Occupational Needs and Intervention Strategies for Military Personnel with Mild Traumatic Brain Injury and Persistent Post-Concussion Symptoms: A Review

2014 ◽  
Vol 34 (3) ◽  
pp. 150-159 ◽  
Author(s):  
Alison M. Cogan
Brain Injury ◽  
2014 ◽  
Vol 28 (7) ◽  
pp. 896-899 ◽  
Author(s):  
Norman Jones ◽  
Nicola T. Fear ◽  
Roberto Rona ◽  
Mohammed Fertout ◽  
Gursimran Thandi ◽  
...  

2008 ◽  
Vol 39 (8) ◽  
pp. 1379-1387 ◽  
Author(s):  
N. T. Fear ◽  
E. Jones ◽  
M. Groom ◽  
N. Greenberg ◽  
L. Hull ◽  
...  

BackgroundMild traumatic brain injury (mTBI) is being claimed as the ‘signature’ injury of the Iraq war, and is believed to be the cause of long-term symptomatic ill health (post-concussional syndrome; PCS) in an unknown proportion of military personnel.MethodWe analysed cross-sectional data from a large, randomly selected cohort of UK military personnel deployed to Iraq (n=5869). Two markers of PCS were generated: ‘PCS symptoms’ (indicating the presence of mTBI-related symptoms: none, 1–2, 3+) and ‘PCS symptom severity’ (indicating the presence of mTBI-related symptoms at either a moderate or severe level of severity: none, 1–2, 3+).ResultsPCS symptoms and PCS symptom severity were associated with self-reported exposure to blast whilst in a combat zone. However, the same symptoms were also associated with other in-theatre exposures such as potential exposure to depleted uranium and aiding the wounded. Strong associations were apparent between having PCS symptoms and other health outcomes, in particular being a post-traumatic stress disorder or General Health Questionnaire case.ConclusionsPCS symptoms are common and some are related to exposures such as blast injury. However, this association is not specific, and the same symptom complex is also related to numerous other risk factors and exposures. Post-deployment screening for PCS and/or mTBI in the absence of contemporaneous recording of exposure is likely to be fraught with hazards.


2015 ◽  
Vol 20 (Special Issue) ◽  
Author(s):  
Saeid Rezaei Jouzdani ◽  
Ali Ebrahimi ◽  
Maryam Rezaee ◽  
Mehdi Shishegar ◽  
Abbas Tavallaii ◽  
...  

2012 ◽  
Vol 27 (1) ◽  
pp. 33-44 ◽  
Author(s):  
Roberto J. Rona ◽  
Margaret Jones ◽  
Nicola T. Fear ◽  
Lisa Hull ◽  
Dominic Murphy ◽  
...  

2020 ◽  
Vol 185 (Supplement_1) ◽  
pp. 176-183 ◽  
Author(s):  
Morgan K McGrath ◽  
Susan M Linder ◽  
Mandy Miller Koop ◽  
Nicole Zimmerman ◽  
Maj Aaron J Ballantyne ◽  
...  

ABSTRACT Introduction Military personnel and civilian athletes are both at risk for mild traumatic brain injury. However, these groups are unique in their training and typical daily activities. A fundamental gap in the evaluation of military personnel following mild traumatic brain injury is the lack of military-specific normative reference data. This project aimed to determine if a separate normative sample should be used for military personnel on their performance of the Cleveland Clinic Concussion application and a recently developed dual-task module. Methods Data were collected from healthy military personnel (n = 305) and civilians (n = 281) 18 to 30 years of age. Participants completed the following assessments: simple and choice reaction time, Trail Making tests A&B, processing speed test, single-task postural stability, single-task cognitive assessment, and dual-task assessment. Results Civilian participants outperformed military service members on all cognitive tasks under single- and dual-task conditions (P ≤ 0.04). The military group outperformed civilians on all postural stability tasks under single- and dual-task conditions (P ≤ 0.01). Conclusion Differences in cognitive performance and postural stability measures may be influenced by demographic differences between military and civilian cohorts. Thus, military-specific normative datasets must be established to optimize clinical interpretation of Cleveland Clinic Concussion assessments.


US Neurology ◽  
2013 ◽  
Vol 09 (01) ◽  
pp. 61 ◽  
Author(s):  
M Teresa Magone ◽  
Glenn C Cockerham ◽  
Soo Y Shin ◽  
◽  
◽  
...  

Approximately half of all military personnel who have served in the conflicts in Iraq and Afghanistan are reported to have some degree of combat-related mild traumatic brain injury (TBI). Although in civilian concussion injuries symptoms typically resolve within several weeks, blast-induced mild TBI may be accompanied by prolonged symptoms and afferent and efferent visual dysfunction. Most commonly near vision problems and photophobia are the presenting symptoms. A complete eye exam including vision testing, oculomotor function, and near tasking, is highly recommended after blast-induced mild TBI to detect and improve symptoms in this young patient population. A review of the current literature is presented.


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