April 29, 2024

Not Just a One-Time Event – New Research Reveals That Traumatic Brain Injuries Are Chronic Conditions

The study involved individuals at 18 level 1 injury center hospitals with a typical age of 41. A total of 917 individuals had mild TBI and 193 individuals had moderate to serious TBI. They were matched to 154 individuals with orthopedic injuries however no head injuries. Individuals were followed for up to seven years.

Participants took three tests on thinking, memory, mental health, and ability to work with everyday activities every year from two to seven years post-injury. They also completed an interview on their symptoms and abilities, including headache, tiredness, and sleep disturbances.
When scientists looked at all test scores integrated, 21% of individuals with moderate TBI experienced decline, compared to 26% of people with moderate to serious TBI and 15% of people with orthopedic injuries without any head injury.
Among the 3 tests, scientists saw the most decline over the years in the ability to function with day-to-day activities. Typically, over the course of 2 to 7 years post-injury, a total of 29% of those with moderate TBI decreased in their capabilities, and 23% of those with moderate to serious TBI.
Some people showed enhancement in the very same location, with 22% of those with moderate TBI enhancing over time and 36% of those with moderate to severe TBI.
” These findings point out the requirement to acknowledge TBI as a chronic condition in order to establish appropriate care that supports the developing needs of people with this condition,” Brett stated. “This kind of care ought to position a higher focus on helping people who have shown improvement continue to enhance and carrying out greater levels of assistance for those who have revealed decline.”
A restriction of the study was that all individuals were seen at a level 1 injury center healthcare facility within 24 hours of their injury, so the findings may not apply to other populations.
Recommendation: “Long-term Multi-domain Patterns of Change Following Traumatic Brain Injury: A TRACK-TBI LONG Study” by Benjamin L Brett, Nancy Temkin, Jason K. Barber, David O. Okonkwo, Murray Stein, Yelena G Bodien, John Corrigan, Ramon Diaz-Arrastia, Joseph T. Giacino, Michael A McCrea, Geoffrey T. Manley and Lindsay Nelson, for TRACK-TBI Investigators, 21 June 2023, Neurology.DOI: 10.1212/ WNL.0000000000207501.
The study was moneyed by the National Institute of Neurological Disorders and Stroke, the National Institute on Aging, the National Football League Scientific Advisory Board, and the U.S. Department of Defense.

A current research study suggests that terrible brain injury (TBI) need to be considered a persistent condition, as its impacts may continue to regress or advance for several years after the initial injury. The research study, involving individuals with differing severity of TBI, revealed that a considerable proportion showed changes (both enhancements and declines) in cognitive capabilities and day-to-day working as much as 7 years post-injury, highlighting the need for ongoing care tailored to these evolving requirements.
Research study reveals that function may improve, decline approximately 7 years after injury.
According to a study recently released in Neurology, the medical journal of the American Academy of Neurology, people with traumatic brain injury (TBI) may experience continuous changes, either enhancements or decreases, years after the injury, making it a more chronic health problem.
” Our results challenge the idea that TBI is a one-time event with a stagnant outcome after a brief duration of healing,” stated study author Benjamin L. Brett, Ph.D., of the Medical College of Wisconsin in Milwaukee. “Rather, individuals with TBI continue to reveal improvement and decline throughout a series of locations including their ability to operate and their thinking abilities.”
The study included people at 18 level 1 trauma center hospitals with an average age of 41. A total of 917 people had moderate TBI and 193 people had moderate to severe TBI. They were matched to 154 people with orthopedic injuries however no head injuries. Participants were followed for as much as 7 years.