Traumatic Brain Injury

Ponsford, Jennie Louise; Sloan, Sue; Snow, Pamela

doi:10.4324/9780203082805

Cited by 87 publications

(53 citation statements)

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“…It creates a major financial burden for the affected individual and society at large (Finkelstein, Corso, & Miller, 2006; Max, MacKenzie, & Rice, 1991). Cognitive impairments are frequently associated with TBI across various domains including, most commonly, attention, speed of processing, memory, communication, social cognition, and executive functions (Ponsford, Sloan, & Snow, 2012). These impairments can impact functional independence in daily activities and capacity for participation in employment, study, social, and leisure activities (Ponsford, Downing et al, 2014; Sherer et al, 2002; Spitz, Ponsford, Rudzki, & Maller, 2012).…”

Section: Introductionmentioning

confidence: 99%

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Cognitive Rehabilitation Following Traumatic Brain Injury: A Survey of Current Practice in Australia

2018

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Background and Objective: As cognitive impairments represent the greatest impediment to participation following moderate–severe traumatic brain injury (TBI), cognitive rehabilitation is vital. Several sets of guidelines for cognitive rehabilitation have been published, including INCOG in 2014. However, little is known about current practice by therapists working with individuals with TBI. This study aimed to characterise current cognitive rehabilitation practices via an online survey of therapists engaged in rehabilitation in individuals with TBI.Method: The survey documented demographic information, current cognitive rehabilitation practice, resources used to inform cognitive rehabilitation, and reflections on cognitive rehabilitation provided.Results: The 221 Australian respondents were predominantly occupational therapists, neuropsychologists, and speech pathologists with an average 9 years of clinical experience in cognitive rehabilitation and TBI. Cognitive retraining and compensatory strategies were the most commonly identified approaches used in cognitive rehabilitation. Executive functioning was mostly targeted for retraining, whereas memory was targeted with compensatory strategies. Attentional problems were less frequently addressed. Client self-awareness, family involvement, team collaboration, and goal-setting were seen as important ingredients for success.Conclusion: Clinical practice of cognitive rehabilitation in Australia is broadly consistent with guidelines. However, addressing the impediments to its delivery is important to enhance the quality of life for individuals with TBI.

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Section: Introductionmentioning

confidence: 99%

“…A range of interventions for cognitive impairment following TBI have been documented. These may be generally classified as restorative or compensatory (Ponsford et al, 2012). Restorative approaches are designed to restore impaired functions.…”

Section: Introductionmentioning

confidence: 99%

Cognitive Rehabilitation Following Traumatic Brain Injury: A Survey of Current Practice in Australia

2018

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“…However, critics of this tactic consider it a worrying precedent for liberal democracy if large companies are encouraged to use their advertising budget to put pressure on editorial policies of news organizations. j j Ponsford, 2016. As online and social media rapidly multiply and diversify, they also raise the problem of dealing with misleading or untrue content. For example, the 2016 US Presidential election -and subsequent policy actions involving migration, among other topics -was beset by fake news deliberately generated with little or no concern as to whether it would be exposed for its fraudulence.…”

Section: Conclusion: Implications and Future Researchmentioning

confidence: 99%

Chapter 8 – Media reporting of migrants and migration

Allen

Blinder

McNeil³

2018

World Migration Report

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“…Estimates from a study in New Zealand are much higher with 790 in 100,000 experiencing TBI (Feigin et al, 2013). Mild TBI (mTBI) accounts for up to 85% of traumatic brain injuries globally (Jungfer, 2017), which amounts to ∼42 million individuals (Gardner and Yaffe, 2015), whilst 10-20% are moderate or severe injuries (Ponsford, 2013). Some common causes of mTBI include cycling accidents, motor vehicle accidents, falls, assaults and sports injuries (Jagnoor and Cameron, 2014;Langer et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Neuromodulation for Mild Traumatic Brain Injury Rehabilitation: A Systematic Review

Buhagiar

Fitzgerald

Bell

et al. 2020

Front. Hum. Neurosci.

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Background: Mild traumatic brain injury (mTBI) results from an external force to the head or body causing neurophysiological changes within the brain. The number and severity of symptoms can vary, with some individuals experiencing rapid recovery, and others having persistent symptoms for months to years, impacting their quality of life. Current rehabilitation is limited in its ability to treat persistent symptoms and novel approaches are being sought to improve outcomes following mTBI. Neuromodulation is one technique used to encourage adaptive neuroplasticity within the brain.Objective: To systematically review the literature on the efficacy of neuromodulation in the mTBI population.Method: A systematic review was conducted using Medline, Embase, PsycINFO, PsycARTICLES and EBM Review. Preferred Reporting Items for Systematic Reviews and the Synthesis Without Meta-analysis reporting guidelines were used and a narrative review of the selected studies was completed. Fourteen articles fulfilled the inclusion criteria which were published in English, investigating an adult sample and using a pre- and post-intervention design. Studies were excluded if they included non-mild TBI severities, pediatric or older adult populations.Results: Thirteen of fourteen studies reported positive reductions in mTBI symptomatology following neuromodulation. Specifically, improvements were reported in post-concussion symptom ratings, headaches, dizziness, depression, anxiety, sleep disturbance, general disability, cognition, return to work and quality of life. Normalization of working memory activation patterns, vestibular field potentials, hemodynamics of the dorsolateral prefrontal cortex and excessive delta wave activity were also seen. The studies reviewed had several methodological limitations including small, heterogenous samples and varied intervention protocols, limiting generalisability. Further research is required to understand the context in which neuromodulation may be beneficial.Conclusions: While these positive effects are observed, limitations included unequal representation of neuromodulation modalities in the literature, and lack of literature describing the efficacy of neuromodulation on the development or duration of persistent mTBI symptoms. Better clarity regarding neuromodulation efficacy could have a significant impact on mTBI patients, researchers, clinicians, and policy makers, facilitating a more productive post-mTBI population. Despite the limitations, the literature indicates that neuromodulation warrants further investigation. PROSPERO registration number: CRD42020161279.

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Traumatic Brain Injury

Cited by 87 publications

References 0 publications

Cognitive Rehabilitation Following Traumatic Brain Injury: A Survey of Current Practice in Australia

Cognitive Rehabilitation Following Traumatic Brain Injury: A Survey of Current Practice in Australia

Chapter 8 – Media reporting of migrants and migration

Neuromodulation for Mild Traumatic Brain Injury Rehabilitation: A Systematic Review

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