Rehabilitation of the brain-damaged survivor

Evans, Charlotte; Bull, Flight Officer C.P.I.; Devonport, M.J.; Hall, P.M.; Jones, Jimmy; Middleton, F; Russell, Flight Lt G.; Stichbury, Jane; Whitehead, Brenda R.

doi:10.1016/0020-1383(76)90040-1

Cited by 21 publications

(7 citation statements)

References 13 publications

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“…In this series the proportion of patients with traumatic anosmia increased from 3.8% for those with PTAs of an hour or less to 24.3% when PTA exceeded 1 week (table III). In confirmation of Evans et al (1972), it was found that PTA as estimated by the patients tended to be about four times the length of the time to return of coherent speech as stated in the hospital rec ords.…”

Section: Length O F Time O Ff Worksupporting

confidence: 52%

Posttraumatic Amnesia, Post-Concussional Symptoms and Accident Neurosis

Guthkelch

1980

Eur Neurol

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This communication surveys 398 consecutive head injury patients who were in regular full-time employment at the time of injury and who were examined in connection with a claim for compensation. In uncomplicated cases there was a close correlation between the duration of posttraumatic amnesia and the length of time off work. Some common causes of prolonged organic disability are mentioned. The recovery rate of patients suffering from posttraumatic emotional disorders, such as depression or anxiety, was proportional to the initial severity of injury, whereas the indefinite invalidism associated with so-called ‘accident neurosis’ was found to be rare in severely injured patients. ‘Accident neurosis’ also was more common in manual workers sustaining accidents at work than in the same occupation group after road accidents, or in non-manual workers. It is concluded that posttraumatic emotional disorder and ‘accident neurosis’ are not the extremes of a spectrum but separate and distinguishable conditions.

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Section: Length O F Time O Ff Worksupporting

confidence: 52%

Posttraumatic Amnesia, Post-Concussional Symptoms and Accident Neurosis

Guthkelch

1980

Eur Neurol

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“…Determining the severity of a traumatic brain injury (TBI) is critical for the effective management of individuals with TBI in both the acute stages and for later rehabilitation. Early indication of the severity of the injury and estimation of the length of the recovery period is important in planning rehabilitation programs, safe discharge, resource allocation, and predicting outcome (Evans, Bull, Devonport, Hall, Jones et al, 1977). An accurate and reliable construct to determine the severity of TBI is therefore essential.…”

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confidence: 99%

The Westmead Post-Traumatic Amnesia Scale for Children (WPTAS-C) Aged 4 and 5 Years Old

Rocca¹,

Wallen

Batchelor

2008

Brain Impairment

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Assessment of posttraumatic amnesia (PTA) in young children remains problematic. This article details a version of the Westmead PTA Scale, which was adapted for use with children aged 4 and 5 years, and an evaluation of this scale with typically developing children. The Westmead PTA Scale for Children (WPTAS-C) comprises 2 orientation and 4 memory questions, including 2 items involving remembering pictures of familiar objects. Participants included 55 preschool and kindergarten children aged 4 and 5 years. The scale was administered for 4 consecutive days. Ninety-three per cent of the children achieved a score of 6 out 6 for the final 3 days of the 4-day test period. It is concluded that the WPTAS-C is an appropriate measure of orientation and continuous memory in 4- and 5-year-old typically developing children. Validation of the scale in clinical populations is recommended.

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“…Literature PTA duration as an instrument for determining the severity of closed braindamage was introduced by Russell (1932). Since then, the duration of PTA has generally been considered to be a workable means of classifying the severity of brain damage, and at the same time a valuable prognostic factor (Brooks 1974, Jennett 1976, Evans et al 1977, Hannay et al 1979). However, experimental and methodological doubts about the reliability of this instrument have been expressed by other authors (Sisler and Penner 1975, Schacter and Crovitz 1977).…”

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confidence: 99%

Assessment of Post‐traumatic Amnesia in Young Children

Ruijs

Keyser

Gabreëls

1992

Develop Med Child Neuro

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SUMMARY To assess the duration of post‐traumatic amnesia (PTA) in children, a new procedure is described, derived from a method described previously for adults. The procedure was tested on 70 healthy children between 3·5 and 10 years of age, then applied in a longitudinal prospective study of 54 children with brain damage resulting from closed head‐injury. The procedure consistently measured PTA in children of various ages. The duration of PTA was found to be as good a prognostic indicator for the occurrence of long‐term residual sequelae as is duration of coma. RÉSUMÉ Evaluation de l'amnésie post‐traumatique du jeune enfant L'article décrit une nouvelle méthode, dérivée d'une méthode décrite antérieurement chez l'adulte, pour évaluer la durée de l'amnésie post‐traumatique (PTA) chez l'enfant. Le procédé fut expérimenté chez 70 enfants en bonne santéâgés de trois ans et demi à dix ans et appliquéà une étude prospective longitudinale de 54 enfants ayant présenté un traumatisme céphalique récent. Le procédé mesura de façon réguliére la PTA des enfants à des âges variés. La durée de la PTA se révéla un aussi bon indicateur du risque de séquelles résiduelles a long terme que la durée du coma. ZUSAMMENFASSUNG Beurteilung der posttraumatischen Amnesie bei Kleinkindern Es wird eine neue Methode zur Beurteilung der Dauer einer posttraumatischen Amnesie (PTA) bei Kindern vorgestellt, die von einer früher beschriebenen Methode für Erwachsene abgeleitet wurde. Diese Methode wurde bei 70 gesunden Kindern zwischen 3½ und 10 Jahren getesfet und dann in einer prospektiven Langzeitstudie bei 54 Kindern mit einem Schädelhirntrauma angewendet. Mit der Methode wurde die PTA bei Kindern unterschiedlichen Alters gemessen. Die Dauer der PTA stellte sich als ebenso guter prognostischer Indikator für das Auftreten von Spätfolgen heraus wie die Dauer des Komas. RESUMEN Evaluación de la amnesia post‐traumática en niños pequeños Se describe un nuevo método para evaluar la duración de la amnesia post‐traumática (APT), derivada de un método descrito previamente para los adultos. La técnica se ensayó en 70 niños sanos entre 3½ y 10 años de edad, y luego se aplicó a un ensayo prospectivo longitudinal en 54 niños con daño cerebral originado por un traumatismo cerebral cerrado. La técnica consistia en medir la APT en niños de diferentes edades: se observó que la duración de la APT era un indicador pronóstico con respecto a la aparición de secuelas a largo plazo tan bueno, como lo es la duración del coma.

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Rehabilitation of the brain-damaged survivor

Cited by 21 publications

References 13 publications

Posttraumatic Amnesia, Post-Concussional Symptoms and Accident Neurosis

Posttraumatic Amnesia, Post-Concussional Symptoms and Accident Neurosis

The Westmead Post-Traumatic Amnesia Scale for Children (WPTAS-C) Aged 4 and 5 Years Old

Assessment of Post‐traumatic Amnesia in Young Children

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