Expanding Clinical Assessment for Traumatic Brain Injury and Comorbid Post-Traumatic Stress Disorder: A Retrospective Analysis of Virtual Environment Tasks in the Computer-Assisted Rehabilitation Environment
| Autor: | Sarah E. Kruger, Paula N Kodosky, Michael J. Roy, Marcy M. Pape, Krista B. Highland, Marie M. Onakomaiya |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male 030506 rehabilitation medicine.medical_specialty Psychometrics Traumatic brain injury medicine.medical_treatment Anxiety Logistic regression behavioral disciplines and activities Military medicine Stress Disorders Post-Traumatic 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Brain Injuries Traumatic mental disorders medicine Humans Retrospective Studies Balance (ability) Rehabilitation Depression business.industry Virtual Reality Public Health Environmental and Occupational Health Traumatic stress Retrospective cohort study General Medicine Middle Aged medicine.disease Physical therapy Female Self Report 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Military Medicine. 182:128-136 |
| ISSN: | 1930-613X 0026-4075 |
| DOI: | 10.7205/milmed-d-16-00054 |
| Popis: | The objective of this study was to determine whether physical performance during virtual environment (VE) tasks in the Computer-Assisted Rehabilitation Environment (CAREN) could differentiate between service members (SMs) with a history of traumatic brain injury (TBI) with and without comorbid post-traumatic stress disorder (PTSD). Data were obtained by independent review of clinical notes, objective outcomes, and validated questionnaires from 214 SMs (208 males) with a history of TBI assessed in the CAREN from 2010 to 2015. Three preliminary VEs acclimatized patients to the CAREN: Balance Balls, weight shifting on a static platform (timed); Balance Cubes, step shifting with and without platform motion (timed); and Continuous Road, flat ambulation (self-selected speed). Multiple regression analyses revealed that patients with comorbid TBI-PTSD were significantly slower in completing the VE tasks than patients without PTSD. Logistic regression showed that the Balance Cubes VE without platform motion significantly predicted diagnostic category (i.e., no PTSD vs. comorbid PTSD). In conclusion, in SMs with a history of TBI, physical performance on the CAREN effectively distinguished those with comorbid PTSD, as their performance was significantly slower than SMs without PTSD. These results portray the potential of the CAREN as a novel assessment tool in SMs with a history of TBI. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|