The purpose of this study was to profile characteristics of people with traumatic brain injury (TBI) who self-reported arthritis 7 to 24 yr. post-injury. Pre- and post-injury socio-demographic factors, injury-related factors, and post-injury standardized assessments measuring health, activity, and participation outcomes were assessed in a retrospective cohort study of 274 participants. The group self-reporting arthritis had significantly more sleep disturbances, poorer overall health, lower mental health and physical function, and decreased productivity. Also, they were older and reported a shorter length of loss of consciousness from TBI. These results suggest that musculoskeletal complaints from long-term survivors of TBI should be addressed in post-acute care and could guide future research on arthritis in the TBI population.
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References
1.
AsikainenI.KasteM.SarnaS. (1998) Predicting late outcome for patients with traumatic brain injury referred to a rehabilitation programme: A study of 508 Finnish patients 5 years or more after injury. Brain Injury, 12, 95–107.
2.
BadleyE. (1995) The impact of disabling arthritis. Arthritis Care and Research, 8, 221–228.
3.
BakerS.O'NeillB.HaddonW.Jr.LongW. (1974) The Injury Severity Score: A method for describing patients with multiple injuries and evaluating emergency care. Journal of Trauma, 14, 187–196.
4.
BaumanW.WatersR. (2004) Aging with a spinal cord injury. In KempB.MosquedaL. (Eds.), Aging with a disability: What the clinician needs to know. Baltimore, MD: Johns Hopkins Univer. Press. Pp. 153–174.
CardenasD.ClawsonD. (1990) Management of lower extremity strength and function in traumatically brain-injured patients. Journal of Head Trauma Rehabilitation, 5, 43–50.
7.
Centers For Disease Control and Prevention. (1996) Factors associated with prevalent self-reported arthritis and other rheumatic conditions—United States, 1989–1991. Morbidity and Mortality Weekly Report, 45, 487–491.
8.
Centers For Disease Control and Prevention. (2002) Targeting arthritis: Public health takes action. Atlanta, GA: U.S. Department of Health and Human Services.
ColantonioA.RatcliffG.ChaseS.KelseyS.EscobarM.VernichL. (2004) Long-term outcomes after moderate to severe traumatic brain injury. Disability and Rehabilitation, 26, 253–261.
11.
ColantonioA.RatcliffG.ChaseS.VernichL. (2004) Aging with traumatic brain injury: Long-term health conditions. International Journal of Rehabilitation Research, 27, 209–214.
12.
Council on Clinical Classifications. (1980) International classification of diseases, clinical modification. (9th ed.) Ann Arbor, MI: Commission on Professional and Hospital Activities.
13.
DawsonD.ChipmanM. (1995) The disablement experienced by traumatically brain-injured adults living in the community. Brain Injury, 9, 339–353.
14.
EsquenaziA. (2004) Evaluation and management of spastic gait in patients with traumatic brain injury. Journal of Head Trauma Rehabilitation, 19, 109–118.
15.
FeinglassJ.NelsonC.LawtherT.ChangR. (2003) Chronic joint symptoms and prior arthritis diagnosis in community surveys: Implications for arthritis prevalence estimates. Public Health Reports, 118, 230–239.
16.
FurmanB.OlsonS.GuilakF. (2006) The development of posttraumatic arthritis after articular fracture. Journal of Orthopaedic Trauma, 20, 719–725.
17.
GahuniaH. K. (2003) The nature of the dense connective tissues of the musculoskeletal systems: Structure, function, and biomechanics of articular cartilage and meniscus. In LundonK. (Ed.), Orthopedic rehabilitation science: Principles for clinical management of non-mineralized connective tissue. Boston, MA: Butterworth-Heinemann. Pp. 63–86.
18.
GignacM.DavisA.HawkerG.WrightJ.MahomedN.FortinP.BadleyE. (2006) “What do you expect? You're just getting older”: A comparison of perceived osteoarthritis-related and aging-related health experiences in middle- and older-age adults. Arthritis and Rheumatism, 55, 905–912.
19.
GordonW. A.HaddadL.BrownM.HibbardM.SliwinskiM. (2000) The sensitivity and specificity of self-reported symptoms in individuals with traumatic brain injury. Brain Injury, 14, 21–33.
20.
Health Canada. (2003) Arthritis in Canada: An ongoing challenge. (Catalogue No. H39-4/14-2003E, ISBN 0-662-35008-1) Ottawa, Canada: Author.
21.
HibbardM.UysalS.SliwinskiM.GordonW. (1998) Undiagnosed health issues in individuals with traumatic brain injury living in the community. Journal of Head Trauma Rehabilitation, 13, 47–57.
22.
HoofienD.GilboaA.VakilE.DonovickP. (2001) Traumatic brain injury (TBI) 10–20 years later: A comprehensive outcome study of psychiatric symptomatology, cognitive abilities, and psychosocial functioning. Brain Injury, 15, 189–209.
23.
IdlerE.AngelR. (1990) Age, chronic pain, and subjective assessments of health. Advances in Medical Sociology, 1, 131–152.
24.
JordanJ.BernardS.CallahanL.KincadeJ.KonradT.DeFrieseG. (2000) Self-reported arthritis-related disruptions in sleep and daily life and the use of medical, complementary, and self-care strategies for arthritis: The National Survey of Self-care and Aging. Archives of Family Medicine, 9, 143–149.
25.
KiernanR.MuellerJ.LangstonJ.Van DykeC. (1987) The Neurobehavioural Cognitive Status Examination: A brief but differentiated approach to cognitive assessment. Annals of Internal Medicine, 104, 481–485.
26.
KopecJ.RahmanM.BerthelotJ-M.Le PetitC.AghajanianJ.SayreE.CibereJ.AnisA. H.BadleyE. (2007) Descriptive epidemiology of osteoarthritis in British Columbia, Canada. Journal of Rheumatology, 34, 386–393.
27.
KoskinenS. (1998) Quality of life 10 years after a very severe traumatic brain injury (TBI): The perspective of the injured and the closest relative. Brain Injury, 12, 631–648.
28.
KrauseJ.AdkinsR. (2004) Methodological issues. In KempB.MosquedaL. (Eds.), Aging with a disability: What the clinician needs to know. Baltimore, MD: Johns Hopkins Univer. Press. Pp. 237–261.
29.
KreutzerJ.SeelR.GourleyE. (2001) The prevalence and symptom rates of depression after traumatic brain injury: A comprehensive examination. Brain Injury, 15, 563–576.
30.
LangloisJ.MarrA.MitchkoJ.JohnsonR. (2005) Tracking the silent epidemic and educating the public. Journal of Head Trauma Rehabilitation, 20, 196–204.
31.
LangloisJ.Rutland-BrownW.WaldM. (2006) The epidemiology and impact of traumatic brain injury: A brief overview. Journal of Head Trauma Rehabilitation, 21, 375–378.
32.
LawrenceR.FelsonD.HelmickC.ArnoldL.ChoiH.DeyoR.GabrielS.HirschR.HochbergM. C.HunderG. G.JordanJ. M.KatzJ. N.KremersH. M.WolfeF. (2008) Estimates of the prevalence of arthritis and other rheumatic conditions in the United States. Part II. Arthritis and Rheumatism, 58, 26–35.
33.
MarchL.SchwarzJ.CarfraeB.BaggeE. (1998) Clinical validation of self-reported osteoarthritis. Osteoarthritis and Cartilage, 6, 87–93.
MassonF.MauretteP.SalmiL. R.DartiguesJ-FVecseyJ.DestaillatsJ-M.ErnyP. (1996) Prevalence of impairments 5 years after a head injury, and their relationship with disabilities and outcome. Brain Injury, 10, 487–497.
36.
McHorneyC.WareJ.RaczekA. (1993) The MOS 36-item Short-Form Health Survey (SF–36): Psychometric and clinical tests of validity in measuring physical and mental health constructs. Medical Care, 31, 247–263.
37.
MiliF.HelmickC.ZackM. (2002) Prevalence of arthritis: Analysis of data from the U.S. Behavioral Risk Factor Surveillance System, 1996–99. Journal of Rheumatology, 29, 1981–1988.
38.
MillF.HelmickC.ZackM.MoriartyD. (2003) Health related quality of life among adults reporting arthritis: Analysis of data from the Behavioral Risk Factor Surveillance System, U.S., 1996–99. Journal of Rheumatology, 30, 160–166.
39.
National Institutes of Health Consensus Development Panel on Rehabilitation of Persons With Traumatic Brain Injury. (1999) Rehabilitation of persons with traumatic brain injury. Journal of the American Medical Association, 282, 974–983.
40.
NolinP.VillemureR.HerouxL. (2006) Determining long-term symptoms following mild traumatic brain injury: Method of interview affects self-report. Brain Injury, 20, 1147–1154.
41.
O'ConnorC.ColantonioA.PolatajkoH. (2005) Long term symptoms and limitations of activity of people with traumatic brain injury: A ten-year follow-up. Psychological Reports, 97, 169–179.
42.
PowerJ.PerruccioA.BadleyE. (2005) Pain as a mediator of sleep problems in arthritis and other chronic conditions. Arthritis and Rheumatism, 53, 911–919.
43.
RaoJ.CallahanL.HelmickC. (1997) Characteristics of persons with self-reported arthritis and other rheumatic conditions who do not see a doctor. Journal of Rheumatology, 24, 169–173.
44.
ReitanR.WolfsonD. (1985) The Halstead-Reitan Neuropsychological Test Battery: Theory and clinical interpretation. Tucson, AZ: Neuropsychology Press. Pp. 27–30.
45.
SAS Institute, Inc. (2004) SAS® 9.1 Macro Language: Reference. Cary, NC: Author.
46.
SpreenO.StraussE. (1998) A compendium of neuropsychological tests: Administration, norms, and commentary. (2nd ed.) New York: Oxford Univer. Press.
47.
WangP.Elsbett-KoeppenR.GengG.BadleyE. (2000) Arthritis prevalence and place of birth: Findings from the 1994 Canadian National Population Health Survey. American Journal of Epidemiology, 152, 442–445.
48.
WareJ. E.KosinskiM.DeweyJ. E. (2000) How to score Version 2 of the SF–36® Health Survey. Lincoln, RI: Quality Metric.
49.
WillerB.OttenbacherK.CoadM. (1994) The Community Integration Questionnaire: A comparative examination. American Journal of Physical Medicine and Rehabilitation, 73, 103–111.
50.
Wiseman-HakesC.ColantonioA.GargaroJ. (2009) Sleep and wake disorders following traumatic brain injury: A systematic review. Critical Reviews in Physical and Rehabilitation Medicine, 21(3–4), 317–374.
51.
ZhangH.VrahasM.BarattaR.RoslerD. (1999) Damage to rabbit femoral articular cartilage following direct impacts of uniform stresses: An in vitro study. Clinical Biomechanics, 14, 543–548.
