Prevalence and Screening of Traumatic Brain Injury Among Veterans Seeking Mental Health Services.
Prevalence and Screening of Traumatic Brain Injury Among Veterans Seeking Mental Health Services.
Filed under: Rehab Centers
J Head Trauma Rehabil. 2013 Jan; 28(1): 21-30
Brenner LA, Homaifar BY, Olson-Madden JH, Nagamoto HT, Huggins J, Schneider AL, Forster JE, Matarazzo B, Corrigan JD
OBJECTIVES:: To assess the prevalence of traumatic brain injury (TBI) among Veterans seeking mental health services using a 4-item tool, the Traumatic Brain Injury-4 (TBI-4), and to establish the classification accuracy of the TBI-4 using the Ohio State University TBI-Identification Method as the criterion standard. STUDY DESIGN:: Archival and observational data collected from individuals seeking care at a Mountain State VA Medical Center. PARTICIPANTS:: The sample for the archival study was 1810. Three hundred sixteen Veterans completed observational study measures. MAIN MEASURES:: For the archival study, TBI-4 and demographic data extracted from electronic medical records. For the observational study, the Ohio State University TBI-Identification Method and a demographic questionnaire were used. TBI-4 data were also obtained from electronic medical records. RESULTS:: The prevalence of probable TBI among those seeking VA MH treatment was 45%. Sensitivity and specificity of the TBI-4 were 0.74 and 0.56, respectively. Veterans with all levels of TBI severity sought care within this VA mental health setting. CONCLUSIONS:: The prevalence of TBI in this VA mental health treatment population was higher than expected. Additional research is required to assess the clinical utility of screening for TBI among this population of Veterans.
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Mortality is higher in patients with leptomeningeal metastasis in spinal cord tumors.
Filed under: Rehab Centers
Arq Neuropsiquiatr. 2013 Jan 8;
Gepp RD, Couto JM, Silva MD, Quiroga MR
Spinal cord tumors are a rare neoplasm of the central nervous system (CNS). The occurrence of metastases is related to poor prognosis. The authors analyzed one series of metastasis cases and their associated mortality. METHODS: Clinical characteristics were studied in six patients with intramedullary tumors with metastases in a series of 71 surgical cases. RESULTS: Five patients had ependymomas of which two were WHO grade III. The patient with astrocytoma had a grade II histopathological classification. Two patients required shunts for hydrocephalus. The survival curve showed a higher mortality than the general group of patients with no metastases in the CNS (p<0.0001). CONCLUSION: Mortality is elevated in patients with metastasis and greater than in patients with only primary lesions. The ependymomas, regardless of their degree of anaplasia, are more likely to cause metastasis than spinal cord astrocytomas. HubMed – rehab
Constraint-induced movement therapy effects on gross motor function of a child with triplegic cerebral palsy.
Filed under: Rehab Centers
Pediatr Phys Ther. 2013; 25(1): 71-8
Schrank J
: The purpose of this case report is to describe physical therapy interventions used and gross motor functional outcomes achieved during a 3-week course of constraint-induced movement therapy for a child with cerebral palsy.: A 10-year-old boy with spastic triplegic cerebral palsy underwent fine and gross motor interventions to force use of the left extremities and right lower extremity.: For weeks 1 to 2, he received 2 occupational and physical therapy sessions each week. For weeks 3 to 5, he participated in constraint-induced movement therapy, while wearing a cast 90% of waking hours.: The Gross Motor Function Measure-88 score increased from 44.55% to 62.35% after treatment. Although he improved in one area of the Functional Independence Measure for Children, he demonstrated remarkable progress in his ability to bear weight and shift weight to his involved side in various developmental positions.
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