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November 20, 2024
Systematic Review of the Literature Shows the Prevalence of Pituitary Dysfunction following TBI
Over the past decade this blog has featured several articles addressing the growing recognition that neuroendocrine issues are an often-overlooked consequence of TBIs of all levels of severity, leaving patients with unnecessary chronic symptoms. We have discussed evolving guidance on the best methods to assess these issues (including the importance of “stimulation testing.” ) Unfortunately, […]
Read MoreTagged with: Rehabilitation , Research , Chronic disorders , growth hormone deficiency , neuroendocrine dysfunction , TBI recovery -
October 09, 2024
CMS – the Federal Agency that Administers Medicare and Medicaid – Recognizes Traumatic Brain Injury as a “Chronic Health Condition”
For more than a decade this blog has covered the growing recognition by policy makers and in the peer reviewed literature that traumatic brain injuries (TBIs) of all kinds should not be treated as a static event from which patients gradually recover over time. In many cases, the TBI is the beginning of a disease […]
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January 17, 2024
Vision and Vestibular Deficits Predict Prolonged Recovery From Concussion
A recent systemic review of the literature, just published in the Journal of Athletic Training, 2024; 59(1): 49-64, concludes that “vestibular and oculomotor screening are prognostic of time to recovery” from concussion. Positive findings on these assessments “consistently predict longer recovery.” The authors therefore recommend that vestibular and ocular motor screening be part of the […]
Read MoreTagged with: Rehabilitation , Research , concussion , fatigue , recognizing symptoms , vision problems -
June 05, 2023
American College of Rehabilitation Medicine updates its 1993 Definition of Mild Traumatic Brain Injury
As reflected in the posts on this blog over the last several years, scientific understanding of “mild traumatic brain injury” (Mtbi) – often referred to as “concussion” – has advanced considerably over the last 30 years. Unfortunately many physicians, including those on the “front lines” for these injuries–in emergency rooms and primary care clinics–have not […]
Read MoreTagged with: Policy & Advocacy , Research , concussion , Mild Traumatic Brain Injury , recognizing symptoms -
March 28, 2023
Recent study finds incomplete recovery at 5 years in 53% of mTBI patients
A large TRACK-TBI cohort study published in JAMA Network Open finds incomplete recovery at 5 years in 53% of mild traumatic brain injury (mTBI) patients, dictating need for longer term rehabilitation. A multi-center transforming research and clinical knowledge in TBI (TRACK-TBI) cohort study published March 20, 2023 in JAMA Network Open followed 1196 patients at […]
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February 08, 2023
Harvard Medical School Researchers find that TBI Increases Risk of Cardiovascular, Endocrine, Neurological and Psychiatric Disorders in all Patients
A recent study published in JAMA Network Open finds that patients with a history of traumatic brain injury (TBI), including mild TBI (mTBI), are at significantly greater risk of developing chronic cardiovascular, endocrine, neurological and psychiatric disorders. This proved to be true in all age groups, including younger adults (18-40). This study is important because, […]
Read MoreTagged with: Research , Chronic disorders , comorbidities , Mild Traumatic Brain Injury , mTBI , recognizing symptoms -
October 19, 2022
Major study finds that a majority of patients seen in the ER with mild TBI do not fully recover within 6 months, highlighting the importance of follow-up care
As highlighted in prior posts in this blog, TBI research increasingly highlights the importance of providing follow-up care to patients discharged from the ER with a diagnosis of TBI. Put simply, patients with follow up care have better outcomes. In August, 2022 JAMA Network Open (an American Medical Association journal) published the results of a […]
Read MoreTagged with: Rehabilitation , Research , Head trauma rehabilitation , Mild Traumatic Brain Injury , post-acute care -
September 12, 2022
Resveratrol: Another Promising Research Based Alternative Therapy To Supplement TBI Treatment
One of the most frequent questions I get from TBI clients in my Vermont law practice is: “Are there alternative therapies I can explore to help support my recovery from a traumatic brain injury without risking further harm?” Physicians practicing “integrative oncology” offer a multi-disciplinary approach to patient care for cancer that implements complementary therapies […]
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July 07, 2022
Early Mental Health Intervention Improves TBI Outcomes
Victims of mild traumatic brain injury (“mTBI”) commonly report psychological distress, which is not surprising given the impact the injury can have on every aspect of everyday life including but not limited to balance, vision, sleeping, physical discomfort including headaches, and perhaps most significantly thinking clearly. Patients often report that they are not the same […]
Read MoreTagged with: Rehabilitation , Research , Depression , disability , emotional trauma , mental health , Mild Traumatic Brain Injury -
April 20, 2022
One in Four Children with Mild Traumatic Brain Injury Suffer from Post-Concussive Symptoms
Israeli study finds that one in four children with mild traumatic brain injury (mTBI) suffer from persistent post-concussive symptoms In a large multi-center retrospective matched cohort study, Israeli scientists recently found that one in four children (25.3%) who have been discharged from the emergency room after a mild head injury suffered from persistent post- concussive […]
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