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Traumatic brain injury (TBI) can cause cognitive, behavioral, and physical limitations, and impact an individual’s ability to return to work, reintegrate into the community and live independently.

A new study will undertake a systematic review of the predictive nature of discharge settings following acute care of TBI patients. Researchers believe the results of this review will aid healthcare providers, and TBI patients and their families, in making informed discharge decisions to the next level of care.

Continue Reading Is the Discharge Destination for Patients with Traumatic Brain Injury Predictive of Recovery?

Data from a recent study show that the use of golf carts has caused significant injuries in children under the age of 17, including brain injuries. Golf carts are somewhat inaccurately named as their use goes far beyond the golf course.

Golf carts are used in many communities in addition to golf courses, including retirement communities, farms, and shore communities. In fact, while many golf cart-related injuries do occur on the golf course, up to 30 percent occur on public streets, yards, and farms. In both Pennsylvania and New Jersey, golf carts are exempt from registration requirements. There are few regulations relating to them.

Study Shows Increasing Number of Golf Cart Injuries

Researchers evaluated approximately 100 children under age 17 treated in Pennsylvania trauma centers for injuries sustained in golf cart accidents over an 11-year period.

Twenty seven percent of the children injured in golf cart accidents suffered a concussion. The risk for concussion was found to be higher for children ages six to 11, compared with kids under six. Twenty five to 30 percent sustained intracranial injury and brain bleeding. One child died.

Continue Reading Should Children Be Driving Golf Carts?

A recent Opinion Page article in the New York Times discusses the implications of covert consciousness on patients’ rights. Covert consciousness is a state of consciousness that cannot be detected by bedside examination. The author pointedly asks: “If there is a legal obligation to educate the developing brain, should there not be a correlative responsibility to those whose brains are in a process of redevelopment and recovery?”

The author writes about a patient who was participating in a study of patients with severe brain injury who exhibited the ability to use her left eye to answer simple yes or no questions with an eye tracking device. The young woman had suffered a complex stroke while in college and had been thought to be in a permanently unconscious “vegetative state.” She was subsequently found to be in the “minimally conscious state,” capable of demonstrating intention, attention, and memory.

Continue Reading Civil Rights of Minimally Conscious Patients

While the Federal Aviation Administration (FAA) has addressed protection from head injuries for flight attendants, according to a recent article, it has not addressed the impact of shrinking seat designs on the safety of passengers. A second article states that no seat in coach meets the FAA’s standards for the space required for flight attendant seat safety.

Graphic Sheds Light on Impact of Smaller Seats and Rows on Safety

Embedded in the regulations governing commercial airline safety is a graphic that may offer evidence that smaller seats and rows on airplanes may affect passengers’ safety. The DOT graphic shows the “head strike zone” for a seated flight attendant and is intended to offer guidance on seat design to reduce the risk of injury to flight attendants during takeoff and landing but apparently a similar analysis has not been undertaken as to passengers.

Continue Reading Airlines’ Shrinking Seat Space May Increase Likelihood of Head Injuries

Females experience concussions differently than males but there has been little research on the topic. Dr. Mayumi Prins, a professor of neurosurgery at the David Geffen School of Medicine at UCLA and director of the UCLA Brain Injury Research Center education program, is looking to change that. He notes that most research has focused on male concussion patients and therefore there is little information available as to the science as to why females may suffer more concussions and experience more prolonged symptoms.

Scientific research has shown that female and male brains differ in terms of activity patterns, anatomy, chemistry, and physiology. Concussions may affect females differently than males for a variety of reasons, including hormonal issues and differences in upper bodies – especially the way muscles in the neck react after collisions. Also, females may be more likely than males to disclose concussion-related symptoms such as headaches, diminished social interaction, and depression, according to Prins.

Continue Reading Women May Experience Concussion Symptoms Differently Than Men

A New York trial court recently denied defendants’ motion to compel plaintiff’s radiologist to produce Diffusion Tensor Imaging (DTI) control group data.

In Siracusa v. City Ice Pavilion, LLC, the plaintiff was injured while participating in an ALS Ice Bucket Challenge, held at a hockey rink owned and operated by the defendant. Plaintiff sustained a traumatic brain injury (TBI), allegedly at the fault of the defendant. Plaintiff underwent an MRI-DTI which was analyzed by Dr. Michael Lipton. Dr. Lipton’s DTI analysis lead to the conclusion that the plaintiff has abnormally low FA levels, which is consistent with traumatic axonal injury, although also consistent with other non-traumatic causes.

Continue Reading New York Court Upholds Validity of DTI

When an individual suffers from a brain injury, the resulting cognitive, physical, social, and psychological effects often create challenges for that person. Other family members may also be affected, including spouses and children. A recent study investigated the emotional and behavioral impact on children when a parent has a severe acquired brain injury (ABI). ABI can result from trauma, illness, infection, brain tumors, or other conditions.

The study involved 25 couples that included one spouse who was affected by ABI, and their 35 children, ages three to 14 years. The children attended three sessions with a psychologist to identify their spontaneous playing and relational behavior through a grid created on the basis of ICD-10 criteria.

Continue Reading How Does a Parent’s Brain Injury Impact the Children?

Chronic traumatic encephalopathy (CTE) was found in 110 of 111 (99 percent) brains of deceased former National Football League players that were donated to scientific research, according to a study published in the medical journal JAMA. CTE, a neurodegenerative brain disease, was also neuropathologically diagnosed in 177 of the 202 players studied across all levels of play (87 percent). It was found in three of the 14 high school players and 48 of the 53 college players.

CTE is typically found in individuals who have been exposed to repeated head trauma, including veterans and football players. CTE can only be diagnosed with an autopsy. The JAMA study focused on football as the primary exposure to head trauma, whether or not the individual had exhibited symptoms while living. The study acknowledged the lack of a comparison group without which the study cannot offer an estimate on the overall risk of brain injury due to participation in football.

Continue Reading Does Football Increase Risk of Degenerative Brain Disease?

Four Kessler Foundation researchers were awarded two-year grants to fund studies of functional and cognitive deficits in individuals who have experienced traumatic brain injury (TBI). The grants, totaling $713,000, were awarded by the New Jersey Commission on Brain Injury Research (NJCBIR).

Researchers will study functional and cognitive deficits in individuals with moderate to severe traumatic brain injury (TBI), including learning and memory, and limb mobility.

One grant, valued at $179,000, will fund a two-phase trial testing the “modified Story Memory Technique (mSMT)” in school-aged children. The mSMT trial will compare healthy controls with children who have cognitive deficits caused by TBI. The grant awardee, Dr. Nancy Chiaravalloti, previously conducted a study involving multiple sclerosis and mSMT which found that mSMT is effective for improving learning and memory in MS patients. Dr. Chiaravalloti is the  director of neuropsychology, neuroscience and TBI research at Kessler Foundation, and director of the Northern New Jersey TBI Model System.

Continue Reading Kessler Foundation Researchers Awarded Grants for TBI Research

A recent review examined clinical and experimental literature for information on the long-term cognitive impact of traumatic brain injury (TBI) in the context of cognitive aging.

Neurobiological changes take place as part of the normal aging process. The issue evaluated through the literature is whether those individuals who experience cognitive problems as a result of TBI are at risk of accelerated and premature aging, and dementia.

Continue Reading Do Brain Injuries Accelerate Cognitive Aging?