Abstract:
OBJECTIVE:To evaluate the efficacy of a multidisciplinary outpatient follow-up programme compared to follow-up by a general practitioner for patients being at-risk or sick-listed with persistent post-concussion symptoms two months after a mild traumatic brain injury. DESIGN:Randomised controlled trial. PATIENTS:One hundred fifty-one patients, 16-56 years. METHODS:Multidisciplinary outpatient rehabilitation with individual contacts and a psycho-educational group intervention at two outpatient rehabilitation clinics compared to follow-up by a general practitioner after the multidisciplinary examination. Primary outcome was sustainable return-to-work first year post-injury. Secondary outcomes were post-concussion symptoms, disability, the patient's impressions of change and psychological distress. RESULTS:Days to sustainable return-to-work was 90 in the intervention and 71 in the control group (p = 0.375). The number of post-concussion symptoms were fewer in the intervention (6) compared to the control group (8) at 12 months (p = 0.041). No group differences were observed for disability (p = 0.193), patients impression of change (p = 0.285) or psychological distress (p = 0.716). CONCLUSION:The multidisciplinary outpatient follow-up programme focusing on better understanding and reassurance of favourable outcome for mild traumatic brain injury did not improve return-to-work, but may have reduced the development of post-concussion symptoms. Additional studies should focus on which factors exhibit a direct impact on return-to-work.
journal_name
Brain Injjournal_title
Brain injuryauthors
Vikane E,Hellstrøm T,Røe C,Bautz-Holter E,Aßmus J,Skouen JSdoi
10.1080/02699052.2017.1280852subject
Has Abstractpub_date
2017-01-01 00:00:00pages
475-484issue
4eissn
0269-9052issn
1362-301Xjournal_volume
31pub_type
杂志文章,随机对照试验相关文献
BRAIN INJURY文献大全abstract:OBJECTIVES:(1) Describe trends in time to rehabilitation admission and rehabilitation length of stay (LOS), (2) compare functional independence at discharge from rehabilitation between patients who arrived directly from acute care versus those from elsewhere and (3) identify independent predictors of functional outcome...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/02699052.2017.1286386
更新日期:2017-01-01 00:00:00
abstract:PRIMARY OBJECTIVE:A contemporary model of psychological stress based on an amalgamation of Conservation of Resources theory and the McMaster Model of Family Functioning was devised to compare the effects of neurobehavioural impairments on family functioning and psychological distress in spouses and parents caring for r...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.3109/02699050903302336
更新日期:2009-11-01 00:00:00
abstract:PRIMARY OBJECTIVE:To examine changes in the relationship between intonation, voice range and mood following music therapy programmes in people with traumatic brain injury. RESEARCH DESIGN:Data from four case studies were pooled and effect size, ANOVA and correlation calculations were performed to evaluate the effectiv...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/02699050400005150
更新日期:2005-07-01 00:00:00
abstract::The potential clinical and financial advantages of providing neurorehabilitation directly in patients' homes and communities have recently been discussed. However, the specific characteristics and outcomes of a coordinated, interdisciplinary, home-based programme does not currently exist in the rehabilitation literatu...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/026990599121430
更新日期:1999-07-01 00:00:00
abstract::The frontal lobes are particularly vulnerable to injury during trauma. The syndrome commonly attributed to frontal lobe dysfunction includes problems with impulsivity, perseveration, disinhibition, amotivation, attention, planning, and problem solving. These symptoms can respond to certain pharmacologic interventions,...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/026990597123430
更新日期:1997-06-01 00:00:00
abstract::In this investigation, neuropsychological testing was conducted with 69 college students that were instructed to malinger either multiple sclerosis (MS) or traumatic brain injury (TIB) or were non-malingering controls. The two malingering groups were divided into informed and non-informed groups. The informed groups r...
journal_title:Brain injury
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1080/026990597123502
更新日期:1997-05-01 00:00:00
abstract:PRIMARY OBJECTIVE:The aim of this study was to investigate the reparative potential of a polymeric scaffold designed for brain tissue repair in combination with lipoic acid. RESEARCH DESIGN:Histological, cytological and structural analysis of a combined treatment after a brain cryo-injury model in rats. METHODS AND P...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.3109/02699052.2015.1091505
更新日期:2016-01-01 00:00:00
abstract::This case study describes the psychological treatment of a man with co-existing PTSD, head injury and mild dysexecutive impairment. It describes the detrimental consequences when the re-experiencing of a traumatic event appears to have become a perseverated response. In this case, the perseveration meant that the most...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/02699050110088263
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:Prevention of secondary brain injury is a key component of acute management of patients with severe traumatic brain injury (TBI). Haemoglobin concentration may have an impact on optimization of cerebral oxygenation. Patients with TBI may best be served by an organized trauma service. The objective is to dete...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.3109/02699052.2015.1004558
更新日期:2015-01-01 00:00:00
abstract::The present study had two main objectives: Firstly, to document the economic differences between 'ordinary' and 'aggressive' neurosurgical intensive care and secondly, to evaluate the medical benefits in relation to costs for different subgroups of head-injured patients. The study compares patients injured in traffic ...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.3109/02699058909029641
更新日期:1989-07-01 00:00:00
abstract::The term 'concussion' has been applied to head injuries of varying severity. Most studies have examined subjects suffering concussion of a severity requiring hospital observation, usually as a consequence of motor vehicle accidents. Milder concussive injuries such as those resulting from contact sport are often not re...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/026990596124584
更新日期:1996-02-01 00:00:00
abstract::This study examined an operational conditioning paradigm designed to train procedural learning channels in a patient with anoxic encephalopathy. Prior to treatment the patient had been incontinent to bowel and bladder incontinent, minimally participant in daily activities and aggressive toward staff and residents for ...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/026990597123115
更新日期:1997-10-01 00:00:00
abstract:UNLABELLED:Abstract Introduction: Traumatic brain injury is a main cause of disability and death in developed countries, above all among children and adolescents. The intrinsic inability of the central nervous system to efficiently repair traumatic injuries renders transplantation of bone marrow-derived cells (BMDC) a ...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.3109/02699052.2014.973448
更新日期:2015-01-01 00:00:00
abstract:PRIMARY OBJECTIVE:To systematically review the evidence of the effects of motivating rehabilitation interventions on outcomes in children with acquired brain injury (ABI). METHODS:A literature search of six databases was conducted to identify intervention studies published until July 2013. The American Academy for Cer...
journal_title:Brain injury
pub_type: 杂志文章,评审
doi:10.3109/02699052.2014.890747
更新日期:2014-01-01 00:00:00
abstract::Four brain-injured subjects with semantic memory impairments are described. Two had sustained traumatic head injury and two had herpes simplex virus encephalitis. The study seeks to determine (a) whether subjects with non-progressive brain injury and impaired semantic memory perform similarly to patients with progress...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/026990597123566
更新日期:1997-04-01 00:00:00
abstract:PRIMARY OBJECTIVE:The Dysexecutive Questionnaire (DEX) is used to obtain information about executive and emotional problems after neuropathology. The DEX is self-completed by the patient (DEX-S) and an independent rater such as a family member (DEX-I). This study examined the level of inter-rater agreement between eith...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.3109/02699052.2011.597046
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVE:CC-chemokine receptor 5 (CCR5) plays a pivotal role in reperfusion after stroke. This study assessed and confirmed the effects of CCR5 in experimental stroke via regulation of ROCK/P-MLC pathway. METHODS:Male Sprague Dawley (SD) rats were randomly divided into sham group, ischaemia-reperfusion group (I/R gro...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.3109/02699052.2015.1129557
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVES:We imaged the dentato-rubro-thalamic tract (DRTT) and cortico-ponto-cerebellar tract (CPCT) using diffusion tensor tractography (DTT) to evaluate the cortico-cerebellar-cortical circuit in a patient with tremor in both hands after mild TBI. We found bilateral DRTT injury in the DTT. METHOD:A 50-year-old mal...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/02699052.2020.1802656
更新日期:2020-07-28 00:00:00
abstract::Background: Research has shown that number of and blast-related Traumatic Brain Injuries (TBI) are associated with higher levels of service-connected disability (SCD) among US veterans. This study builds and tests a prediction model of SCD based on combat and training exposures experienced during active military servi...
journal_title:Brain injury
pub_type: 杂志文章,多中心研究
doi:10.1080/02699052.2019.1655793
更新日期:2019-01-01 00:00:00
abstract:PRIMARY OBJECTIVE:The goal of the present study was to assess the impact of mild traumatic brain injury (MTBI) on episodic memory performance in relation to attentional and executive control processes in young adults. RESEARCH DESIGN/METHODS:A verbal memory paradigm manipulating attentional load (full attention or div...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/02699050802649688
更新日期:2009-02-01 00:00:00
abstract:PRIMARY OBJECTIVE:To find an easy-to-use, valid and reliable tool for evaluating the level of functional dependence of an individual with brain damage who seeks a diagnosis of his/her functional dependence in daily activities. METHODS:Eighty-one patients with acquired brain injury (ABI) in post-acute phase, 40 traumat...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/02699050701824143
更新日期:2008-01-01 00:00:00
abstract:PRIMARY OBJECTIVE:The aim of this study was to assess skeletal muscle showing a complete functional recovery after induction of pan-necrotic lesions in the right sensorimotor cortex in rats. RESEARCH DESIGN AND METHODS:A focal lesion of the right sensorimotor cortex was induced photochemically. Rats were divided into ...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/02699050410001672305
更新日期:2004-10-01 00:00:00
abstract::Narcolepsy arising from trauma can present particular problems of differential diagnosis. In this case study presentation the patient suffered a head trauma, without unconsciousness, and began to experience unusual episodic behaviours. Symptom presentation differed from the typical clinical manifestations of idiopathi...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/02699050310001617433
更新日期:2004-03-01 00:00:00
abstract::Metronome, singing, and board pacing were used as external rate control techniques for the purpose of comparing the effectiveness of auditory and visual speech timing cues for reducing speech rate and increasing intelligibility in three traumatically brain injured mixed spastic-ataxic dysarthric speakers. A single sys...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/026990598122188
更新日期:1998-09-01 00:00:00
abstract:PRIMARY OBJECTIVE:The present study explored the behavioural and eye-movement measures in spatial unilateral neglect in response to a bisection task. RESEARCH DESIGN:Four right neglect patients were considered and compared with 11 control subjects during an online task (segment bisection). METHODS AND PROCEDURES:Eye-...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.3109/02699052.2012.750739
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVE:To evaluate the reliability and validity of the Chinese version of the Johns Hopkins Adapted Cognitive Exam (ACE) in neurological intensive care unit patients. DESIGN:The English version of the ACE was translated and adapted into Chinese. The cognitive function of 40 critically ill NICU patients was assessed...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/02699052.2018.1537511
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVES:To assess the effectiveness of interventions for mild traumatic brain injury (MTBI) in adults as found in the literature. RESEARCH DESIGN:Systematic review of the literature. METHODS:Six electronic databases and 18 journals within the brain injury field were manually searched between the years 1980-2003. R...
journal_title:Brain injury
pub_type: 杂志文章,评审
doi:10.1080/02699050400025042
更新日期:2005-10-01 00:00:00
abstract::This paper describes the psychological dynamics among family members of patients with prolonged coma. We discuss the conflicts these families meet and how they affect their interpersonal relationships. Special focus is placed on overt and covert aggression towards the attending staff, an issue that has not received mu...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.3109/02699058809150951
更新日期:1988-07-01 00:00:00
abstract:OBJECTIVE:To investigate the effects of Snoezelen therapy on physiological, cognitive and behavioural changes in children recovering from severe traumatic brain injury (TBI). METHODS:An observational study was conducted to assess the physiological, cognitive and behavioural changes of children recovering from severe T...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/02699050600832635
更新日期:2006-07-01 00:00:00
abstract:PRIMARY OBJECTIVE:This paper examined the use of an atypical neuroleptic medication, risperidone, in reducing the excessive motor activity of an adolescent with an anoxic brain injury following cardiac arrest from a lightning strike. Lower extremity restlessness caused the patient to develop skin breakdown and interfer...
journal_title:Brain injury
pub_type: 杂志文章
doi:10.1080/0269905021000013192
更新日期:2003-03-01 00:00:00