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Special Issue "New Perspectives in Rehabilitation after Traumatic Brain Injury: Volume 2"

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A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Brain Injury".

Deadline for manuscript submissions: 30 June 2023 | Viewed by 3176

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Special Issue Editors

Prof. Dr. Nada Andelic

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Guest Editor

1. Department of Physical Medicine and Rehabilitation, Oslo University Hospital, 0424 Oslo, Norway
2. Research Centre for Habilitation and Rehabilitation Models and Services (CHARM), Faculty of Medicine, Institute of Health and Society, University of Oslo, 0373 Oslo, Norway
Interests: traumatic brain injury; rehabilitation; functional outcomes; health care services; unmet rehabilitation; healthcare needs

Prof. Dr. Cecilie Røe

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Guest Editor

1. Department of Physical Medicine and Rehabilitation, Oslo University Hospital, 0424 Oslo, Norway
2. Research Centre for Habilitation and Rehabilitation Models and Services (CHARM), Faculty of Medicine, Institute of Health and Society, University of Oslo, 0373 Oslo, Norway
Interests: traumatic brain injury; musculoskeletal disorders; pain; rehabilitation; healthcare services

Dr. Emilie Isager Howe

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Guest Editor

Department of Physical Medicine and Rehabilitation, Oslo University Hospital, 0424 Oslo, Norway
Interests: traumatic brain injury; rehabilitation; cognition; functional outcomes; randomized controlled trials

Dr. Marit Vindal Forslund

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Guest Editor

Department of Physical Medicine and Rehabilitation, Oslo University Hospital, 0424 Oslo, Norway
Interests: traumatic brain injury; rehabilitation; functional outcomes; health-related quality of life; healthcare service provision and needs; randomized controlled trials

Dr. Torgeir Hellstrøm

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Guest Editor

Department of Physical Medicine and Rehabilitation, Oslo University Hospital, 0424 Oslo, Norway
Interests: traumatic brain injury; rehabilitation; prediction; functional outcomes; neuroimaging

Special Issue Information

Dear Colleagues,

Due to the great success of our Special Issue on the topic “New Perspectives in Rehabilitation after Traumatic Brain Injury”, we have decided to set up a second volume. This volume aims to continue discussing ongoing knowledge gaps and controversies and focus on new perspectives of the multidisciplinary efforts and management of TBI covering the full spectrum of medical neuroscience, cognitive neuroscience, pharmacology, brain imaging, and assistive and smart technology.

Prof. Dr. Nada Andelic
Prof. Dr. Cecilie Røe
Dr. Emilie Isager Howe
Dr. Marit Vindal Forslund
Dr. Torgeir Hellstrom
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

traumatic brain injury
rehabilitation
biomarkers
imaging and smart technology
new treatments
clinical trials

Published Papers (4 papers)

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Research

Open AccessArticle

Investigating the Effectiveness of a Family Intervention after Acquired Brain or Spinal Cord Injury: A Randomized Controlled Trial

Pernille Langer Soendergaard

Juan Carlos Arango-Lasprilla

Mia Moth Wolffbrandt

Frederik Lehman Dornonville de la Cour

Fin Biering-Sørensen

and

Anne Norup

J. Clin. Med. 2023, 12(9), 3214; https://doi.org/10.3390/jcm12093214 - 29 Apr 2023

Viewed by 719

Abstract

(1) Background: Acquired brain injury (ABI) or spinal cord injury (SCI) constitutes a severe life change for the entire family, often resulting in decreased quality of life (QoL) and increased caregiver burden. The objective of this study was to investigate the effectiveness of a family intervention in individuals with ABI or SCI and in their family members. (2) Methods: An RCT of a family intervention group (FIG) vs. a psychoeducational group (PEG) (ratio 1:1) was performed. The FIG received an eight-week manual-based family intervention, and the PEG received one psychoeducational session. Self-reported questionnaires on QoL with the Mental Component Summary (MCS) and on caregiver burden with the Caregiver Burden Scale (CBS) were the primary outcomes. The data analysis involved linear mixed-effects regression models. (3) Results: In total, 74 participants were allocated randomly to the FIG and 84 were allocated randomly to the PEG. The FIG had significantly larger improvements on the MCS and significantly larger reductions on the CBS at the two-month follow-up than participants in the PEG (mean differences of 5.64 points on the MCS and −0.26 points on the CBS). At the eight-month follow-up, the between-group difference remained significant (mean difference of 4.59 points) on the MCS, whereas that on the CBS was borderline significant (mean change of −0.14 points). (4) Conclusions: Family intervention was superior to psychoeducation, with larger improvements in QoL and larger reductions in caregiver burden. Full article

(This article belongs to the Special Issue New Perspectives in Rehabilitation after Traumatic Brain Injury: Volume 2)

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Open AccessArticle

Defining a Treatment Model for Self-Management of Fatigue in Rehabilitation of Acquired Brain Injury Using the Rehabilitation Treatment Specification System

Frederik Lehman Dornonville de la Cour

Anne Norup

Tonny Elmose Andersen

and

Trine Schow

J. Clin. Med. 2023, 12(9), 3192; https://doi.org/10.3390/jcm12093192 - 28 Apr 2023

Viewed by 463

Abstract

Systematic treatment descriptions to standardize and evaluate management of fatigue after acquired brain injury (ABI) are lacking. The purpose of this multi-phase qualitative study was to formulate a treatment model for promoting self-management of fatigue in rehabilitation of ABI based on practice-based understandings and routines. The study was conducted in a community-based rehabilitation center in Denmark. The model was defined using the Rehabilitation Treatment Specification System. Phase 1 comprised co-production workshops with five service providers (occupational therapists, physiotherapists, and a neuropsychologist) to elicit preliminary treatment theories. In Phase 2, four case studies were conducted on management of fatigue in vocational rehabilitation. Interviews (n = 8) and treatment log entries (n = 76) were analyzed thematically to specify treatment targets and active ingredients. The treatment model comprised five main components: (i) Knowledge and understanding of fatigue, (ii) Interoceptive attention of fatigue, (iii) Acceptance of fatigue, (iv) Activity management, and (v) Self-management of fatigue. For each component, lists of targets and active ingredients are outlined. In conclusion, management of fatigue includes multiple treatment components addressing skills, habits, and mental representations such as knowledge and attitudes. The model articulates treatment theories, which may guide clinical reasoning and facilitate future theory-driven evaluation research. Full article

(This article belongs to the Special Issue New Perspectives in Rehabilitation after Traumatic Brain Injury: Volume 2)

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Open AccessArticle

Measurement Properties of the Dutch Multifactor Fatigue Scale in Early and Late Rehabilitation of Acquired Brain Injury in Denmark

Frederik Lehman Dornonville de la Cour

Trine Schow

Tonny Elmose Andersen

Annemarie Hilkjær Petersen

Gry Zornhagen

Annemarie C. Visser-Keizer

and

Anne Norup

J. Clin. Med. 2023, 12(7), 2587; https://doi.org/10.3390/jcm12072587 - 29 Mar 2023

Viewed by 841

Abstract

Fatigue is a major issue in neurorehabilitation without a gold standard for assessment. The purpose of this study was to evaluate measurement properties of the five subscales of the self-report questionnaire the Dutch Multifactor Fatigue Scale (DMFS) among Danish adults with acquired brain injury. A multicenter study was conducted (N = 149, 92.6% with stroke), including a stroke unit and three community-based rehabilitation centers. Unidimensionality and measurement invariance across rehabilitation settings were tested using confirmatory factor analysis. External validity with Depression Anxiety Stress Scales (DASS-21) and the EQ-5D-5L was investigated using correlational analysis. Results were mixed. Unidimensionality and partial invariance were supported for the Impact of Fatigue, Mental Fatigue, and Signs and Direct Consequences of Fatigue, range: RMSEA = 0.07–0.08, CFI = 0.94–0.99, ω = 0.78–0.90. Coping with Fatigue provided poor model fit, RMSEA = 0.15, CFI = 0.81, ω = 0.46, and Physical Fatigue exhibited local dependence. Correlations among the DMFS, DASS-21, and EQ-5D-5L were in expected directions but in larger magnitudes compared to previous research. In conclusion, three subscales of the DMFS are recommended for assessing fatigue in early and late rehabilitation, and these may facilitate the targeting of interventions across transitions in neurorehabilitation. Subscales were strongly interrelated, and the factor solution needs evaluation. Full article

(This article belongs to the Special Issue New Perspectives in Rehabilitation after Traumatic Brain Injury: Volume 2)

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Open AccessArticle

U.S. vs. Foreign Nativity and 10-Year Trajectories of Mental Health after Traumatic Brain Injury: A Model Systems Study

Chimdindu Ohayagha

Kritzia Merced

Paul B. Perrin

Juan Carlos Arango-Lasprilla

Daniel W. Klyce

and

Shawn C. T. Jones

J. Clin. Med. 2023, 12(3), 867; https://doi.org/10.3390/jcm12030867 - 21 Jan 2023

Viewed by 687

Abstract

Background: Previous research has found racial and ethnic disparities in life satisfaction, depression, and anxiety after traumatic brain injury (TBI). However, limited studies have examined differences in these variables between U.S.- and foreign-born individuals with TBI. The purpose of this study was to examine whether differences exist in mental health outcomes between U.S.- and foreign-born individuals with TBI at 1, 2, 5, and 10 years after injury, as well as examine whether demographic and injury-related characteristics account for these differences. Method: Participants were 8289 individuals with TBI who identified as U.S.-born and 944 who identified as born outside the U.S. in the TBI Model Systems study. Participants completed measures of mental health outcomes at 1, 2, 5, and 10 years after injury. Results: Foreign-born individuals with TBI had comparable levels of depression and anxiety trajectories to U.S.-born individuals, yet higher life satisfaction trajectories, even after controlling for demographic and injury-related variables. Conclusion: Rehabilitation professionals should consider in their clinical work the mechanisms that likely influence mental health outcomes among foreign-born individuals, including family-based values that increase resilience, as well as the possible under-reporting of mental health symptoms along the lines of cultural norms. Full article

(This article belongs to the Special Issue New Perspectives in Rehabilitation after Traumatic Brain Injury: Volume 2)

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Special Issue "New Perspectives in Rehabilitation after Traumatic Brain Injury: Volume 2"

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