Long-Term Maintenance of Gains Obtained in Postacute Rehabilitation by Persons with Traumatic Brain Injury

Sander, Angelle M.; Roebuck, Tresa M.; Struchen, Margaret A.; Sherer, Mark; High, Walter M.

doi:10.1097/00001199-200108000-00006

Cited by 53 publications

(35 citation statements)

References 32 publications

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“…TBI results in cognitive impairments in memory, executive functioning, and information processing speed (Draper and Ponsford, 2008;Levin et al, 1992), and few treatments are available for chronic impairments Landis et al, 2006;Sander et al, 2001;Seale et al, 2002). Most strategies for intervention have focused on acute interventions with neuroprotective agents (Clifton, , 2004Empey et al, 2006;Narayan et al, 2002).…”

Section: Introductionmentioning

confidence: 99%

Effect of Growth Hormone Replacement Therapy on Cognition after Traumatic Brain Injury

High

Briones-Galang

Clark

et al. 2010

Journal of Neurotrauma

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142

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Traumatic brain injury (TBI) is a major public health issue, and yet medical science has little to offer for the persistent symptoms that prevent many of these individuals from fully re-entering society. Post-traumatic hypopituitarism, and specifically growth hormone deficiency (GHD), has been found in a large percentage of individuals with chronic moderate to severe TBI. Presently, there are no published treatment studies of hormone replacement in this population. In this study, 83 subjects with chronic TBI were screened for hypopituitarism. Forty-two subjects were found to have either GHD or GH insufficiency (GHI), of which 23 agreed to be randomized to either a year of GH replacement or placebo. All subjects completed the study with no untoward side effects from treatment. A battery of neuropsychological tests and functional measures were administered before and after treatment. Improvement was seen on the following tests: Dominant Hand Finger Tapping Test, Wechsler Adult Intelligence Scale III-Information Processing Speed Index, California Verbal Learning Test II, and the Wisconsin Card Sorting Test (executive functioning). The findings of this pilot study provide preliminary evidence suggesting that some of the cognitive impairments observed in persons who are GHD/GHI after TBI may be partially reversible with appropriate GH replacement therapy.

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Section: Introductionmentioning

confidence: 99%

Effect of Growth Hormone Replacement Therapy on Cognition after Traumatic Brain Injury

High

Briones-Galang

Clark

et al. 2010

Journal of Neurotrauma

Self Cite

142

View full text Add to dashboard Cite

show abstract

“…Consequently, post-acute TBI rehabilitation has become vital in assisting patients to return to their homes and communities (Sander, Roebuck, Struchen, Sherer, & High, 2001). Hawkins, Lewis, and Medeiros (2005) said that although decreased inpatient length of stay does not negatively affect functional outcome, it places greater demand on outpatient rehabilitation services.…”

mentioning

confidence: 99%

“…Hawkins, Lewis, and Medeiros (2005) said that although decreased inpatient length of stay does not negatively affect functional outcome, it places greater demand on outpatient rehabilitation services. The effectiveness of post-acute TBI rehabilitation programs in which occupational therapy services are integral in improving functional outcomes has, therefore, become an important area of rehabilitation research (Sander et al, 2001).…”

mentioning

confidence: 99%

Effectiveness of Rehabilitation in Enhancing Community Integration After Acute Traumatic Brain Injury: A Systematic Review

Kim

Colantonio

2010

The American Journal of Occupational Therapy

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OBJECTIVE.We assessed evidence for post-acute traumatic brain injury (TBI) rehabilitation interventions used to enhance community integration (CI) relevant to occupational therapy.METHOD. We conducted a systematic review of intervention studies on TBI rehabilitation from 1990 to 2007. RESULTS. We analyzed and summarized 10 studies that met the inclusion criteria. Of 10 studies, 7 found that post-acute TBI rehabilitation benefits CI; all effective studies involved occupational therapy or involved interventions occupational therapists can do.CONCLUSION. Many CI programs show positive results and should be studied more rigorously. Such promising programs should also be considered when decisions about post-acute TBI rehabilitation services for clients are being made. To further establish that post-acute TBI rehabilitation interventions improve CI, future studies should include intervention strategies based on injury severity, a control group, and longer term follow-up. The role of occupational therapy in these effective programs should be further explored. Kim, H., & Colantonio, A. (2010). Effectiveness of rehabilitation in enhancing community integration after acute traumatic brain injury: A systematic review.

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“…Unfortunately, most early studies are observational, without randomization or controls, and lack standardized approaches to treatment. In these early studies, comprehensive holistic/day-treatment CIR programs appear to produce gains that are maintained by most participants over time [22], increase societal participation [12], show better vocational outcomes [11], and improve self-and family ratings [23]. Effectiveness of the comprehensive holistic/day-treatment CIR program model appears to have cross-cultural relevance, with positive outcomes observed outside of the more common sites of the United Kingdom and the United States, including recent studies in Japan [24] and Finland [25].…”

Section: Community-integrated Rehabilitation Program Outcome Overviewmentioning

confidence: 97%

Community-integrated brain injury rehabilitation: Treatment models and challenges for civilian, military, and veteran populations

Trudel

Nidiffer²,

Barth³

2007

JRRD

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Abstract-Traumatic brain injury (TBI) is a major health problem in civilian, military, and veteran populations. Individuals experiencing moderate to severe TBI require a continuum of care involving acute hospitalization and postacute rehabilitation, including community reintegration and, one would hope, a return home to function as a productive member of the community. In the military, the goal is to help individuals with TBI return to active duty or make an optimal return to civilian life if the extent of their injuries necessitates a "medical board" discharge. Whether civilian, military, or veteran with TBI, individuals who move beyond the need to live in a facility must be reintegrated back into the community. This article discusses four treatment models for community reintegration, reviews treatment standardization and outcome issues, and describes a manualized rehabilitation pilot program designed to provide community reintegration and return to duty/work for civilians, veterans, and military personnel with TBI.

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Long-Term Maintenance of Gains Obtained in Postacute Rehabilitation by Persons with Traumatic Brain Injury

Abstract: The results indicate that gains made by persons with traumatic brain injury during postacute rehabilitation are generally maintained at long-term follow-up, but changes occur in individual cases. Long-term services may help prevent decline in individual cases.

Cited by 53 publications

References 32 publications

Effect of Growth Hormone Replacement Therapy on Cognition after Traumatic Brain Injury

Effect of Growth Hormone Replacement Therapy on Cognition after Traumatic Brain Injury

Effectiveness of Rehabilitation in Enhancing Community Integration After Acute Traumatic Brain Injury: A Systematic Review

Community-integrated brain injury rehabilitation: Treatment models and challenges for civilian, military, and veteran populations

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