Long Term Symptoms and Limitations of Activity of People with Traumatic Brain Injury: A Ten-Year Follow-up

Abstract

This study examined the effect of Traumatic Brain Injury 10 years post-injury. Frequencies of head injury symptoms and activity limitation by level of severity were measured in a consecutive series of 61 adults who were admitted to a tertiary-care center for traumatic brain injury. Irritability and Anxiety were the most frequently reported symptoms from the Head Injury Symptom Checklist. Bothered by noise and Bothered by light were the least frequently reported. Trouble hearing what is said in a group conversation and Trouble hearing what is said in a one-to-one conversation were the most commonly reported limitations of activity from the Health and Activity Limitations Survey. Overall, this study illustrates that symptoms remain many years following brain injury, irrespective of the injury's severity.

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References

Binder

L. M.

(1997) A review of mild head trauma: II. Clinical implications. Journal of Clinical and Experimental Neuropsychology, 19, 432–457.

Colantonio

Dawson

D. R.

McLellan

(1998) Head injury in young adults: Long-term outcome. Archives of Physical Medicine and Rehabilitation, 79, 550–558.

Colantonio

Ratcliff

Chase

Kelsey

Escobar

Vernich

(2004) Long term outcomes after moderate to severe traumatic brain injury. Disability and Rehabilitation, 26, 253–261.

Cope

D. N.

Cole

J. R.

Hall

K. M.

Barkan

(1991) Brain injury: Analysis of outcome in post-acute rehabilitation system. Part 1: General analysis. Brain Injury, 5, 111–125.

Corrigan

J. D.

Deming

(1995) Psychometric characteristics of the Community Integration Questionnaire: Replication and extension. Journal of Head Trauma Rehabilitation, 10, 41–53.

Dawson

Chipman

(1995) The disablement experienced by traumatically brain-injured adults living in the community. Brain Injury, 9, 339–353.

Gordon

W. A.

Haddad

Brown

Hibbard

M. R.

Sliwinski

(2000) The sensitivity and specificity of self-reported symptoms in individuals with traumatic brain injury. Brain Injury 2000, 14, 21–33.

Gronwall

(1991) Minor head injury. Neuropsychology, 5, 253–265.

Harrison-Felix

Zafonte

Mann

Dijkers

Englander

Kreutzer

(1998) Brain injury as a result of violence: Preliminary findings from the traumatic brain injury model systems. Archives of Physical Medicine and Rehabilitation, 79, 730–737.

10.

Heinemann

A. W.

Whiteneck

G. G.

(1995) Relationships among impairment, disability, handicap, and life satisfaction in persons with traumatic brain injury. Journal of Head Trauma Rehabilitation, 10(4), 54–63.

11.

Hellawell

D. J.

Taylor

Pentland

(1999) Cognitive and psychosocial outcome following moderate or severe traumatic brain injury. Brain Injury, 13, 489–504.

12.

Hillier

S. L.

Sharpe

M. H.

Metzer

(1997) Outcomes five years posttraumatic brain injury (with further reference to neurophysical impairment and disability). Brain Injury, 11, 661–675.

13.

Hoofien

Gilboa

Vakil

Donovick

P. J.

(2001) Traumatic brain injury 10–20 years later: A comprehensive outcome study of psychiatric symptomatology, cognitive abilities, and psychosocial adjustment. Brain Injury, 15, 189–209.

14.

Jennett

Teasdale

(1977) Aspects of coma after severe head injury. Lancet, 1(8017), 878–881.

15.

Kashluba

Paniak

Blake

Reynolds

Toller-Lobe

Nagy

(2004) A longitudinal, controlled study of patient complaints following treated mild traumatic brain injury. Archives of Clinical Neuropsychology, 19, 805–816.

16.

Masson

Maurette

Salmi

L. R.

Dartigues

J-F.

Vecsey

Destaillats

J-M.

Erny

(1996) Prevalence of impairments five years after a head injury, and their relationship with disabilities and outcome. Brain Injury, 10, 487–497.

17.

Mazaux

J-M.

Masson

Levin

Alaoui

Maurette

Barat

(1997) Long-term neuropsychological outcome and loss of social autonomy after traumatic brain injury. Archives of Physical Medicine and Rehabilitation, 78, 1316–1320.

18.

McCullagh

Ouchterlony

Protzner

Blair

Feinstein

(2001) Prediction of neuropsychiatric outcome following mild traumatic brain injury: An examination of the Glasgow Coma Scale. Brain Injury, 15, 489–497.

19.

McLean

Jr. Dikmen

Temkin

Wyler

A. R.

Gale

J. L.

(1984) Psychosocial functioning one month after head injury. Neurosurgery, 14, 393–399.

20.

McLean

Jr. Dikmen

S. S.

Temkin

(1993) Psychosocial recovery after head injury. Archives of Physical Medicine and Rehabilitation, 74, 1041–1046.

21.

Morton

M. V.

Wehman

(1995) Psychosocial and emotional sequelae of individuals with traumatic brain injury: A literature review and recommendations. Brain Injury, 9, 81–92.

22.

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.

23.

Ocana

Jardine

Ouchterlony

Feinstein

(2000) How mild is mild head injury? A neuropsychiatric study. Brain and Cognition, 44, 83–97.

24.

Rosenthal

Dijkers

Harrison-Felix

Nabors

Witol

A. D.

Young

M. E.

Englander

J. S.

(1996) Impact of minority status on functional outcome and community integration following traumatic brain injury. Journal of Head Trauma Rehabilitation, 1, 40–47.

25.

Ruttan

L. A.

Heinrichs

R. W.

(2003) Depression and neurocognitive functioning in mild traumatic brain injury patients referred for assessment. Journal of Clinical and Experimental Neuropsychology, 25, 407–419.

26.

Sander

A. M.

Kreutzer

J. S.

Rosenthal

Delmonico

Young

M. E.

(1996) A multicenter longitudinal investigation of return to work and community integration following traumatic brain injury. Journal of Head Trauma Rehabilitation, 11, 70–84.

27.

Santos

M. E.

Castro-Caldas

De Souza

(1998) Spontaneous complaints of long-term traumatic brain injured subjects and their close relatives. Brain Injury, 12, 759–767.

28.

Sbordone

R. J.

Liter

J. C.

Pettler-Jennings

(1995) Recovery of function following severe traumatic brain injury: A retrospective 10-year follow-up. Brain Injury, 9, 285–299.

29.

Schalen

Hansson

Nordstrom

C-H.

(1994) Psychosocial outcomes 5–8 years after severe traumatic brain lesions and the impact of rehabilitation services. Brain Injury, 8, 49–64.

30.

Schmidt

M. F.

Garvin

L. J.

Heinemann

A. W.

Kelly

J. P.

(1995) Gender- and age-related role changes following brain injury. Journal of Head Trauma Rehabilitation, 10, 14–27.

31.

Statistics Canada. (1988) The Health and Activity Limitation Survey: User's guide. Ottawa, Canada: Disability Database Program, Stastistics Canada.

32.

Steadman-Pare

Colantonio

Chase

Vernich

(2001) Factors associated with perceived quality of life many years after traumatic brain injury. Journal of Head Trauma Rehabilitation, 16, 1–15.

33.

Tennant

MacDermott

Neary

(1995) The long-term outcome of head injury: Implications for service planning. Brain Injury, 9, 595–605.

34.

Thomsen

I. V.

(1984) Late outcome of very severe blunt head trauma: A 10–15 year second follow-up. Journal of Neurology, Neurosurgery, & Psychiatry, 47, 260–268.

35.

Trahan

D. E.

Ross

C. E.

Trahan

S. L.

(2001) Relationships among postconcussional type symptoms, depression, and anxiety in neurologically normal young adults and victims of mild brain injury. Archives of Clinical Neuropsychology, 16, 435–445.