Mild Traumatic Brain Injury: Adapting to Consequences

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Australasian Journal of Neuroscience

Australian Association of Neuroscience Nursing

Subject: Nursing

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ISSN: 1032-335X
eISSN: 2208-6781

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VOLUME 25 , ISSUE 2 (October 2015) > List of articles

Mild Traumatic Brain Injury: Adapting to Consequences

Nutthita Petchprapai *

Keywords : mild brain injury, post-concussion, adaptation, mild head injury, traumatic brain injury

Citation Information : Australasian Journal of Neuroscience. Volume 25, Issue 2, Pages 12-19, DOI: https://doi.org/10.21307/ajon-2017-115

License : (CC BY-NC-ND 4.0)

Published Online: 10-January-2018

ARTICLE

ABSTRACT

Mild traumatic brain injury (mTBI) affects more than 28,000 individuals annually in Thailand; however, little information about outcome after mTBI is known. This investigation aimed to explore consequences of mTBI among Thai adults who experienced mTBI in the previous 3-12 months.

A sample of 135 adults was interviewed. Subjects were typically men, middle aged and approximately half were married. All completed the compulsory level of education in Thailand and were in the low income bracket. Subjects had Glasgow Coma Scores 14/15 at 30 minutes after injury and 15/15 (full score) after 3 days. Subjects reported low post-concussion symptoms scores and few depressive symptoms. All subjects worked or studied before the injury and almost of them returned to normal lives at the time of interview. However, 18% did experience moderately severe disability and 1.5% suffered severe disabilities.

Future studies with longitudinal, comparison, or predictive methodology with reduced but relevant variables are suggested. Measures used in this study demonstrated reliability, supporting their use in Thailand. Providing health education and printed information regarding outcomes and disability after mTBI is recommended. Further study of the small but clinically important percentage of subjects who experience ongoing disability after mTBI is needed.

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REFERENCES

  1. Bell, BD., Primeau, M, Sweet, JJ and Lofland, KR.(1999). ‘Neuropsychological functioning in migraine headache, nonheadache chronic pain, and mild traumatic brain injury patients’, Archives of Clinical Neuropsychology, Vol. 14, No 4: pp. 389-399.
  2. Englander, J., Hall, K, Stimpson, T and Chaffin, S(1992). ‘Mild traumatic brain injury in an insured population: Subjective complaints and return to employment’, Brain Injury, Vol. 6, No 2: pp. 161-166.
  3. Fawcett, J. (2000). Analysis and evaluation of contemporary nursing knowledge: Nursing models and theories. Philadelphia: F. A. Davis Company.
  4. Fawcett, J. (2002). ‘The nurse theorists: 21st-century updates-Calista Roy’, Nursing Science Quarterly, Vol. 15, No 4: pp. 308-310.
  5. Gouvier, WD., Cubic, B, Jones, G, Brantley, P and Cutlip,Q. (1992) ‘Postconcussion symptoms and daily stress in normal and head-injured college populations’, Archives of Clinical Neuropsychology, Vol. 7, No 3: pp. 193-211.
  6. Gouvier, WD., Uddo-Crane, M and Brown, LM (1988). ‘Base rates of post-concussional symptoms’, Archives of Clinical Neuropsychology, Vol. 3, No 3: pp. 273-278.
  7. Hanna-Pladdy, B., Berry, ZM,. Bennett, T., Phillips, HL. and Gouvier, WD (2001). ‘Stress as a diagnostic challenge for  postconcussive symptoms: Sequelae of mild traumatic brain injury or physiological stress response’, Clinical Neuropsychology, Vol. 15, No 3: pp. 289-304.
  8. Jennett, B., Snoek, J., Bond, MR. and Brooks, N.(1981). ‘Disability after severe head injury: Observations on the use of the Glasgow Outcome Scale’, Journal of Neurology, Neurosurgery, and Psychiatry, Vol. 44, No 4:pp. 285-293.
  9. Kay, T, Newman, B, Cavallo, M, Ezrachi, O and Resnick, M (1992). ‘Toward a neuropsychological model of functional disability after mild traumatic brain injury’, Neuropsychology, Vol. 6, No 4: pp. 371-384.
  10. Kuptniratsaikul, V, Chulakadabba, S and Ratanavijitrasil, S (2002). ‘An instrument for assessment of depression among spinal cord injury patients: Comparison between the CES-D and TDI’, Journal of Medical Association of Thailand: Chotmaihet 
    Thangphaet, Vol. 85, No 9” pp. 978-983.
  11. Lam, C, Lin, MR, Chu, SF, Tsai, SH, Bai, CH, and Chui,WT (2015). ‘The effect of various types of motorcycle helmets on cervical spine injury in head injury patients: A multicenter study in Taiwan’, Biomed Research International, doi:
    10.1155/2015/487985. Epub 2015 Feb 1, Viewed March 9, 2015, http://dx.doi.org/10.1155/2015/487985.
  12. Maharat Nakhon Ratchasima Hospital, (2014). Nakhonratchasima,Thailand, Viewed January 30, 2014,
    http://www.mnrh.go.th/th/info.php?act=mnrh&id=1
  13. Martelli, MF, Zaster, ND and MacMillan, P (1998). ‘Mediating the relationship between injury, impairment and disability: A vulnerability, stress and coping models of adaptation following brain injury’, NeuroRehabilitation, Vol. 11, No 1: pp. 51-66.
  14. McCauley, SR, Boake, C, Levin, HS, Contant, CF and Song, JX (2001). ‘Postconcussional disorder following mild to moderate traumatic brain injury: Anxiety, depression, and social support as risk factors and comorbidities’, Journal of Clinical and Experimental Neuropsychology, Vol. 23, No 6: pp. 792-808.
  15. Mock, CN, Maier, RV, Boyle, E, Pilcher, S and Rivara, FP (1995). ‘Injury prevention strategies to promote helmet use decrease severe head injury at a level I trauma center’, Journal of Trauma, Vol. 39, No 1: pp. 29-35
  16. Narenthorn Trauma Center (2014). Report of traffic accident during Thai New Year 2004, viewed January 31, 2014, http://203.157.240.12/bie/acc_report/acc_report_newyear04.php
  17. Phuenpathom, N, Tiensuwan, M, Ratanalert, S and Saeheng, S (2000). ‘The changing pattern of head injury in Thailand’, Journal of Clinical Neuroscience, Vol. 7, No 3: pp. 223-225.
  18. Roy, C (April, 2005). The Roy Adaptation Model: Application of theory to evidence-based practice in nursing, Lecture present at University of Akron College of Nursing, Akron, OH.
  19. Roy, C and Roberts, SL (1981). Theory construction in nursing: An adaptation model. New Jersey:Prentice-Hall, Inc.
  20. Ruffolo, CF, Friedland, JF, Dawson, DR, Colantonio, A and Lindsay, PH. (1999). ‘Mild traumatic brain injury from motor vehicle accidents: Factors associated with return to work’, Archives of Physical Medicine and Rehabilitation, Vol. 80, No 4: pp. 392-98.
  21. Sander, A. (2002). The Extended Glasgow Outcome Scale. The Center for Outcome Measurement in Brain Injury, viewed April 24, 2006, http://www.tbims.org/combi/gose
  22. Sawchyn, JM, Brulot, MM and Strauss, E. (2000). ‘Note on the use of Postconcussion Syndrome Checklist’,Archives of Clinical Neuropsychology, Vol.15, No 1: pp. 1-8.
  23. Sparrow, BJ. (2002). ‘Coping resources and the development of persistent postconcussional syndrome after a mild traumatic brain injury’, Dissertation Abstracts International, Vol. 64, No 9: pp. 4669,UMI No. 3106598.
  24. Srisaeng, P. (2003). ‘Self-esteem, stressful life events, social support, and post-partum depression in adolescent mothers in Thailand’, Dissertation Abstracts International, Vol. 4, No 10, pp. 4867,UMI Number 3107708.
  25. Suriyawongpaisal, P. and Kanchanasut, S. (2003). ‘Road traffic injuries in Thailand: Trends, selected underlying determinants and status of intervention’,Injury Control and Safety Promotion, Vol. 10, No 1-2: pp. 95-104.
  26. Trangkasombat, U, and Likanapichitkul, D. (1997). ‘The children’s depression inventory as a screen for depression in Thai children’ Journal of Medical Association of Thailand, Vol 80, No 8, pp. 491-499.
  27. Wilson, BA (1998). ‘Recovery of cognitive functions following nonprogressive brain injury’, Current Opinion in Neurobiology, Vol. 8, No 2: pp. 281-287.
  28. Wilson, JT, Pettigrew, LE and Teasdale, GM (2000). ‘Emotional and cognitive consequences of head injury in relation to the Glasgow outcome scale’,Journal of Neurology Neurosurgery & Psychiatry,Vol. 69, No 2: pp. 204-209.

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