Post-concussion syndrome (PCS) can affect up to 20%–30% of patients with mild closed head injury (mCHI), comprising incomplete recovery and debilitating persistence post-concussional symptoms. Eye movements relate closely the functional integrity injured brain eye movement function is impaired post-acutely in mCHI. Here, we examined whether PCS continue show disparities at 3–5 months following mCHI compared good recovery. We hypothesized that might provide sensitive objective markers ongoing...

Screening of traumatic brain injuries (TBI) using different clinical assessment tools would facilitate diagnosis and effective inpatient follow-up. We aimed to describe rates diagnosis, classification, documentation, referral practices for TBI inpatients. In a retrospective cohort study, we reviewed electronic records adult patients admitted hospital ward with head trauma from an emergency department (ED) in 2021. Data included demographics, injury, diagnoses, concussion services. Factors...

Psychological interventions may make a valuable contribution to recovery following mild traumatic brain injury (mTBI) and have been advocated for in treatment consensus guidelines. Acceptance Commitment Therapy (ACT) is more recently developed therapeutic option that offer an effective approach. Consequently, we ACTion mTBI, 5-session ACT-informed intervention protocol. To establish the feasibility of this intervention, wanted understand participants’ experiences determine acceptability...

The aim of the current study was to test a virtual reality (VR) rehabilitation tool for traumatic brain injury (TBI) and determine if system could be integrated into usual clinical practice. A mixed cohort with 10 people TBI, 4 Family/Whānau members 13 clinicians from single community centre specialising in TBI rehabilitation. participants received two sessions VR per week six weeks Fatigue measures, recorded therapist scores were collected conversation, memory, attention tasks embedded each...

The objective of this study was to examine associations between injury perceptions, coping, distress and outcome after mild traumatic brain (MTBI).A prospective observational with repeated measures. This reports results from the first two visits.Participants (n = 147) were recruited within 3 months following presentation a concussion clinic or an emergency department setting.Clinical demographic information collected participants completed range questionnaires (Revised Illness Perceptions...

To investigate the factor structure and internal consistency of Brief COPE, adapted for use with adults mild traumatic brain injury (MTBI).Prospective cohort study.Hospital based emergency department concussion clinic.A total 147 meeting diagnostic criteria MTBI.Brief COPE.The previously reported 9-factor COPE was tested by using confirmatory analysis (CFA) then exploratory (EFA). The Cronbach α computed both original subscales those derived from EFA.The CFA provided a less than satisfactory...

Associations between components of Leventhal's common sense model health behaviour (injury beliefs, coping, distress) and outcome after mild traumatic brain injury (MTBI) were examined. Participants (n = 147) recruited within three months following MTBI assessed six later, completing study questionnaires at both visits (Illness Perceptions Questionnaire Revised, Brief COPE, Hospital Anxiety Depression Scale). Outcome measures included the Rivermead Post-Concussion Symptoms Head Injury...

This study reports on the first 150 consecutive Oxford cementless unicompartmental knee arthroplasties (UKA) performed in an independent centre (126 patients). All eligible patients had functional scores (Oxford score and high activity arthroplasty score) recorded pre-operatively at two- five-years of follow-up. Fluoroscopically aligned radiographs were taken five years analysed for any evidence radiolucent lines (RLLs), subsidence or loosening. The mean age cohort was 63.6 (39 to 86) with...

Objectives: Outcomes after mild traumatic brain injury (MTBI) vary, with slow or incomplete recovery for a significant minority. This study examines whether groups of cases shared psychological factors but different outcomes could be identified using cluster analysis.

Qualitative research examining experiences of recovering from mild traumatic brain injury (MTBI) is limited. Findings quantitative studies regarding predictors persisting symptoms are inconsistent with limited attention directed to capturing broad perspectives and priorities the wider stakeholders. More flexible approaches may help advance field. We used a mixed method design generate patient MTBI recovery, integrating these investigation isolate factors that might contribute divergent...

Fear avoidance behavior is related to symptom persistence and disability in various health conditions, such as chronic pain. also may impact recovery from mild traumatic brain injury (mTBI), but no measure of this construct has been psychometrically validated for the mTBI population. Adults who sustained an (n = 159) were recruited three outpatient clinics. Participants completed new Avoidance Behavior after Traumatic Brain Injury Questionnaire (FAB-TBI). The FAB-TBI includes 16 items drawn...

Objectives Fear avoidance is associated with symptom persistence after mild traumatic brain injury (mTBI). In this study, we investigated whether fear was other outcomes such as return to work-related activity (RTW).Materials and Methods We analyzed associations between RTW 6–9 months mTBI, in two merged prospective mTBI cohorts. Adult participants aged 16 or over (n=175), presenting outpatient services New Zealand within 3 of their injury, who were engaged at the time included. Participants...

This study investigated patient reported outcomes, and associations with improvement in quality of life 12-months after total hip arthroplasty (THA).

To explore the experience of rehabilitation from perspective individuals with tetraplegia.Semi-structured interviews between 40 and 60 min were conducted three men one woman, spinal injuries at C7 or higher, within 6 months discharge inpatient cord injury (SCI) rehabilitation. Data subject to an Interpretive Phenomenological Analysis (IPA).Participants described their as more than a biological impairment that limited certain functional abilities. For them, SCI was sudden event also disrupted...

The purpose of this study is to examine the reliability, factor structure, and validity World Health Organization Disability Assessment Schedule (WHODAS 2.0 12 item version) in a sample patients who were slow recover from mild traumatic brain injury (mTBI). Participants 79 adults with mTBI recruited one four specialty outpatient clinics Vancouver, Canada. WHODAS version disease-nonspecific measure disability representing six International Classification Disability, Functioning, activity...

In this study we examined the psychometric properties of World Health Organization Disability Assessment Schedule (WHODAS 2.0 12-item version) in a mild traumatic brain injury (MTBI) sample.Materials and Methods: Treatment-seeking adults (n = 131) with MTBI recruited from outpatient clinics Vancouver Canada, were assessed 1- 3-months following clinic intake. Dimensionality, reliability, differential item functioning WHODAS Rasch analysis. Associations between change scores symptom, work...

Objective: Use of telehealth to deliver neuropsychological services has proven be a feasible approach, however, there is limited research which examined the reliability home-based assessment models using comprehensive intelligence test. The aim this study was examine and feasibility videoconferencing administration Wechsler Adult Intelligence Scales-4th Edition (WAIS-IV). Method: Thirty healthy participants (aged 18–40 years) completed WAIS-IV both in-person via utilizing randomized...

Objectives This study aimed to determine the feasibility of recruiting, implementing and delivering an acceptance commitment therapy (ACT) intervention for mild traumatic brain injury (mTBI) (ACTion-mTBI) within a multidisciplinary outpatient mTBI rehabilitation services. The also conduct preliminary investigation group differences between ACTion-mTBI equivalent cognitive behavioural (CBT) on various outcome measures psychological treatment targets. Design A two-arm quasiexperimental study....

Objectives: To investigate variables associated with improvement in quality of life (QOL) after primary knee replacement. QOL outcomes between individuals undergoing total replacement (TKR) and unicompartmental (UKR) were compared. Materials Methods: Participants adults ( n = 497) TKR or UKR for osteoarthritis January 2017 October 2020 a large publicly funded tertiary hospital New Zealand. completed patient‐reported outcome measures QOL, pain function, preoperatively, 6 12 months...