Recovery from Mild Traumatic Brain Injury in Previously Healthy Adults
| Autor: | Heidi Losoi, Juhani Julkunen, Juha Öhman, Mika Helminen, Teemu M. Luoto, Senni Turunen, Noah D. Silverberg, Grant L. Iverson, Eija Rosti-Otajärvi, Minna Wäljas |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male 030506 rehabilitation medicine.medical_specialty Adolescent Traumatic brain injury Poison control Neuropsychological Tests Cohort Studies 03 medical and health sciences Young Adult 0302 clinical medicine Quality of life Injury prevention medicine Humans Longitudinal Studies Prospective Studies Depression (differential diagnoses) Brain Concussion Post-concussion syndrome business.industry Head injury Traumatic stress Recovery of Function Middle Aged medicine.disease Physical therapy Female Neurology (clinical) 0305 other medical science business 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | Journal of neurotrauma. 33(8) |
| ISSN: | 1557-9042 |
| Popis: | This prospective longitudinal study reports recovery from mild traumatic brain injury (MTBI) across multiple domains in a carefully selected consecutive sample of 74 previously healthy adults. The patients with MTBI and 40 orthopedic controls (i.e., ankle injuries) completed assessments at 1, 6, and 12 months after injury. Outcome measures included cognition, post-concussion symptoms, depression, traumatic stress, quality of life, satisfaction with life, resilience, and return to work. Patients with MTBI reported more post-concussion symptoms and fatigue than the controls at the beginning of recovery, but by 6 months after injury, did not differ as a group from nonhead injury trauma controls on cognition, fatigue, or mental health, and by 12 months, their level of post-concussion symptoms and quality of life was similar to that of controls. Almost all (96%) patients with MTBI returned to work/normal activities (RTW) within the follow-up of 1 year. A subgroup of those with MTBIs and controls reported mild post-concussion-like symptoms at 1 year. A large percentage of the subgroup who had persistent symptoms had a modifiable psychological risk factor at 1 month (i.e., depression, traumatic stress, and/or low resilience), and at 6 months, they had greater post-concussion symptoms, fatigue, insomnia, traumatic stress, and depression, and worse quality of life. All of the control subjects who had mild post-concussion-like symptoms at 12 months also had a mental health problem (i.e., depression, traumatic stress, or both). This illustrates the importance of providing evidence-supported treatment and rehabilitation services early in the recovery period. |
| Databáze: | OpenAIRE |
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