Anosmia After Traumatic Brain Injury: A Clinical Update

2007 ◽  
Vol 8 (1) ◽  
pp. 31-40 ◽  
Author(s):  
Melanie Drummond ◽  
Jacinta Douglas ◽  
John Olver

AbstractMost people only recognise the value of olfactory function after it is lost. In the context of traumatic brain injury with its far-reaching physical, cognitive, behavioural and emotional sequelae, posttraumatic olfactory dysfunction is an additional consequence that many survivors have to face as they adjust to a changed life situation. The aim of this article is to provide an update on posttraumatic anosmia for clinicians working in the area of brain injury rehabilitation. Brief reviews of incidence studies and causal mechanisms of olfactory impairment after brain injury are provided. Consequences of anosmia in the domains of safety, eating, personal hygiene, leisure, work and relationships with associated adaptive strategies are described.

2015 ◽  
Vol 16 (3) ◽  
pp. 196-204 ◽  
Author(s):  
Melanie Drummond ◽  
Jacinta Douglas ◽  
John Olver

Background and aims: As many as 50–60% of patients with traumatic brain injury (TBI) admitted to rehabilitation facilities may have olfactory impairment (OI). These incidence estimates are derived from studies conducted internationally and there is no comparable data available in the Australian context. The primary aim of this study was to identify the incidence of OI following TBI in a consecutive sample of adults admitted to the Epworth Hospital Brain Injury Rehabilitation Program in Victoria, Australia. A secondary aim was to investigate whether age, duration of posttraumatic amnesia (PTA) and presence of facial fractures made a significant contribution to the prediction of severity of OI.Method: The sample comprised 134 adults (mean age 39.09 years, SD 18.36), the majority of whom had sustained moderate to severe injury (PTA mean 21.57 days, SD 18.78). OI was measured using the Pocket Smell Test (PST) and the University of Pennsylvania Smell Identification Test (UPSIT).Results: Seventy-three participants (54.48%) demonstrated OI on the PST whereas 89 (66.42%) demonstrated OI on the UPSIT. Age, PTA duration, and presence of facial fractures predicted 10.3% of the variance in severity of OI.Conclusion: A substantial proportion of adults admitted for rehabilitation following TBI has OI. Accurate assessment and appropriate management of post-traumatic OI must be incorporated into rehabilitation programs.


PsycCRITIQUES ◽  
2007 ◽  
Vol 52 (2) ◽  
Author(s):  
Marios Constantinou ◽  
Maria Karekla ◽  
Despina Hadjikyriacou

Author(s):  
Marc A. Silva ◽  
Jacob A. Finn ◽  
Christina Dillahunt-Aspillaga ◽  
Bridget A. Cotner ◽  
Lillian F. Stevens ◽  
...  

2012 ◽  
Vol 13 (2) ◽  
pp. 256-270 ◽  
Author(s):  
Skye McDonald ◽  
Vicki Anderson ◽  
Jennie Ponsford ◽  
Robyn Tate ◽  
Leanne Togher ◽  
...  

Severe traumatic brain injury (TBI) is the most common cause of brain injury in the Western world and leads to physical, cognitive and emotional deficits that reduce independence. Changes to psychosocial function are the most disruptive, resulting in vocational difficulties, family stress and deteriorating relationships, and are a major target for remediation. But rehabilitation is expensive and its evidence base is limited. Thus, new collaborative initiatives are needed. This article details the development of ‘Moving Ahead’, a model for a Centre of Research Excellence (CRE) for Traumatic Brain Injury Rehabilitation. This CRE offers several major innovations. First, it provides an integrated, multi-faceted approach to addressing psychosocial difficulties embracing different clinical standpoints (e.g., psychological, speech pathology, occupational therapy) and levels of investigation (e.g., basic science to community function) across the lifespan. It is based upon a close relationship with clinicians to ensure transfer of research to practice and, conversely, to ensure that research is clinically meaningful. It provides an integrated platform with which to support and train new researchers in the field via scholarships, postdoctoral fellowships, websites, meetings, mentoring and across-site training, and thus build workforce capacity for individuals with TBI and their families. It has input from the international community to contextualise research more broadly and ensure scientific rigour. Finally, it provides collaboration across sites to facilitate research and data collection.


2010 ◽  
Vol 24 (4) ◽  
pp. 504-513 ◽  
Author(s):  
Solrun Sigurdardottir ◽  
Tone Jerstad ◽  
Nada Andelic ◽  
Cecilie Roe ◽  
Anne-Kristine Schanke

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