Abstract:
BACKGROUND:A need exists to better understand the impact of depression on functional outcomes following TBI. OBJECTIVES:To evaluate the prevalence and severity of depression among a large group of chronic TBI adults; to determine the impact of depression on outcomes of post-hospital residential rehabilitation programs; and to assess effectiveness of post-hospital residential rehabilitation programs in treating depression. METHODS:820 adults with moderate to severe traumatic brain injury (TBI) were assigned to one of four groups based on MPAI- 4 depression ratings: (1) Not Depressed, (2) Mildly Depressed, (3) Moderately Depressed, and (4) Severely Depressed. Functional status was assessed at admission and discharge with the MPAI-4 Participation Index. Differences among groups were evaluated using conventional parametric tests. Rasch analysis established reliability and validity of MPAI-4 data. RESULTS:Rasch analysis demonstrated satisfactory construct validity and internal consistency (Person reliability = 0.89-0.92, Item reliability = 0.99). Of the 820 subjects, 39% presented with moderate to severe depressive symptoms at admission, These subjects demonstrated significantly higher MPAI-4 Participation scores than the mild and not depressed groups. Depressed groups realized significant improvement in symptoms, but, those remaining depressed at discharge had significantly greater disability than those who improved. CONCLUSIONS:Depressive symptoms had a deleterious impact on outcome. Remediation of symptoms during rehabilitation significantly improved outcomes.
journal_name
NeuroRehabilitationjournal_title
NeuroRehabilitationauthors
Lewis FD,Horn GJdoi
10.3233/NRE-161427subject
Has Abstractpub_date
2017-01-01 00:00:00pages
401-410issue
3eissn
1053-8135issn
1878-6448pii
NRE1427journal_volume
40pub_type
杂志文章abstract:BACKGROUND:Robot-assisted gait training provide a big therapeutic advantage in functional mobility for postural control. OBJECTIVES:The purpose of this study was investigate the effects of robot-assisted gait training using virtual reality and auditory stimulation on balance and gait abilities in stroke patients. MET...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/NRE-172415
更新日期:2018-01-01 00:00:00
abstract::Brain injury claims frequently involve the use of experts to evaluate and document extent of impairment. These experts can cover a wide array of specialities, many of which are delineated in this article. It is pointed out that there are crucial differences between a clinical evaluation and a medical-legal evaluation ...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:Children with cerebral palsy show dysfunctional postural control which interferes with their functional performance and daily-life activities. OBJECTIVE:The aim of the study was to identify the effect of a 3D supporting garment on trunk postural control and interjoint coordination during gait in children wi...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-161349
更新日期:2016-06-23 00:00:00
abstract::While spinal cord injuries caused by lightning strike or electrical shock are rare, their clinical manifestations pose unique challenges to the clinician who must anticipate the interaction of multiple system involvement with the altered physiology of spinal cord injury. Spinal cord damage may be secondary to the dire...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:
更新日期:2005-01-01 00:00:00
abstract:BACKGROUND:Adults who survive traumatic brain injury (TBI) often receive case (care) management to overcome the difficulties commonly faced negotiating a number of different health and social care services and systems. Little is known about the effectiveness of a case management intervention. OBJECTIVE:To examine the ...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,meta分析,评审
doi:10.3233/NRE-141161
更新日期:2014-01-01 00:00:00
abstract::Although there is considerable research on the vocational outcomes of individuals with traumatic brain injuries (TBI), there has been minimal research on the characteristics of persons with TBI who seek services from state vocational rehabilitation services. Such research is deemed critical given the significant numbe...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:
更新日期:2006-01-01 00:00:00
abstract::Twenty five (25) out of 29 patients (86%) with unequivocal memorydisorders who received Memory Compensation Training (MCT) completed both a brief survey regarding their use of memory compensations and the Memory Compensation Questionnaire. Twenty-two (22) of the 25 patients (88%) reported daily use of memory compensat...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:
更新日期:2003-01-01 00:00:00
abstract::Brain injury can directly and indirectly affect important aspects related to sexuality and sexual function. In this critical review of the literature, traumatic brain injury (TBI) and sexuality are examined. A general review of the concept of sexuality and the neurological correlates of sexual function are proposed as...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:10.3233/NRE-130824
更新日期:2013-01-01 00:00:00
abstract::Respiratory symptoms are recognized as sequelae of motor dysfunction in idiopathic Parkinson's disease (IPD) and these symptoms have the potential to cause problems with swallow, cough, voice and speech. Specifically, maneuvers that require rapid activation and coordination of upper airway and chest wall musculature b...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:
更新日期:2006-01-01 00:00:00
abstract:PURPOSE:To determine the effectiveness of a community re-integration exercise initiative on function, mood, participation, and exercise adherence for persons with moderate to severe neurological conditions (stroke, multiple sclerosis, etc.). METHODS:We recruited 29 adults (able to walk at least 3 m with assistance) di...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-141090
更新日期:2014-01-01 00:00:00
abstract:INTRODUCTION:While cognitive impairment is a recognised feature of Parkinson's disease (PD), few studies have evaluated the validity of brief cognitive screening measures compared to a comprehensive neuropsychological assessment. This studies aim was to evaluate the sensitivity and specificity of the Mini-Mental State ...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-182433
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Considering the extensive neural network of the oculomotor subsystems, traumatic brain injury (TBI) could affect oculomotor control and related reading dysfunction. OBJECTIVE:To evaluate comprehensively the effect of oculomotor-based vision rehabilitation (OBVR) in individuals with mTBI. METHODS:Twelve sub...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/NRE-131025
更新日期:2014-01-01 00:00:00
abstract::Many issues face the National Institute on Disability and Rehabilitation Research (NIDRR) and its role in the encouragement of Traumatic Brain Injury (TBI) rehabilitation research and the development of the TBI model systems of care. Yet, even though many complex difficulties face individuals who have sustained TBI, t...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-1996-7306
更新日期:1996-01-01 00:00:00
abstract::The purpose of this study was to examine and compare the cognitive profiles of three groups of Israeli individuals who exhibit cognitive deficits for diverse reasons, using the Neurobehavioural Cognitive Status Examination (Cognistat, former name NCSE). The test is a standardized cognitive screening instrument which i...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-1997-9302
更新日期:1997-01-01 00:00:00
abstract:BACKGROUND:Systemic inflammation and its impact on rehabilitation for patients with non-traumatic haemorrhagic injury (HBI) sequelae has not yet been adequately documented. OBJECTIVE AND METHODS:We therefore considered 31 patients with HBI, to determine the serum levels of inflammatory markers (C-Reactive Protein, CRP...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-182362
更新日期:2018-04-07 00:00:00
abstract:OBJECTIVE:We conducted a systematic review and meta-analysis to identify the effect of computer-based cognitive rehabilitation (CBCR) on improving cognitive functions in patients with stroke. METHODS:Researchers performed a literature search using computerized databases such as the Cochrane Database, EBSCO (CINAHL), P...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,meta分析,收录出版,评审
doi:10.3233/NRE-130856
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The objective of this case series is to report on the use of an optokinetic chart stimulation intervention to restore voluntary movement, postural control and mobility in acute stroke patients and one post intensive care polyneuropathy patient. METHOD:An optokinetic chart was moved in front of t...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-2011-0638
更新日期:2011-01-01 00:00:00
abstract::This article reviews the literature on life expectancy in the disabled population. The literature is surveyed with regard to the main elements that reduce life expectancy for people with disabilities. These are immobility, cognitive and intellectual impairment, swallowing problems and tube feeding, epilepsy and incont...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:10.3233/NRE-2010-0597
更新日期:2010-01-01 00:00:00
abstract::We investigated the long-term effects of comprehensive hand repetitive intensive strengthening training (CHRIST) on strength, morphological muscle size, kinematics, and associated motor functional changes in children with cerebral palsy (CP). Ten children (5 boys, 5 girls; age range, 6-11 years, mean age, 8.6 years) p...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-130846
更新日期:2013-01-01 00:00:00
abstract::Caregiving for long-term conditions is increasingly focused on holistic "person centred" care [9,34], with leisure and recreation providing an important and essential part of maintaining quality of life. This article documents examples of large leisure events and creative projects. These were adapted for, and consider...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:
更新日期:2008-01-01 00:00:00
abstract::This paper provides a review of the current literature in the area of substance use and traumatic brain injury (TBI). Collectively, these studies demonstrate that substance use and SUD are common in the TBI population both pre- and post-injury, are a frequent causative factor in injury acquisition, complicate the reha...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:10.3233/NRE-2011-0671
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:Individuals living with traumatic brain injury commonly have difficulties with prospective memory-the ability to remember a planned action at the intended time. Traditionally a memory notebook has been recommended as a compensatory memory aid. Electronic devices have the advantage of providing a cue at the a...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-151528
更新日期:2017-01-01 00:00:00
abstract::Ethical issues pertaining to treating pediatric rehabilitation patients stem from at least three sources: the fact that children are not morally autonomous persons and must depend on the values and moral beliefs of others in ethically complex decision-making situations; the extent of parental authority in asserting pr...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-1993-3306
更新日期:1993-01-01 00:00:00
abstract::Neuroprostheses electrically stimulate paralyzed muscles to provide functional enhancement for individuals with neurological disorders, especially among persons with spinal cord injuries. Fully implanted neuroprostheses are reliable, require minimal maintenance and are user-friendly. These systems provide a variety of...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:10.3233/NRE-2009-0500
更新日期:2009-01-01 00:00:00
abstract::Research suggests that the occurrence of a traumatic brain injury (TBI) in childhood may disrupt self-regulation abilities, putting children at risk for difficulty on everyday tasks requiring self-regulation throughout their development. In the current exploratory study, a novel age-appropriate task assessed the abili...
journal_title:NeuroRehabilitation
pub_type: 临床试验,杂志文章
doi:
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:Robotic guidance has been shown to facilitate motor skill acquisition, through altered sensorimotor control, in neurologically impaired and healthy populations. OBJECTIVE:To determine if robot-guided practice and online visual feedback availability primarily influences movement planning or online control me...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/NRE-141168
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVES:To present a framework for the diagnosis and treatment of inner ear disorders, with an emphasis on problems common to neuro-rehabilitation. INTRODUCTION:Disorders of the inner ear can cause hearing loss, tinnitus, vertigo and imbalance. Hearing loss can be conductive, sensorineural, or mixed; conductive hea...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:10.3233/NRE-130868
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Intensity refers to the amount of effort or rate of work undertaken during exercise. People receiving rehabilitation after stroke frequently do not reach the moderate to high intensity exercise recommended to maximise gains. OBJECTIVE:To explore the factors that influence the acceptability of, and engagemen...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/NRE-161382
更新日期:2016-10-14 00:00:00
abstract:BACKGROUND:Pisa syndrome (PS) is a clinical condition frequently associated with Parkinson's disease (PD). It is characterized by a trunk lateral flexion higher than 10 degrees and reversible when lying. One pathophysiological hypothesis is the altered verticality perception, due to a somatosensory impairment. Osteopat...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/NRE-203068
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Gait impairment, balance problems and falls have a negative impact on independence in ADL and quality of life of patients affected by Hereditary Spastic Paraplegia (HSP). Since no pharmacological options are available, treatments rely mostly on rehabilitation therapy, although almost no data on this topic ex...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-141196
更新日期:2015-01-01 00:00:00