Number of Concussions Does Not Affect Treatment Response to Cognitive Rehabilitation Interventions Following Mild TBI in Military Service Members

2020 ◽  
Author(s):  
Anna S Ord ◽  
Robert D Shura ◽  
Glenn Curtiss ◽  
Patrick Armistead-Jehle ◽  
Rodney D Vanderploeg ◽  
...  
Keyword(s):  
Outcome Measures ◽  
Military Service ◽  
Cognitive Rehabilitation ◽  
Mixed Model ◽  
Severity Index ◽  
Service Members ◽  
Symptom Improvement ◽  
Global Severity Index ◽  
Study Objective ◽  
Main Effect

Abstract Objective The study objective was to determine whether number of concussions would affect symptom improvement following cognitive rehabilitation (CR) interventions. Method Service members (N = 126) with concussion history completed a 6-week randomized control trial of CR interventions. Participants were stratified based on self-reported lifetime concussion frequency. Outcome measures included the Paced Auditory Serial Addition Test (PASAT), the Global Severity Index (GSI) from the Symptom Checklist-90-Revised, and the Key Behaviors Change Inventory (KBCI). Results Mixed-model analyses of variance revealed a significant main effect for time on cognitive, psychological, and neurobehavioral functioning. A significant main effect for the number of concussions was observed for GSI and KBCI, but not PASAT. Interactions between the number of concussions and time were not significant for any of the outcome variables. Conclusions Over the 6-week interval, improvements were found for all participants across all outcome measures. Number of concussions did not affect improvements over time.

Cognitive Rehabilitation for Military Service Members With Mild Traumatic Brain Injury

2017 ◽  
Vol 32 (3) ◽  
pp. E1-E15 ◽  
Author(s):  
Douglas B. Cooper ◽  
Amy O. Bowles ◽  
Jan E. Kennedy ◽  
Glenn Curtiss ◽  
Louis M. French ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Mild Traumatic Brain Injury ◽  
Military Service ◽  
Cognitive Rehabilitation ◽  
Service Members ◽  
Military Service Members

Gastrocnemius Stretching Program: More Effective in Increasing Ankle/Rear-Foot Dorsiflexion When Subtalar Joint Positioned in Pronation Than in Supination

2015 ◽  
Vol 24 (3) ◽  
pp. 307-314 ◽  
Author(s):  
Marie A. Johanson ◽  
Megan Armstrong ◽  
Chris Hopkins ◽  
Meghan L. Keen ◽  
Michael Robinson ◽  
...  
Keyword(s):  
Outcome Measures ◽  
Subtalar Joint ◽  
Mixed Model ◽  
Controlled Trial ◽  
Cumulative Trauma ◽  
Mixed Model Anova ◽  
Main Effect ◽  
Before And After ◽  
History Of ◽  
Analysis System

Context:Stretching exercises are commonly prescribed for patients and healthy individuals with limited extensibility of the gastrocnemius muscle.Objective:To determine if individuals demonstrate more dorsiflexion at the ankle/rear foot and less at the midfoot after a gastrocnemius-stretching program with the subtalar joint (STJ) positioned in supination compared with pronation.Design:Randomized controlled trial.Setting:Biomechanical laboratory.Participants:22 volunteers with current or recent history of lower-extremity cumulative trauma and gastrocnemius tightness (10 women and 4 men, mean age 28 y) randomly assigned to stretching groups with the STJ positioned in either pronation (n = 11) or supination (n = 11).Intervention:3-wk home gastrocnemius-stretching program using a template to place the subtalar joint in either a pronated or a supinated position.Main Outcome Measures:A 7-camera Vicon motion-analysis system measured ankle/rear-foot dorsiflexion and midfoot dorsiflexion of all participants during stretching with the STJ positioned in both pronation and supination before and after the 3-wk gastrocnemius-stretching program.Results:A 2-way mixed-model ANOVA revealed a significant interaction (P = .019). At posttest, the group who performed the 3-week stretching program with the STJ positioned in pronation demonstrated more increased ankle/rear-foot dorsiflexion when measured with the STJ in pronation than the group who performed the 3-wk stretching program with the STJ positioned in supination. No significant main effect of stretching group or interaction for dorsiflexion at the midfoot was detected (P = .755 and P = .820, respectively).Conclusion:After a 3-wk gastrocnemius-stretching program, when measuring dorsiflexion with the STJ positioned in supination, the participants who completed a 3-wk gastrocnemius stretching program with the STJ positioned in pronation showed more increased dorsiflexion at the ankle/rear foot than participants who completed the stretching program with the STJ positioned in supination.

Self-efficacy predicts response to cognitive rehabilitation in military service members with post-concussive symptoms

2019 ◽  
Vol 30 (6) ◽  
pp. 1190-1203 ◽  
Author(s):  
Heather G. Belanger ◽  
Rodney D. Vanderploeg ◽  
Glenn Curtiss ◽  
Patrick Armistead-Jehle ◽  
Jan E. Kennedy ◽  
...  
Keyword(s):  
Self Efficacy ◽  
Military Service ◽  
Cognitive Rehabilitation ◽  
Service Members ◽  
Military Service Members

Predicting treatment response to cognitive rehabilitation in military service members with mild traumatic brain injury.

2018 ◽  
Vol 63 (2) ◽  
pp. 194-204 ◽  
Author(s):  
Rodney D. Vanderploeg ◽  
Douglas B. Cooper ◽  
Glenn Curtiss ◽  
Jan E. Kennedy ◽  
David F. Tate ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Treatment Response ◽  
Mild Traumatic Brain Injury ◽  
Military Service ◽  
Cognitive Rehabilitation ◽  
Service Members ◽  
Military Service Members
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