Zhuo, Donald Marion, Maheen M Adamson, J Wesson Ashford, Rao Gullapalli, Ansgar J Furst
{"title":"An iterative ROC procedure identifies white matter tracts diagnostic for traumatic brain injury: an exploratory analysis in U.S. Veterans.","authors":"Keith L Main, Andrei A Vakhtin, Jiachen Zhuo, Donald Marion, Maheen M Adamson, J Wesson Ashford, Rao Gullapalli, Ansgar J Furst","doi":"10.1080/02699052.2025.2492746","DOIUrl":"10.1080/02699052.2025.2492746","url":null,"abstract":"<p><strong>Objective: </strong>Understanding the pathophysiology of traumatic brain injury (TBI) is crucial for effectively managing care. Diffusion tensor imaging (DTI) is an MRI technology that evaluates TBI pathology in brain white matter. However, DTI analysis generates numerous measures. Choosing between them remains an obstacle to clinical translation. In this study, we leveraged an iterative receiver operating characteristic (ROC) analysis to examine white matter tracts in a group of 380 Veterans, consisting of TBI (<i>n</i> = 243) and non-TBI patients (<i>n</i> = 137).</p><p><strong>Method: </strong>For each participant, we obtained a whole brain tractography and extracted DTI measures from 50 tracts. The ROC analyzed these variables and produced decision trees of tracts diagnostic for TBI. We expanded our findings by applying jackknife resampling. This procedure removed potential outliers and yielded tracts not observed in the initial ROCs. Finally, we used logistic regression to confirm the tracts predicted TBI status.</p><p><strong>Results: </strong>Our results indicate ROC can identify tracts diagnostic for TBI. We also found that groups of tracts are more predictive than any single one.</p><p><strong>Conclusions: </strong>These analyses show that ROC is a useful tool for exploring large, multivariate datasets and may inform the design of clinical algorithms.</p>","PeriodicalId":9082,"journal":{"name":"Brain injury","volume":" ","pages":"867-885"},"PeriodicalIF":1.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143974172","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}
Brain injuryPub Date : 2025-08-01Epub Date: 2025-04-21DOI: 10.1080/02699052.2025.2489599
Jeffrey S Garofano, Claire H Pak
{"title":"Traumatic brain injury in adolescents: the relationship between high school exiting status and future productivity.","authors":"Jeffrey S Garofano, Claire H Pak","doi":"10.1080/02699052.2025.2489599","DOIUrl":"10.1080/02699052.2025.2489599","url":null,"abstract":"<p><strong>Objective: </strong>Investigate the relationship between high school exiting type and productivity in post-secondary education and employment among students who suffered a moderate-to-severe traumatic brain injury (TBI) while in high school.</p><p><strong>Methods: </strong>This retrospective cohort study included 225 16-18-year-old students who attended neurorehabilitation after a moderate-to-severe TBI. All injuries occurred while attending high school; all youth attended neurorehabilitation at a TBI Model Systems Hospital. We measured productivity as mean weekly hours in post-secondary education and employment 5 years post-injury. We examined the unique contribution of high school exiting type to long-term productivity with hierarchical linear regressions, controlling for patient demographics, pre-injury factors, and injury/disability severity.</p><p><strong>Results: </strong>Most participants (82%) graduated high school with a diploma. Graduates reported more weekly productivity hours (23.61) than those who exited with a General Educational Development (GED) (12.85) or non-completers (5.97). All control variables contributed significantly to 5-year productivity and a diploma or GED was uniquely related to productivity.</p><p><strong>Conclusions: </strong>Graduating high school is attainable for most youth who experience a TBI during high school. Graduating with a diploma or GED was uniquely related to 5-year productivity, providing a clear incentive for collaboration between neurorehabilitation services and schools.</p>","PeriodicalId":9082,"journal":{"name":"Brain injury","volume":" ","pages":"840-846"},"PeriodicalIF":1.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143979047","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}
Brain injuryPub Date : 2025-08-01Epub Date: 2025-06-10DOI: 10.1080/02699052.2025.2489592
Mehrdad Hajinejad, Mahsa Abedi, Sajad Sahab Negah
{"title":"Exosomes beyond stem cells during traumatic brain injury: hype or hope?","authors":"Mehrdad Hajinejad, Mahsa Abedi, Sajad Sahab Negah","doi":"10.1080/02699052.2025.2489592","DOIUrl":"10.1080/02699052.2025.2489592","url":null,"abstract":"<p><strong>Background: </strong>Based on the available data, stem cell therapy is a hopeful cure option for neurotrauma, especially traumatic brain injury. Stem cells can improve neurological outcomes and promote neuroregeneration after an injury through mechanisms such as bystander effects, cell replacement, and the activation of endogenous pathways. However, several uncertainties and limitations exist in achieving appropriate results and applying stem cell therapy at the clinical level. This study performed an extensive review of a pertinent database, utilizing targeted keywords to extract information regarding the application of stem cells and their exosomes in the context of brain injury. It also examined the distinctions between these two modalities in therapeutic strategies.</p><p><strong>Results: </strong>Recent research has demonstrated that exosomes, which are small extracellular vesicles, can overwhelm boundaries associated with stem cell therapy, such as issues with bioavailability and immune responses. A comprehensive review article is needed to discuss the benefits and drawbacks of using stem cell products, including exosomes, for treating traumatic brain injury (TBI).</p><p><strong>Conclusion: </strong>Therefore, exosome therapy has garnered significant attention in stem cell-based therapy for brain injuries. However, further research is needed to explore its mechanisms.</p>","PeriodicalId":9082,"journal":{"name":"Brain injury","volume":" ","pages":"797-808"},"PeriodicalIF":1.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265242","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}
Brain injuryPub Date : 2025-07-30DOI: 10.1080/02699052.2025.2531984
Cindy Hunt, Maryam Fereig, Sarah Diaz, Elke McLellan, Shannon Kenrick-Rochon, Andrew Baker
{"title":"Patient voices to enhance concussion research participation: an exploratory qualitative study.","authors":"Cindy Hunt, Maryam Fereig, Sarah Diaz, Elke McLellan, Shannon Kenrick-Rochon, Andrew Baker","doi":"10.1080/02699052.2025.2531984","DOIUrl":"https://doi.org/10.1080/02699052.2025.2531984","url":null,"abstract":"<p><strong>Purpose: </strong>There are unique characteristics of vulnerability among adult patients who experience a concussion and have persistent symptoms suggesting the need to tailor recruitment and retention strategies for this population. We aimed to obtain perspectives from post-concussion patients regarding factors they value to encourage recruitment and support retention, thereby assisting research teams conducting studies on concussion.</p><p><strong>Methods: </strong>The authors used purposive, nonrandom sampling to identify potential research participants for this exploratory qualitative sub-study. Interview questions were designed using Appreciative Inquiry to gain patient-centered approaches to support recruitment and retention. Transcripts from telephone interviews were analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>We identified two main themes: 1) positive change and 2) participant-centered study design. Each main theme had three sub-themes to support recruitment and/or retention. Positive changes included a) meaningful study impact, b) personal contribution counts, and c) gain information, and reassurance. Participant-centered study design included a) convenience, b) accommodation, and c) feeling valued.</p><p><strong>Conclusions: </strong>Focused efforts in planning to recruit and retain vulnerable populations for research are paramount. Based on our exploratory findings from a limited sample, we offer patient-reported insights to reflect upon the ongoing learning process to optimize recruitment and retention in the field of concussion research.</p>","PeriodicalId":9082,"journal":{"name":"Brain injury","volume":" ","pages":"1-13"},"PeriodicalIF":1.8,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144752337","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}