Brain Injury & Concussions, Brain Injury Latest Medical News, Brain Injury Rehabilitation, Brain Injury Veteran Issues

Hyperbaric oxygen therapy-not effective in treating post concussive brain injury according to new study

Over the years there has been much interest and controversy in the use of high pressure oxygen therapy (hyperbaric oxygen therapy) for the treatment of traumatic brain injury.

According to a new study published today in the Journal of the American Medical Association –Internal Medicine (JAMA Internal Medicine) oxygen therapy administered in a hyperbaric oxygen chamber is not any more effective than compressed air for the treatment of those suffering from post-concussive traumatic brain injury.

The research involved 72 service members with chronic post-concussive symptoms.  The researchers found that the service members who received high pressure oxygen therapy did not better than patients who were treated with only slightly pressured regular air leading the physicians to conclude that there was only a placebo effect for the use of oxygen therapy in both groups.

The research is the latest in a series of studies sponsored by the Defense Department to determine the effect of oxygen therapy following a traumatic brain injury.

November 17, 2014 | Permalink | Comments (0) | TrackBack

Brain Injury Latest Medical News, Brain Injury Rehabilitation

Race and Ethnicity Affect Brain Injury Rehabilitation and Recovery

Does race and ethnicity affect brain injury rehabilitation?  “Studies show that among minorities who receive rehabilitation after brain injury, health disparities persist and affect long-term outcomes.”  Issues of cultural diversity in acquired brain injury (ABI) rehabilitation. Neurorehabilitation, August 2014  Abstract and first page of article can be found by clicking here

September 8, 2014 | Permalink | Comments (0) | TrackBack

Brain Injury & Concussions, Brain Injury Latest Medical News, Brain Injury Lawyers and Law, Brain Injury Legislative News, Brain Injury Prevention

FDA Warning: No dietary supplements approved to treat concussions or other brain injury.

The Food and Drug Administration (FDA) has issued a warning that there are no approved dietary supplements to treat a concussions or other types of brain injury.

Can a Dietary Supplement Treat a Concussion? No! 

The concussion supplement warning published by the FDA is published in full below:

Exploiting the public's rising concern about concussions, some companies are offering untested, unproven and possibly dangerous products that claim to prevent, treat or cure concussions and other traumatic brain injuries (TBIs).

The Food and Drug Administration (FDA) is monitoring the marketplace and taking enforcement actions where appropriate, issuing warning letters to firms—the usual first step for dealing with claims that products labeled as dietary supplements are intended for use in the cure, mitigation, treatment, or prevention of disease. The agency is also warning consumers to avoid purported dietary supplements marketed with claims to prevent, treat, or cure concussions and other TBIs because the claims are not backed with scientific evidence that the products are safe or effective for such purposes. These products are sold on the Internet and at various retail outlets, and marketed to consumers using social media, including Facebook and Twitter.

One common but misleading claim: Using a particular dietary supplement promotes faster healing after a concussion or other TBI.

Even if a particular supplement contains no harmful ingredients, that claim alone can be dangerous, says Gary Coody, FDA's National Health Fraud Coordinator.

"We're very concerned that false assurances of faster recovery will convince athletes of all ages, coaches and even parents that someone suffering from a concussion is ready to resume activities before they are really ready," says Coody. "Also, watch for claims that these products can prevent or lessen the severity of concussions or TBIs."

A concussion is a brain injury caused by a blow to the head, or by a violent shaking of the head and upper body. Concussions and other TBIs are serious medical conditions that require proper diagnosis, treatment, and monitoring by a health care professional. The long-term impact of concussions on professional athletes and children who play contact sports has recently been the subject of highly publicized discussions.

A growing body of scientific evidence indicates that if concussion victims resume strenuous activities—such as football, soccer or hockey—too soon, they risk a greater chance of having a subsequent concussion. Moreover, repeat concussions can have a cumulative effect on the brain, with devastating consequences that can include brain swelling, permanent brain damage, long-term disability and death.

“There is simply no scientific evidence to support the use of any dietary supplement for the prevention of concussions or the reduction of post-concussion symptoms that would allow athletes to return to play sooner,” said Charlotte Christin, acting director of FDA’s Division of Dietary Supplement Programs.

Click here for more information.

September 1, 2014 | Permalink | Comments (0) | TrackBack

Brain Injury & Concussions, Brain Injury and Sports, Brain Injury Latest Medical News

The location of impact is not predictive of concussion outcome in football collisions

The Centers for Disease Control and Prevention estimates that annually, up to 3.8 million sport-related concussions occur in the United States.1 For adolescents and young adults, sports, such as football, account for a substantial proportion of these concussions.

There has been little research assessing the role of impact location on concussion outcome.  A recent study published online, August 14, 2014 in the Journal Pediatrics, Impact Locations and Concussion Outcomes in High School Football Player-to-Player Collisions, attempts to answer this question.

The study concluded that, “among high school football players who sustained concussions due to player-to-player collisions, concussion outcomes were generally independent of impact location.”

Pediatrics 2014;134:489–496

August 22, 2014 | Permalink | Comments (0) | TrackBack

Brain Injury & Concussions, Brain Injury Latest Medical News, Brain Injury Publications, Brain Injury Rehabilitation, Brain Injury Veteran Issues

VA develops concussion app to assist in concussion management

The Veterans Administration has developed a new mobile app that provides information on concussion symptoms and the self-management of the common symptoms following a concussion.

The concussion app’s main goals are:

  • To provide education about a concussion
  • To provide a 22 question inventory about symptoms that may develop following a concussion including dizziness, balance problems, headaches, memory and concentration impairments,
  • To provide tools to assist individuals properly manage the symptoms of mild traumatic brain injury when they develop
  • To provide resources and support for professional care and web sites with information about traumatic brain injury.
  • The app can be used by anyone and is not restricted to veterans. 

More information is available by clicking here

 

 

July 31, 2014 | Permalink | Comments (0) | TrackBack

Brain Injury & Concussions, Brain Injury Latest Medical News, Brain Injury Rehabilitation, Brain Injury Veteran Issues

Post Concussion Sleep Issues-Department of Defense Issues New Recommendations

New recommendations from the U.S. Department of Defense (DOD) advise that all patients with concussion symptoms should be screened for the presence of a sleep disorder and patients.  Additionally, patients should be asked if they are experiencing frequent difficulty in falling or saying asleep, excessive daytime sleepiness or usual events during sleep.

These new recommendations were released this month by DOD along with support tools to assist in the identification and treatment of sleep disturbance in persons following mild traumatic brain injury, also known as a concussion.

Sleep disorders are a frequent symptom following a concussion and must be identified and treated as soon as possible.  According to many medical experts, a good sleep cycle is critical to the brain’s ability to heal and recover following a concussion. 

The new Management of Sleep Disturbances following Acute Concussion/Mild TBI Recommendations suite is composed of clinical recommendations, a clinical support tool, a provider education slide deck and a patient education fact sheet.  More information can be obtained by clicking here.

July 24, 2014 | Permalink | Comments (0) | TrackBack

Brain Injury Latest Medical News

Social Workers Can Assist Patients to Recover from a Traumatic Brain Injury

A 20 minute conversation with a social worker has the potential to reduce the functional decline of persons diagnosed with mild traumatic brain injury according to a recent study published in May in the Journal, Brain Injury: The emergency department social work intervention for mild traumatic brain injury.  A pilot study.  Brain Injury, 2014; 28 (4): 448

Mild traumatic brain injury is often difficult to detect and may go undiagnosed in the emergency department of a hospital.  Common symptoms of a concussion or mild traumatic brain include headache, nausea, vomiting, dizziness, blurred vision, fatigue and sleep disturbances.  According to the Centers for Disease Control (CDC) not everyone gets all of these symptoms and not all symptoms appear at once.  Some individuals do not develop some or all of these symptoms for days or even weeks after the initial brain injury.

 

If a patient does go to the emergency room to be evaluated, he or she may go home thinking they’re OK, but then begin to develop these physical symptoms including problems with memory, concentration and multi-tasking when doing routine tasks. 

 

That’s why it is important that all individual with seen in the emergency department receive a consultation with a social worker before they are discharged.  The social worker can provide patients with information about what may happen to them over the next several days or weeks.  The social worker can suggest potential coping strategies, provide resources in case these symptoms develop for proper follow up care and ease the mind of the individual.   

July 15, 2014 | Permalink | Comments (0) | TrackBack

Brain Injury Latest Medical News

Almost Half of Homeless Men Had Traumatic Brain Injury in Their Life

In a study investigating traumatic brain injury (TBI) in the homeless population of Toronto, it was determined that almost half of all homeless men who took part in the study had suffered at least one traumatic brain injury in their life and 87 percent occurred before these men lost their homes. The study is published in the journal CMAJ Open.  "Traumatic brain injury among men in an urban homeless shelter"

Another study published by Dr. Stephan Hwang in the Journal of Head Trauma Rehabilitation found that the number of individuals who are homeless or vulnerably housed and who have suffered a traumatic brain injury may be as high as 61 percent-seven times higher than the general population.  Almost half of homeless men had traumatic brain injury in their lifetime  

The important question raised by these studies: Is TBI a risk factor for homelessness?

 

 

July 10, 2014 | Permalink | Comments (0) | TrackBack

Brain Injury Latest Medical News, Brain Injury Veteran Issues

Traumatic brain injury and risk of dementia in older veterans

Traumatic brain injury and risk of dementia in older veterans

An important study was published today, Traumatic brain injury and risk of dementia in older veterans in the Journal Neurology. The study has important implications for all those who have suffered a traumatic brain injury, but most importantly for individuals including athletes who have sustained repetitive head trauma. 

Traumatic brain injury (TBI) is common in military personnel, and there is growing concern about the long-term effects of TBI on the brain; however, few studies have examined the association between TBI and risk of dementia in veterans.

The study concludes: “TBI in older veterans was associated with a 60% increase in the risk of developing dementia over 9 years after accounting for competing risks and potential confounders. Our results suggest that TBI in older veterans may predispose toward development of symptomatic dementia and raise concern about the potential long-term consequences of TBI in younger veterans and civilians.”

You can read more by clicking here.

 

July 1, 2014 | Permalink | Comments (0) | TrackBack

Brain Injury Latest Medical News

Large increase seen in emergency departments visits for traumatic brain injury

Between 2006 and 2010, there was a nearly 30 percent increase in the rate of visits to an emergency department for traumatic brain injury, which may be attributable to a number of factors, including increased awareness and diagnoses, according to a study in the May 14 issue of JAMA.

May 21, 2014 | Permalink | Comments (0) | TrackBack