What Attorneys and Factfinders Need to Know About Mild Traumatic Brain Injuries

Kaufman, Noah K.; Bush, Shane S.; Aguilar, Mario R.

doi:10.1007/s12207-019-09355-9

Cited by 10 publications

(6 citation statements)

References 129 publications

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“…A concern among medical professionals and workers' compensation boards is discerning “true” concussions from scenarios where an individual is “intentionally fabricating or exaggerating symptoms to achieve an external goal (e.g., malingering) or otherwise fabricating or exaggerating symptoms (i.e., feigning and dissimulating) to obtain attention from medical professionals or to avoid work, school, military service, or other responsibilities” [( 28 ), pg. 96].…”

Section: Resultsmentioning

confidence: 99%

Stakeholder Recommendations to Increase the Accessibility of Online Health Information for Adults Experiencing Concussion Symptoms

Beaton

Hadly

Babul

2021

Front. Public Health

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Background: Concussion is a global public health problem. In Canada, concussion is among the top five reasons for workplace time-loss. Concussion results in physical, cognitive, and/or emotional symptoms that temporarily worsen with physical and mental exertion, such as viewing electronic screens. The Internet is the primary source of consumer health information. Studies on the end-user needs of adults with brain injuries in regards to digital health technologies largely focus on informational content. There is little to no research on the accessibility of screen-based informational websites and smartphone applications among this population.Objective: The aim of this research was to involve stakeholders in the design of a comprehensive educational resource to guide concussion recognition, recovery, and return-to-work, called the Concussion Awareness Training Tool for Workers and Workplaces (CATT WW). In order to ensure both relevant content and appropriate delivery of the information to the target groups, participants were asked whether adaptations could increase the accessibility of online health information for the general adult population experiencing concussion symptoms.Methods: Data have been generated through semi-structured in-depth interviews and focus groups with participants from across British Columbia (BC): workers from various industries who were in the concussion recovery process or had returned to work (n = 31); and healthcare or workplace professionals who support concussion diagnosis, recovery, and return-to-work (n = 16). Data were analyzed using NVivo 12. Before commencing data collection, ethical permission was granted by the University of British Columbia Research Ethics Board (H18-00604), and approval was received from WorkSafeBC Research Services.Results: Participants (n = 47) recommended twenty adaptations or supplements to electronic screen-based digital health technologies.Conclusion: Given the high prevalence of concussion among the working adult population, the symptom exacerbation commonly caused by prolonged use of electronic screens, and the demand for online educational resources, these findings can guide clinicians, researchers, technology developers, employers, and occupational health and safety committees to further support adults in concussion recovery and return-to-work.

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Section: Resultsmentioning

confidence: 99%

Stakeholder Recommendations to Increase the Accessibility of Online Health Information for Adults Experiencing Concussion Symptoms

Beaton

Hadly

Babul

2021

Front. Public Health

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“…There are several definitions of mild traumatic brain injury (mTBI). 23 24 Unfortunately, some symptoms within some classifications are somewhat vague—‘daze’, for example. Dissociation (especially derealisation—the sense of feeling detached from one’s surrounding, 25 ), caused by the stress and anxiety of the accident, may be one explanation for ‘loss of consciousness’ (and amnesia, confusion, ‘dizziness’, ‘daze’ and even seizures).…”

Section: Mild Traumatic Brain Injurymentioning

confidence: 99%

“…The terminology can be confusing and misleading, and some have suggested a change in terminology, for example, to ‘post-traumatic syndrome’. 23 26 27 The term postconcussion syndrome (PCS) is unhelpful, and it is clearer to describe each symptom in turn and consider the pathophysiological basis for each.…”

Section: Postconcussion Syndromementioning

confidence: 99%

“… 33 Many more examples (mental health problems, chronic pain, post-traumatic stress disorder, whiplash, sleep deprivation, intercurrent illness, substance abuse, medication side effects, personality disorder and even the way symptoms are elicited by the interviewer) are discussed by Kaufman and colleagues in their thoughtful review. 23 Premorbid factors predict outcome after traumatic brain injuries, 34 and several meta-analyses have shown that mTBI itself does not lead to persistent deficits—see Larrabee and Rohling, 31 Kaufman et al 23 and references therein.…”

Section: Postconcussion Syndromementioning

confidence: 99%

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Functional neurological disorders in personal injury

Phillips

2021

BMJ Neurol Open

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responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.

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“…PCS is a symptom complex with many symptoms that may include 1 or more of the following: headache, dizziness, neuropsychiatric, and cognitive 31 . PCS is a heterogenous disorder with controversy over the definition, incidence, etiology, and pathophysiology 32 . Many clinicians use the term PCS as a convenient label for the sequelae of mTBI, not just concussion.…”

Section: Expert Opinionmentioning

confidence: 99%