Latest & greatest articles for traumatic brain injury

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Top results for traumatic brain injury

61. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Cognitive Difficulties

Guideline for concussion/mild traumatic brain injury & persistent symptoms - Cognitive Difficulties Cognitive Difficulties // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age Cognitive Difficulties The presence and persistence of cognitive symptoms following concussion/mTBI can affect an individual’s ability to function in everyday life (...) O'Neil ME, Carlson K, Storzbach D, et al. Complications of Mild Traumatic Brain Injury in Veterans and Military Personnel: A Systematic Review. VA Evidence-based Synthesis Program Reports. 2013. Country: USA Design: Systematic Review Quality Rating: PRISMA: 18/27 *Additional analyses were not undertaken (i.e., meta-analyses), so 5 of the items were not applicable Waldron-Perrine B, McGuire AP, Spencer RJ, Drag LL, Pangilinan PH, Bieliauskas LA. The influence of sleep and mood on cognitive functioning

2018 Ontario Neurotrauma Foundation

62. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Vestibular (Balance/ Dizziness) & Vision Dysfunction

Guideline for concussion/mild traumatic brain injury & persistent symptoms - Vestibular (Balance/ Dizziness) & Vision Dysfunction Vestibular (Balance/ Dizziness) & Vision Dysfunction // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age Vestibular (Balance/ Dizziness) & Vision Dysfunction Vestibular (Balance/Dizziness) Dysfunction (...) of Concussion/Mild Traumatic Brain Injury Clinical Practice Guideline (VA/DoD, 2016). 10.2 A If symptoms of benign positional vertigo are present, the Dix-Hallpike Manoeuvre (Appendix ) should be used for assessment once the cervical spine has been cleared. 10.3 A A canalith repositioning maneuver should be used to treat benign positional vertigo (BPPV) if the Dix-Hallpike manoeuvre is positive. The Epley manoeuvre (Appendix ) should be used on patients with positive Dix-Hallpike manoeuvre for both

2018 Ontario Neurotrauma Foundation

63. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Fatigue

Guideline for concussion/mild traumatic brain injury & persistent symptoms - Fatigue Fatigue // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age Fatigue Fatigue has been conceptualized as an experience of weariness or tiredness following mental or physical exertion, often resulting in a reduced capacity for work and limited efficiency (...) , Moss NE, Wade DT. The Rivermead Post Concussion Symptoms Questionnaire: A measure of symptoms commonly experienced after head injury and its reliability". J. Neurol . 1995; 242(9):587–92. Description: A questionnaire that can be administered to someone who sustains a concussion or other form of traumatic brain injury to measure the severity of symptoms. The RPQ is used to determine the presence and severity of post-concussion syndrome symptoms (i.e., a set of somatic, cognitive, and emotional

2018 Ontario Neurotrauma Foundation

64. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Post-Traumatic Headache

Guideline for concussion/mild traumatic brain injury & persistent symptoms - Post-Traumatic Headache Post-Traumatic Headache // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age Post-Traumatic Headache Headache is the most common and among the most prevalent persistent symptoms following mTBI. 1-4 Studies to date have documented (...) of the environment. Pharmacologic interventions as appropriate both for acute pain and prevention of headache attacks. Taken from the VA/DoD Management of Concussion/Mild Traumatic Brain Injury Clinical Practice Guideline (VA/DoD, 2016). Pharmacological Treatment of Post-Traumatic Headache New Key Section Level of evidence A B C Updated Evidence 6.7 C All patients with frequent headaches should be strongly encouraged to maintain an accurate headache diary (see Appendix ), medication calendar and activity log

2018 Ontario Neurotrauma Foundation

65. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Sleep-Wake Disturbances

Guideline for concussion/mild traumatic brain injury & persistent symptoms - Sleep-Wake Disturbances Sleep-Wake Disturbances // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age Sleep-Wake Disturbances More than 50% of patients report sleep disturbances following mTBI, specifically insomnia, hypersomnia, obstructive sleep apnea, poor (...) Injury. J Head Trauma Rehabil. 2015;30(6):E67-75. Country: Canada Design: Retrospective Cohort Quality Rating: DOWNS & BLACK: 13/32 *7 of the sections were not applicable Theadom A, Cropley M, Parmar P, et al. Sleep difficulties one year following mild traumatic brain injury in a population-based study. Sleep Med. 2015;16(8):926-932. Country: New Zealand Design: Prospective Cohort Quality Rating: DOWNS & BLACK: 16/32 *5 of the sections were not applicable Tkachenko N, Singh K, Hasanaj L, Serrano L

2018 Ontario Neurotrauma Foundation

66. Guideline for concussion/mild traumatic brain injury & persistent symptoms - General Recommendations Regarding Diagnosis/Assessment of Persistent Symptoms

Guideline for concussion/mild traumatic brain injury & persistent symptoms - General Recommendations Regarding Diagnosis/Assessment of Persistent Symptoms General Recommendations Regarding Diagnosis/Assessment of Persistent Symptoms // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age General Recommendations Regarding Diagnosis/Assessment (...) as some symptoms may exacerbate others. Adapted from the VA/DoD Management of Concussion/Mild Traumatic Brain Injury Clinical Practice Guideline (VA/DoD, 2009). 4.3 C The assessment should include a review of currently prescribed medications, over-the-counter medications/supplements and substance use, including alcohol, marijuana and other recreational drugs. 4.4 C The persisting physical, cognitive, and/or psychological symptoms following mTBI can be nonspecific and may overlap. Therefore, careful

2018 Ontario Neurotrauma Foundation

67. Guideline for concussion/mild traumatic brain injury & persistent symptoms - General Recommendations Regarding Management of Persistent Symptoms

Guideline for concussion/mild traumatic brain injury & persistent symptoms - General Recommendations Regarding Management of Persistent Symptoms General Recommendations Regarding Management of Persistent Symptoms // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age General Recommendations Regarding Management of Persistent Symptoms (...) Authority NSW, Guidelines for Mild Traumatic Brain Injury following a Closed Head Injury (MAA, NSW, 2008). *NOT AN ORIGINAL RECOMMENDATION - REPEAT OF 2.3 5.2 A Persistent symptoms after concussion/mTBI should lead primary care providers to consider that many factors may contribute to the persistence of post-concussive symptoms (see Table ). All relevant factors (medical, cognitive, psychological and psychosocial) should be examined with regards to how they contribute to the patient’s symptom

2018 Ontario Neurotrauma Foundation

68. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Mental Health Disorders

Guideline for concussion/mild traumatic brain injury & persistent symptoms - Mental Health Disorders Mental Health Disorders // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age Mental Health Disorders General considerations Mental health disorders are common following mTBI, and appear to be major determinants of post-mTBI wellness (...) ). Adapted from the VA/DoD Management of Concussion/Mild Traumatic Brain Injury Clinical Practice Guideline (VA/DoD, 2009). 8.3 C Immediate referral to a regulated mental health practitioner should be obtained if: The presentation is complex and/or severe (e.g., suicide risk) Initial treatment is not effective There is a failure of or contraindication to usual medication strategies It is not necessary for the mental health practitioner to be someone who has a specialty in the treatment of concussion

2018 Ontario Neurotrauma Foundation

69. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Initial Management of Concussion/mTBI

Guideline for concussion/mild traumatic brain injury & persistent symptoms - Initial Management of Concussion/mTBI Initial Management of Concussion/mTBI // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age Initial Management of Concussion/mTBI Whether a patient first presents to the Emergency Department (ED) or to the primary care (...) provider’s (PCP’s) office, ruling out traumatic brain or spine injury that requires emergency intervention is the initial priority. Acutely following injury, it is essential that a management plan be initiated for each patient including: information regarding monitoring for potential acute complications requiring re-assessment, education regarding expected symptoms and course of recovery, and recommendations for healthcare follow-up post-injury. 1 Treatment should be individualized and based

2018 Ontario Neurotrauma Foundation

70. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Return-to-Activity / Work / School Considerations

Guideline for concussion/mild traumatic brain injury & persistent symptoms - Return-to-Activity / Work / School Considerations Return-to-Activity / Work / School Considerations // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age Return-to-Activity / Work / School Considerations Returning to usual activities after a concussion/mTBI can (...) Management of Concussion/Mild Traumatic Brain Injury Clinical Practice Guideline (VA/DoD, 2009). 12.2* A There is currently insufficient evidence that prescribing complete rest may ease discomfort during the acute recovery period by mitigating post-concussion symptoms and/or that rest may promote recovery by minimizing brain energy demands following concussion. An initial period of rest in the acute symptomatic period following injury (24-48 hours) may be of benefit. After a brief period of rest

2018 Ontario Neurotrauma Foundation

71. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Sport-Related Concussion/mTBI

Guideline for concussion/mild traumatic brain injury & persistent symptoms - Sport-Related Concussion/mTBI Sport-Related Concussion/mTBI // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age Sport-Related Concussion/mTBI In the sports literature, the effects of traumatic biomechanical forces on the brain have traditionally been referred (...) to as a concussion. In this Guideline, the term concussion/mTBI will be used to maintain consistency within this document. A sport-related concussion/mTBI is a traumatic brain injury that may be caused by either a direct blow to the head, face, neck or elsewhere on the body as an indirect force being transmitted to the head during sports activity. A sport-related concussion/mTBI can result in a range of clinical signs and symptoms that may or may not involve a loss of consciousness. While the injury may result

2018 Ontario Neurotrauma Foundation

72. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Diagnosis/Assessment of Concussion/mTBI

Guideline for concussion/mild traumatic brain injury & persistent symptoms - Diagnosis/Assessment of Concussion/mTBI Diagnosis/Assessment of Concussion/mTBI // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age Diagnosis/Assessment of Concussion/mTBI Diagnosis of mTBI/concussion (Table B) is the first critical step in successful management (...) outcomes for patients. Concussion can be recognized in the community by a non-medical professional, whereas diagnosis should be made by a physician/ nurse practitioner. Adapted from the Motor Accidents Authority NSW, Guidelines for Mild Traumatic Brain Injury following a Closed Head Injury (MAA, NSW, 2008). 1.2 A On presentation, the primary care provider should conduct a comprehensive review of every patient who has sustained concussion/mTBI (see Appendix ). The assessment should include taking

2018 Ontario Neurotrauma Foundation

73. Traumatic brain injury

Traumatic brain injury Printed copies of this document may not be up to date, obtain the most recent version from www.cats.nhs.uk Children’s Acute Transport Service Clinical Guidelines Traumatic Brain Injury Document Control Information Author D Lutman Author Position Head of Clinical Service Document Owner E. Polke Document Owner Position Service Coordinator Document Version Version 4 Replaces Version Version 3 First Introduced 2002 Review Schedule 2 Yearly Active Date January 2016 Next Review (...) of injury o Mechanism of injury – pattern of injury and prognostic information • Clinical o GCS (attention to trend of motor component- may be more sensitive) o Airway or need for intubation o Pupillary response o Signs of base of skull fracture ? Haemotympanium, “panda” eyes, CSF otorrhoea, Battle’s sign o External signs of head injury including skull fractures, haemorrhage control o Post traumatic seizures (load with phenytoin) o Vomiting o Amnesia o Assessment of spinal cord function (movement

2018 Children's Acute Transport Service

74. Fitness training for cardiorespiratory conditioning after traumatic brain injury. (PubMed)

Fitness training for cardiorespiratory conditioning after traumatic brain injury. Reduced cardiorespiratory fitness (cardiorespiratory deconditioning) is a common consequence of traumatic brain injury (TBI). Fitness training may be implemented to address this impairment.The primary objective of this updated review was to evaluate whether fitness training improves cardiorespiratory fitness in people who have sustained a TBI. The secondary objectives were to evaluate whether fitness training (...) may be guided by pre-exercise screening checklists to ensure the person with traumatic brain injury is safe to exercise, and set training parameters using guidelines established by the American College of Sports Medicine for people who have suffered a brain injury.

2017 Cochrane

75. Elevation of the head during intensive care management in people with severe traumatic brain injury. (PubMed)

Elevation of the head during intensive care management in people with severe traumatic brain injury. Traumatic brain injury (TBI) is a major public health problem and a fundamental cause of morbidity and mortality worldwide. The burden of TBI disproportionately affects low- and middle-income countries. Intracranial hypertension is the most frequent cause of death and disability in brain-injured people. Special interventions in the intensive care unit are required to minimise factors (...) contributing to secondary brain injury after trauma. Therapeutic positioning of the head (different degrees of head-of-bed elevation (HBE)) has been proposed as a low cost and simple way of preventing secondary brain injury in these people. The aim of this review is to evaluate the evidence related to the clinical effects of different backrest positions of the head on important clinical outcomes or, if unavailable, relevant surrogate outcomes.To assess the clinical and physiological effects of HBE during

2017 Cochrane

76. Efficacy and harms of pharmacological interventions for neurobehavioral symptoms in post traumatic amnesia after traumatic brain injury: a systematic review and meta-analysis protocol.

Efficacy and harms of pharmacological interventions for neurobehavioral symptoms in post traumatic amnesia after traumatic brain injury: a systematic review and meta-analysis protocol. The objective of this systematic review is to synthesize the best available evidence on the effectiveness and harms of pharmacotherapy as compared to all types of comparators for the management of neurobehavioral symptoms in post-traumatic amnesia in adults aged 16 years and over who have sustained a traumatic (...) brain injury. This review forms part of a larger project which aims to gather the evidence for the pharmacological treatment of neurobehavioral symptoms post traumatic brain injury as a prelude to the development of a clinical guideline.

2017 JBI database of systematic reviews and implementation reports

77. Interventions for managing skeletal muscle spasticity following traumatic brain injury. (PubMed)

Interventions for managing skeletal muscle spasticity following traumatic brain injury. Skeletal muscle spasticity is a major physical complication resulting from traumatic brain injury (TBI), which can lead to muscle contracture, joint stiffness, reduced range of movement, broken skin and pain. Treatments for spasticity include a range of pharmacological and non-pharmacological interventions, often used in combination. Management of spasticity following TBI varies from other clinical (...) populations because of the added complexity of behavioural and cognitive issues associated with TBI.To assess the effects of interventions for managing skeletal muscle spasticity in people with TBI.In June 2017, we searched key databases including the Cochrane Injuries Group Specialised Register, CENTRAL, MEDLINE (Ovid), Embase (Ovid) and others, in addition to clinical trials registries and the reference lists of included studies.We included randomised controlled trials (RCTs) and cross-over RCTs

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2017 Cochrane

78. Functional Outcome After Intracranial Pressure Monitoring for Children With Severe Traumatic Brain Injury

Functional Outcome After Intracranial Pressure Monitoring for Children With Severe Traumatic Brain Injury PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2017 PedsCCM Evidence-Based Journal Club

79. Hypothermia for traumatic brain injury. (PubMed)

Hypothermia for traumatic brain injury. Hypothermia has been used in the treatment of brain injury for many years. Encouraging results from small trials and laboratory studies led to renewed interest in the area and some larger trials.To determine the effect of mild hypothermia for traumatic brain injury (TBI) on mortality, long-term functional outcomes and complications.We ran and incorporated studies from database searches to 21 March 2016. We searched the Cochrane Injuries Group's

2017 Cochrane

80. Safety and effectiveness of pharmacotherapy for depression in adults who have sustained a traumatic brain injury: a systematic review protocol. (PubMed)

Safety and effectiveness of pharmacotherapy for depression in adults who have sustained a traumatic brain injury: a systematic review protocol. The objective of this systematic review is to synthesize the current evidence on the effectiveness and harms of pharmacotherapy in the management of depression in adults who have sustained a traumatic brain injury.

2017 JBI database of systematic reviews and implementation reports