143 results match your criteria: "Traumatic Brain Injury Center of Excellence[Affiliation]"
Arch Clin Neuropsychol
December 2024
Traumatic Brain Injury Center of Excellence, Silver Spring, MD, USA.
Objective: To examine correlates of the discrepancy between subjective cognitive complaints and processing speed performance in a sample of military personnel with and without traumatic brain injury (TBI).
Method: About 235 U.S.
J Am Acad Audiol
December 2024
Audiology and Speech Pathology Center, Walter Reed National Military Medical Center, Bethesda, Maryland.
Background: Oculomotor and reaction time tests are frequently used assessments of vestibular symptoms, traumatic brain injury (TBI), or other neurological disorders in both clinical and research contexts. When interpreting these tests it is important to have a reference interval (RI) as a comparison for what constitutes a typical/expected response; however, the current body of research has only limited information regarding normative ranges calculated according to established standards or for a military-specific sample.
Purpose: The purpose of the present study was to describe RIs for oculomotor and reaction time tests in a cohort of service members and veterans (SMVs) for use as comparators by clinicians and scientists.
Mil Med
December 2024
Department of Rehabilitation and Human Performance, Icahn School of Medicine at Mount Sinai, New York City, NY 10029, USA.
Introduction: Service academy members are at high risk for concussions as a result of participation in both sports and military-specific training activities. Approximately 17% of active duty service members are female, and they face unique challenges in achieving timely recovery from concussions. Understanding the unique characteristics affecting return to unrestricted activity (RTA) among female service academy members is imperative for the ever-growing proportion of females across the U.
View Article and Find Full Text PDFJ Neurotrauma
December 2024
Traumatic Brain Injury Center of Excellence, Silver Spring, Maryland, USA.
Biomedicines
October 2024
Traumatic Brain Injury Center of Excellence, Silver Spring, MD 20910, USA.
Mil Med
November 2024
The Traumatic Brain Injury Center of Excellence, Silver Spring, MD 20910, USA.
Introduction: Headache is the most overwhelmingly reported symptom following mild traumatic brain injury (mTBI). The upper cervical spine has been implicated in headache etiology, and cervical dysfunction may result in neck pain that influences the experience of headache. Sleep problem is the second most reported symptom following mTBI.
View Article and Find Full Text PDFMil Med
November 2024
Traumatic Brain Injury Center of Excellence, Silver Spring, MD 20910, USA.
Objective: To understand the mechanisms of injury and demographic risk factors associated with traumatic brain injury (TBI) patients among active and reserve service members in the U.S. Military before and during the COVID-10 pandemic.
View Article and Find Full Text PDFNeuroRehabilitation
November 2024
Traumatic Brain Injury Center of Excellence, Silver Spring, MD, USA.
J Head Trauma Rehabil
September 2024
Author Affiliations: Mental Health & Behavioral Science Service, James A. Haley Veterans' Hospital, Tampa, Florida (Drs Silva and Fox); Department of Psychiatry and Behavioral Neurosciences, University of South Florida, Tampa, Florida; Department of Internal Medicine (Division of Pulmonary, Critical Care & Sleep Medicine), University of South Florida, Tampa, Florida (Drs Silva and Nakase-Richardson); Research Methodology and Biostatistics Core, Office of Research, University of South Florida, Tampa, Florida (Klocksieben); Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, Washington (Dr Hoffman); and Defense Health Agency Traumatic Brain Injury Center of Excellence, James A. Haley Veterans' Hospital, Tampa, Florida, and Research Service, James A. Haley Veterans' Hospital, Tampa, Florida (Dr Nakase-Richardson).
Objective: To examine, among persons discharged from inpatient rehabilitation for traumatic brain injury (TBI), the degree to which pre-TBI factors were associated with post-TBI hospitalization for psychiatric reasons. The authors hypothesized that pre-TBI psychiatric hospitalization and other pre-TBI mental health treatment would predict post-TBI psychiatric hospitalization following rehabilitation discharge, up to 5 years post-TBI.
Setting: Five Veterans Affairs Polytrauma Rehabilitation Centers.
Prim Care Companion CNS Disord
September 2024
Sleep Disorders Center, Division of Pulmonary, Critical Care, and Sleep Medicine, and Department of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland.
To develop an evidence and consensus-based clinical recommendation (CR) regarding primary care management of insufficient and disturbed sleep associated with concussion/mild traumatic brain injury (mTBI) in service members and veterans. A multidisciplinary expert working group (EWG) of 23 subject matter experts was selected by the Defense Health Agency (DHA) Traumatic Brain Injury Center of Excellence (TBICoE), based on relevant expertise and experience, from candidates nominated by DHA communities of interest. The TBICoE core working group (CWG) conducted a literature search using PubMed and Google Scholar databases for articles relevant to sleep and mTBI from 2014 to 2018.
View Article and Find Full Text PDFArch Clin Neuropsychol
September 2024
General Dynamics Information Technology, 3150 Fairview Park Drive, Falls Church, VA 22042, USA.
Objective: This observational study examined the accuracy of simple reaction time (RT) measurements on various touchscreen tablet devices using the Automated Neuropsychological Assessment Metric (ANAM) UltraMobile test battery. The study investigated the implications of interpreting ANAM UltraMobile with laptop-based normative data by analyzing the magnitude and variability of RT accuracy across devices.
Method: RT accuracy on 10 different tablets was assessed using a photodetector and robotic arm to respond to stimuli at predetermined response times.
NeuroRehabilitation
November 2024
Walter Reed Army Institute of Research-West, Joint Base Lewis-McChord, Tacoma, WA, USA.
Background: Veterans Affairs and the Department of Defense (DOD) acknowledge that nutrition may be a modifier of mild traumatic brain injury (TBI) sequelae. Military clinicians are considering nutritional supplements and dietary interventions when managing patients with mild TBI. Therefore, clinicians should be familiar with the current evidence for nutritional interventions in mild TBI and special considerations related to the military lifestyle.
View Article and Find Full Text PDFNeuroRehabilitation
November 2024
Traumatic Brain Injury Center of Excellence, Silver Spring, MD, USA.
Background: Concussion, also known as mild traumatic brain injury (mTBI), is a condition with unique ties to military service. Service members (SMs) are inherently at a higher risk for concussive injuries due to the intense physical training environment and combat operational tempo required to serve. The Traumatic Brain Injury Center of Excellence (TBICoE) is the US Department of Defense authority on this condition and provides a thorough approach to management of concussion and associated symptom sequela.
View Article and Find Full Text PDFNeurotrauma Rep
August 2024
Traumatic Brain Injury Center of Excellence (TBICoE), Research Portfolio Management Division, Research & Engineering Directorate, Defense Health Agency, Falls Church, Virginia, USA.
Research has found that service members (SMs) with mild traumatic brain injury (mTBI) and co-occurring bodily injuries endorse lower chronic postconcussive symptom severity than SMs with mTBI and no bodily injuries. Investigations were conducted with primarily post-9/11 war-era SMs with blast injuries. The current study explores these findings in a cohort of more heterogeneous and recently evaluated military SM.
View Article and Find Full Text PDFMil Med
August 2024
Traumatic Brain Injury Center of Excellence, Silver Spring, MD 20910, USA.
Introduction: Military service members (SMs) with mild traumatic brain injury (mTBI or concussion) frequently report cognitive and behavioral difficulties. Currently, military clinical guidelines recommend clinician-run, manualized cognitive rehabilitation (CR) to treat these symptoms; however, it is unclear whether this approach adequately addresses the unique needs of warfighters. Computerized cognitive training (CCT) programs represent an innovative, promising approach to treating cognitive difficulties; however, whether these programs can effectively remediate cognitive impairment in individuals with mTBI remains unclear.
View Article and Find Full Text PDFJ Head Trauma Rehabil
August 2024
Author Affiliations: National Intrepid Center of Excellence, Walter Reed National Military Medical Center (Dr Lippa, Ms Gillow, Drs French, Brickell, and Lange); Departments of Neuroscience (Dr Lippa), Psychiatry (Dr Brickell), Physical Medicine and Rehabilitation (Drs French and Lange), Uniformed Services University of the Health Sciences, Bethesda, Maryland; Traumatic Brain Injury Center of Excellence, Silver Spring, Maryland (Ms Gillow, Drs Hungerford, Bailie, French, Brickell, and Lange); General Dynamics Information Technology, Fairfax, Virginia (Ms Gillow, Drs Hungerford, Bailie, Brickell, and Lange); Naval Medical Center, San Diego, California (Dr Hungerford); 33 Area Branch Clinic Camp Pendleton, California (Dr Bailie); and Department of Psychiatry University of British Columbia, Vancouver, British Columbia (Dr Lange).
Objective: The recently updated American Congress of Rehabilitation Medicine diagnostic criteria for mild traumatic brain injury (mTBI) removed retrograde amnesia (RA) as a main criterion for mTBI, recommending it be included as a substitute criterion only when posttraumatic amnesia (PTA) cannot be reliably assessed. This study aimed to investigate the evidence base for this recommendation.
Setting: Military treatment facility.
Mil Med
August 2024
Traumatic Brain Injury Center of Excellence, Defense Health Agency, Silver Spring, MD 20910, USA.
Introduction: Clinical practice guidelines (CPGs) and clinical recommendations (CRs) are developed to aide and guide providers in treating a variety of conditions, including traumatic brain injury (TBI). There is little knowledge on the impact that CPGs and CRs have on provider practice. One TBI recommendation that was able to be tracked in medical record codes was the use of benzodiazepines (BZD).
View Article and Find Full Text PDFJ Neurotrauma
August 2024
Craig Hospital, Englewood, Colorado, USA.
Few studies have examined long-term mortality following traumatic brain injury (TBI) in a military population. This is a secondary analysis of a prospective, longitudinal study that examines long-term mortality (up to 10 years) post-TBI, including analyses of life expectancy, causes of death, and risk factors for death in service members and veterans (SM/V) who survived the acute TBI and inpatient rehabilitation. Among 922 participants in the study, the mortality rate was 8.
View Article and Find Full Text PDFJ Neurotrauma
July 2024
Traumatic Brain Injury Center of Excellence, Silver Spring, Maryland, USA.
Post-concussive symptoms are frequently reported by individuals who sustain mild traumatic brain injuries (mTBIs) and subconcussive head impacts, even when evidence of intracranial pathology is lacking. Current strategies used to evaluate head injuries, which primarily rely on self-report, have a limited ability to predict the incidence, severity, and duration of post-concussive symptoms that will develop in an individual patient. In addition, these self-report measures have little association with the underlying mechanisms of pathology that may contribute to persisting symptoms, impeding advancement in precision treatment for TBI.
View Article and Find Full Text PDFPsychol Trauma
June 2024
Traumatic Brain Injury Center of Excellence, Walter Reed National Military Medical Center.
Objective: To examine elevated symptoms on health-related quality of life (HRQOL) measures over 2 years in caregivers of service members with traumatic brain injury (TBI). To compare outcomes to caregivers of veterans.
Method: Caregivers ( = 315) were classified into two groups: (a) service member caregiver group ( = 55) and (b) veteran caregiver group ( = 260).
Qual Life Res
August 2024
Traumatic Brain Injury Center of Excellence, Walter Reed National Military Medical Center, Bethesda, MD, USA.
Purpose: To examine [a] the association of caregiver health-related quality of life (HRQOL) and service member/veteran (SMV) neurobehavioral outcomes with caregiver resilience; [b] longitudinal change in resilience at the group and individual level; and [c] the magnitude of change at the individual level.
Methods: Caregivers (N = 232) of SMVs with traumatic brain injury completed a resilience measure, and 18 caregiver HRQOL and SMV neurobehavioral outcome measures at a baseline evaluation and follow-up evaluation three years later. Caregivers were divided into two resilience groups at baseline and follow-up: [1] Low Resilience (≤ 45 T, baseline n = 99, follow-up n = 93) and [2] High Resilience (> 45 T, baseline n = 133, follow-up n = 139).
Neurology
June 2024
From the Department of Rehabilitation and Human Performance (N.L.D., K.D., C.E.), Icahn School of Medicine at Mount Sinai, New York, NY; Traumatic Brain Injury and Concussion Center (H.M.L., E.L.D., D.F.T., E.A.W.), Department of Neurology, University of Utah School of Medicine, Salt Lake City; George E. Wahlen VA Salt Lake City Healthcare System (H.M.L., E.L.D., D.F.T., E.A.W.), UT; VA Salt Lake City Health Care System (E.K., M.J.V.P.), Informatics, Decision-Enhancement and Analytic Sciences Center, UT; Department of Medicine (E.K., M.J.V.P.), Division of Epidemiology, University of Utah School of Medicine, Salt Lake City; Michael E. DeBakey VA Medical Center (D.S.M., R.S.S., M.T.), Houston, TX; The Menninger Psychiatric and Behavioral Services Department (D.S.M.), Baylor College of Medicine, Houston, TX; Department of Interdisciplinary Studies (J.S.P., Y.J.), School of Health Professions, Rutgers Biomedical and Health Sciences, Newark, NJ; Department of Physical Medicine and Rehabilitation (W.C.W., D.X.C.), School of Medicine, Virginia Commonwealth University, Richmond; Physical Medicine and Rehabilitation Service (W.C.W., D.X.C.), Richmond Veterans Affairs Medical Center, VA; Traumatic Brain Injury Center of Excellence (J.M.B.), Bethesda, MD; Naval Hospital Camp Pendleton (J.M.B.), Camp Pendleton, CA; General Dynamics Information Technology (J.M.B.), Fairfax, VA; Minneapolis VA Health Care System (N.D.D.), MN; Department of Psychiatry and Behavioral Sciences (N.D.D., S.R.S.), University of Minnesota, Minneapolis; Research and Academic Affairs Service Line (S.L.M., J.A.R.), W. G. (Bill) Hefner VA Healthcare System, Salisbury, NC; Department of Translational Neuroscience (S.L.M., J.A.R.), Wake Forest School of Medicine, Winston-Salem, NC; VA Portland Health Care System (M.O.), Portland, OR; Oregon Health & Science University (M.O.), Department of Psychiatry and Department of Medicine Informatics and Clinical Epidemiology, Portland; Mid-Atlantic (VISN-6) Mental Illness Research, Education, and Clinical Center (MIRECC) (S.L.M., J.A.R.), Durham, NC; Department of Neurobiology and Anatomy (J.A.R.), Wake Forest School of Medicine, Winston-Salem, NC; H. Ben Taub Department of Physical Medicine and Rehabilitation (R.S.S., M.T.), Baylor College of Medicine, Houston, TX; Minneapolis VA Health Care System (S.R.S.), MN.
Background And Objectives: Traumatic brain injury (TBI) is a concern for US service members and veterans (SMV), leading to heterogeneous psychological and cognitive outcomes. We sought to identify neuropsychological profiles of mild TBI (mTBI) and posttraumatic stress disorder (PTSD) among the largest SMV sample to date.
Methods: We analyzed cross-sectional baseline data from SMV with prior combat deployments enrolled in the ongoing Long-term Impact of Military-relevant Brain Injury Consortium-Chronic Effects of Neurotrauma Consortium prospective longitudinal study.
Purpose: The purpose of this study was to determine the extent to which patient's perspective of symptom improvement, as indexed by the Patient Global Impression of Change (PGIC) survey, is associated with symptom improvement on common measures of neurobehavioral and mental health symptoms following concussion.
Materials And Methods: Data were from 449 US active duty service members receiving treatment in interdisciplinary programs for their concussion. PGIC rating (range = 1-7) was evaluated for compatibility in assessing improvement in or clinically-elevated neurobehavioral (using Neurobehavioral Symptom Inventory [NSI]) and mental health (using Post-traumatic Stress Disorder Checklist, DSM-5 [PCL-5] and Patient Health Questionnaire [PHQ-8]) symptoms.
Rehabil Psychol
May 2024
Department of Research, Traumatic Brain Injury Center of Excellence.
Objective: The purpose of this study was to (a) identify the prevalence and barriers of self-reported service needs in a military sample with and without traumatic brain injury (TBI), (b) evaluate the influence of the number of service needs on overall neurobehavioral functioning, and (c) examine the longitudinal trajectories of service needs over time.
Method: Participants were 941 U.S.
Brain Inj
September 2024
Neck Pain and Whiplash Research Unit, School of Health and Rehabilitation Services, University of Queensland, Brisbane, Queensland, Australia.