Effects of concomitant mild traumatic brain injury on resuming work after suffering from an isolated limb fracture: A cohort study

Jodoin, Marianne; Rouleau, Dominique M.; Larson-Dupuis, Camille; Benoit, Benoit; Leduc, Sylvain; Laflamme, Georges-Yves; Gosselin, Nadia; Sabir, Meriem; Beaumont, Louis De

doi:10.1080/02699052.2017.1341644

Cited by 3 publications

(6 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…43 These findings are in opposition to another study that found women who experienced mTBI and concomitant limb injury took a greater time to RTW than men. 44 Together, these findings support consideration of sex as an important factor that should be included in the treatment, management, and RTW components of mTBI protocols.…”

Section: Preinjury Risk Factors In the Work-related Mtbi Populationmentioning

confidence: 65%

“…This outcome has been attributed to aspects of workplace culture, as workers in supportive, female-dominated workplaces experienced a more positive RTW, whereas those in workplaces composed of predominantly male workers experienced greater RTW issues 43 . These findings are in opposition to another study that found women who experienced mTBI and concomitant limb injury took a greater time to RTW than men 44 . Together, these findings support consideration of sex as an important factor that should be included in the treatment, management, and RTW components of mTBI protocols.…”

Section: Preinjury Risk Factors In the Work-related Mtbi Populationmentioning

confidence: 77%

“…14,47 When mTBI is accompanied by an orthopedic trauma, such as a limb fracture, the time to RTW is increased. 44 For example, Jodoin et al 44 found that patients with a limb fracture and TBI were absent from work a mean of 299.4 days after injury, and this increased to a mean of 329.7 days when patients receiving Workers' Compensation were included in the analysis. When compared with patients with an isolated orthopedic fracture without mTBI, the RTW was significantly reduced to 150.3 days.…”

Section: Barriers To the Rtw Processmentioning

confidence: 99%

See 2 more Smart Citations

Treatment and Management of Work-Related Mild Traumatic Brain Injury in Physical Medicine and Rehabilitation

Andreae

Grafton

Hong

et al. 2022

Am J Phys Med Rehabil

View full text Add to dashboard Cite

The purpose of this narrative review was to assess work-related mild traumatic brain injury treatment approaches and outcomes. Literature indicates that incidence of work-related mild traumatic brain injury is high. Ability to return to work after injury is variable, with differences identified across industry sector, mechanisms of injury, sex, and timely treatment and referral. Additional challenges exist in the context of secondary gains (e.g., financial) and the potential for symptom exaggeration. Emerging evidence from studies outside the United States demonstrate the benefits of proactive assessment and treatment at the time of injury. These benefits can be further augmented by early referral to multidisciplinary treatment teams led by physical medicine and rehabilitation physicians. Opportunities for ongoing research and development of strategies to improve treatment, management, and more timely return to work for patients with occupational mild traumatic brain injury are discussed. It is concluded that challenges persist in treatment and management of patients with work-related mild traumatic brain injury as they present unique challenges not seen in those with nonwork-related mild traumatic brain injuries. The unique position of physical medicine and rehabilitation and the skills of physiatrists render them poised to lead multidisciplinary treatment teams for these patients and contribute to the development of a new guideline for return to work, with an emphasis on functional recovery.

show abstract

Section: Preinjury Risk Factors In the Work-related Mtbi Populationmentioning

confidence: 65%

Section: Preinjury Risk Factors In the Work-related Mtbi Populationmentioning

confidence: 77%

Section: Barriers To the Rtw Processmentioning

confidence: 99%

See 1 more Smart Citation

Treatment and Management of Work-Related Mild Traumatic Brain Injury in Physical Medicine and Rehabilitation

Andreae

Grafton

Hong

et al. 2022

Am J Phys Med Rehabil

View full text Add to dashboard Cite

show abstract

“…RTW was used in this study to reflect potential impact of HO development on functional outcome as it is known to be a good marker of recovery (Clay et al, 2010). Information on RTW was collected in the context of a previous study conducted by our group using the same sample (see Jodoin et al (2017b) for more details). Statistical analyses were performed using IBM SPSS software version 24 (Armonk, NY, United States).…”

Section: Methodsmentioning

confidence: 99%

“…MTBIs account for approximately 70–90% of all TBIs sustained and are frequent among patients who suffered from fractures, with an incidence rate estimated at 23% (Cassidy et al, 2004; Jodoin et al, 2016). Although considered the mildest form of TBIs, a growing body of evidence shows that concomitant mTBI can have a significant impact on recovery in patients with fractures, highlighting the importance of considering the interaction between these two injuries (Jodoin et al, 2017a, Jodoin et al, 2017b). To our knowledge, the association between mTBI and HO has not been investigated.…”

Section: Introductionmentioning

confidence: 99%

Investigating the incidence and magnitude of heterotopic ossification with and without joints involvement in patients with a limb fracture and mild traumatic brain injury

et al. 2019

Self Cite

View full text Add to dashboard Cite

Objectives This study seeks to evaluate the incidence rate of heterotopic ossification (HO) formation in patients afflicted by an isolated limb fracture (ILF) and a concomitant mild traumatic brain injury (mTBI). Methods The current study is an observational study including ILF patients with or without a concomitant mTBI recruited from an orthopedic clinic of a Level 1 Trauma Hospital. Patients were diagnosed with a mTBI according to the American Congress of Rehabilitation Medicine (ACRM) criteria. Radiographs taken on average 3 months post-trauma were analyzed separately by two distinct specialists for the presence of HO proximally to the fracture site (joints or extra joints). Both raters referred to Brooker's and Della's Valle's classification to establish signs of HO. First, analyses were conducted for the full sample. Secondly, a matched cohort was used in order to control for specific factors, namely age, sex, type of injury, and time elapsed between the accident and the analyzed radiograph. Results The full sample included a total of 183 patients with an ILF (94 females; 47.5 years old), of which 50 had a concomitant mTBI and 133 without. Radiographic evidence of HO was significantly higher in patients with an ILF and a mTBI compared to ILF patients (X 2 = 6.50; p = 0.01). The matched cohort consisted of 94 participants (i.e.; 47 patients from the ILF + mTBI group and 47 patients from the ILF group). Again, ILF + mTBI patients presented significantly higher rates of HO signs in comparison to ILF patients (X 2 = 3.69; p = 0.04). Presence of HO was associated with prolonged delays to return to work (RTW) only in ILF + mTBI patients (F = 4.055; p = 0.05) but not in ILF patients (F = 0.823; p = 0.37). Conclusions Study findings suggest that rates of HO are significantly higher proximally to fracture sites when ILF patients sustain a concomitant mTBI, even after controlling for factors known to influence HO. Moreover, results show that HO is associated with a prolonged RTW only in ILF patients with a concomitant mTBI but not in ILF-only patients. The impact of mTBI on HO formation warrants further attention to detect early signs of HO, to identify shared physiopathological mechanisms and, ultimately, to design targeted therapies.

show abstract

Traumatic brain injuries are ignored or discriminated in prospective clinical trials on shoulder fractures: a systematic review

Hardy

Beetz

Chemali

et al. 2022

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Effects of concomitant mild traumatic brain injury on resuming work after suffering from an isolated limb fracture: A cohort study

Abstract: This study shows that mTBI increases work disability by preventing working-age individuals from rapidly returning to work.

Cited by 3 publications

References 35 publications

Treatment and Management of Work-Related Mild Traumatic Brain Injury in Physical Medicine and Rehabilitation

Treatment and Management of Work-Related Mild Traumatic Brain Injury in Physical Medicine and Rehabilitation

Investigating the incidence and magnitude of heterotopic ossification with and without joints involvement in patients with a limb fracture and mild traumatic brain injury

Traumatic brain injuries are ignored or discriminated in prospective clinical trials on shoulder fractures: a systematic review

Contact Info

Product

Resources

About