An Interdisciplinary Treatment Approach for Soldiers With TBI/PTSD: Issues and Outcomes

2009 ◽  
Vol 19 (2) ◽  
pp. 36-46 ◽  
Author(s):  
Sandra L. Schneider ◽  
Lisa Haack ◽  
Jenny Owens ◽  
Dominique P. Herrington ◽  
Anita Zelek
Keyword(s):  
Brain Injury ◽  
Treatment Strategies ◽  
Interdisciplinary Approach ◽  
Interdisciplinary Treatment ◽  
Post Traumatic Stress ◽  
Military Population ◽  
Evidence Based Practices ◽  
Co Morbidity ◽  
Complex Population ◽  
The Military

Abstract Purpose: While the co-morbidity of symptoms associated with traumatic brain injury (TBI) and post-traumatic stress disorder (PTSD) in the injured military population is currently being discussed and researched, those of us in the rehabilitation fields need to be ready now to serve this complex population. We are challenged to provide the best services with limited research and evidence-based practices to guide us. This article presents an interdisciplinary approach to treatment for soldiers with TBI. Method: We compare and contrast the blast-induced brain injury acquired in the military population, designated as the “signature injury of this war,” to “typical” TBI populations. Results and conclusions: We share what we have learned by serving this population and present each discipline's assessments, treatment strategies, outcome measures, and suggestions for navigating the military “mindset” of the soldiers being served.

Design of a Portable Venomanometer System for Episcleral Venous Pressure Measurement

2020 ◽  
Author(s):  
Tze Yeen Yap ◽  
Carl A. Nelson ◽  
Deepta Ghate ◽  
Vikas Gulati ◽  
Shan Fan ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Intracranial Pressure ◽  
Venous Pressure ◽  
Good Alternative ◽  
Slit Lamp ◽  
Military Population ◽  
Episcleral Venous Pressure ◽  
Skilled Operator ◽  
The Military

Abstract Traumatic brain injury (TBI) has been considered a precarious health issue especially within the military population. Research has shown that early treatment of TBI could reduce possible neurocognitive injury. However, the nature of military triage has created challenges for early TBI detection. Intracranial pressure (ICP), which is used as a biomarker of outcomes in TBI, is not only expensive to measure but is also invasive and requires specialized surgical and procedural skills. Episcleral venous pressure (EVP) was proven to be a good alternative biomarker to ICP. However, the current technology in measuring EVP is not portable, and requires a skilled operator with a slit-lamp for testing. Moreover, the measurement is highly subjective and depends on the operator’s skill and technique. Therefore, there is a critical need for alternative technology for non-clinical TBI diagnosis. In this paper, we present an improved venomanometer design for measuring EVP in the field.

scholarly journals Brain Injury: What Influences the Beliefs U.S. Service Members Have About Reporting and Seeking Care?

2021 ◽  
Vol 186 (Supplement_1) ◽  
pp. 546-551
Author(s):  
Kendra Jorgensen-Wagers ◽  
Vanessa Young ◽  
Dawn Collins ◽  
Bianca Chavez ◽  
Dayna Lenski ◽  
...  
Keyword(s):  
Decision Making ◽  
Brain Injury ◽  
Catchment Area ◽  
Service Members ◽  
Sociocultural Factors ◽  
Military Population ◽  
Fort Hood ◽  
Health Decision Making ◽  
Health Decision ◽  
The Military

ABSTRACT Introduction Despite the recent Department of Defense emphasis on traumatic brain injury (TBI) education and improvements in treatment, social, and attitudinal beliefs instilled in the military community hinder seeking medical assistance at the time of injury. This survey research presents injury reporting and care seeking behavioral patterns of service members (SMs) stationed in the Landstuhl catchment area in the context of TBI. This descriptive study investigated whether sociocultural factors influence health decision-making among SMs stationed abroad and how these compare to the SMs stationed in Fort Bliss and Fort Hood. Materials and Methods A total of 969 of U.S. Army, Air Force, and Navy SMs completed a voluntary and anonymous 2- to 5-minute paper survey during the month of March 2019. As a result of illegibility and incompleteness, 15 survey responses were removed from the total sample. Results Data analyses show three main findings about SMs in the Landstuhl catchment area: (a) older population (25-34, ≥48%; 18-24, 26.1%; +35, 25.4%) when compared to Fort Hood and Fort Bliss (≥48%; 18-24); (b) more years in service (7-13 years; 30.2%) versus 6 years or less in both Fort Hood and Fort Bliss (≥69%); (c) 54.8% of participants did not think TBI requires care versus 63.5% in both Fort Bliss and Fort Hood. Conclusion Results suggest that TBI beliefs and influences are constant variables hindering health decision-making choices in the military population. Beliefs about thinking that the injury does not require care, fear to jeopardize the career, and knowledge about TBI and treatments vary among the respondents and all these components influence treatment-seeking behaviors. The findings provide a preliminary framework to further investigate the role of culture in reporting and seeking treatment behaviors among SMs.

scholarly journals Acquired Brain Injury in the Pediatric Intensive Care Unit: Special Considerations for Delirium Protocols

2020 ◽  
Author(s):  
Ana Ubeda Tikkanen ◽  
Sapna R. Kudchadkar ◽  
Sarah W. Goldberg ◽  
Stacy J. Suskauer
Keyword(s):  
Adverse Effect ◽  
Intensive Care ◽  
Brain Injury ◽  
Treatment Strategies ◽  
Interdisciplinary Approach ◽  
Pediatric Intensive Care ◽  
Acquired Brain Injury ◽  
Treatment Protocols ◽  
Antipsychotic Medications ◽  
Similarities And Differences

AbstractThe goal of this article is to highlight the overlapping nature of symptoms of delirium and acquired brain injury (ABI) in children and similarities and differences in treatment, with a focus on literature supporting an adverse effect of antipsychotic medications on recovery from brain injury. An interdisciplinary approach to education regarding overlap between symptoms of delirium and ABI is important for pediatric intensive care settings, particularly at this time when standardized procedures for delirium screening and management are being increasingly employed. Development of treatment protocols specific to children with ABI that combine both nonpharmacologic and pharmacologic strategies will reduce the risk of reliance on treatment strategies that are less preferred and optimize care for this population.

scholarly journals Dementia in military and veteran populations: a review of risk factors—traumatic brain injury, post-traumatic stress disorder, deployment, and sleep

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Zara Raza ◽  
Syeda F. Hussain ◽  
Suzanne Ftouni ◽  
Gershon Spitz ◽  
Nick Caplin ◽  
...  
Keyword(s):  
Risk Factors ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Dementia Risk ◽  
Post Traumatic ◽  
The Military

AbstractThe military population face a unique set of risk factors that may increase the risk of being diagnosed with dementia. Traumatic brain injury (TBI) and post-traumatic stress disorder (PTSD) have a higher prevalence in this group in comparison to the civilian population. By delving into the individual relationships between TBI and dementia, and PTSD and dementia, we are able to better explore dementia in the military and veteran populations. While there are some inconsistencies in results, the TBI-dementia association has become more widely accepted. Moderate-to-severe TBI has been found to increase the risk of being diagnosed with Alzheimer’s disease. A correlation between PTSD and dementia has been established, however, whether or not it is a causal relationship remains unclear. Factors such as blast, combat and chemical exposure may occur during a deployment, along with TBI and/or PTSD diagnosis, and can impact the risk of dementia. However, there is a lack of literature exploring the direct effects of deployment on dementia risk. Sleep problems have been observed to occur in those following TBI, PTSD and deployment. Poor sleep has been associated with possible dementia risk. Although limited studies have focused on the link between sleep and dementia in military and veteran populations, sleep is a valuable factor to study due to its association and interconnection with other military/veteran factors. This review aims to inform of various risk factors to the cognitive health of military members and veterans: TBI, PTSD, deployment, and sleep.

Treatment of Chronic Ankle Instability in the Military Population: A Systematic Review

2022 ◽  
pp. 193864002110682
Author(s):  
Ezra Goodrich ◽  
Bryan Vopat ◽  
Ashley Herda
Keyword(s):  
Patient Population ◽  
Military Service ◽  
English Language ◽  
Ankle Instability ◽  
Case Reports ◽  
Treatment Strategies ◽  
Chronic Ankle Instability ◽  
Lateral Ligament ◽  
Military Population ◽  
The Military

Background The high incidence of ankle sprain within the military sets the stage for prevalent chronic ankle instability. The purpose of this review was to compare and evaluate chronic ankle instability treatment strategies in the military population. Methods Electronic databases were systematically searched in accordance with the Preferred Reporting Items for Systematic Reviews guidelines for English-language, human studies with a military patient population that had been diagnosed with and treated for chronic ankle instability. Exclusion criteria were animal, cadaver, and review studies and case reports. Results Eight studies met the inclusion criteria, representing 695 military service members—625 males (89.9%) and 70 females (10.1%)—and 4 treatment strategies: Broström-related procedures, modified Watson-Jones procedure, Colville’s technique, and anatomic lateral ligament reconstruction using semitendinosus tendon allograft. The percentage of satisfactory outcomes was 100% for Colville’s technique, and ranged from 73.2% to 94.7% for Broström-related procedures and 72% to 80% for the modified Watson-Jones procedure. Mean American Orthopaedic Foot and Ankle Society scores, anterior drawer displacement, talar tilt, and visual analogue scale scores were also reported. Conclusion This review demonstrates that the Bröstrom procedure has consistently satisfactory outcomes within the military population, and Colville’s technique is another promising option for this patient population but would require additional studies to support this claim. Levels of Evidence: Level IV

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