Mardon Neuro-Rehabilitation Centre
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Research outputs from the Mardon Neuro-Rehabilitation Centre at the RD&E.
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Item Neuropsychological Assessment of mTBI in Adults(Springer, 2019-11) Yates, Philip J; Reuben, AdamMild traumatic brain injury (mTBI), comprising 70–80% of all TBIs, is the commonest form of TBI, representing those injuries deemed to be at the lower end of the severity spectrum. In the general population, mTBI may occur as a result of a fall, work-related injury, sport or recreational activity, assault, motor vehicle accident, or any other activity that results in an impact to the head, but in military service, members’ blast-related and combat injuries are a further source of such injuries. There are various classification criteria for determining severity of TBI. mTBI is indicated by a Glasgow Coma Scale (GCS) score of 13–15 at the time of assessment, a duration of loss of consciousness (LOC) of less than 30 minutes, and/or a duration of post-traumatic amnesia (PTA) of less than 24 hours. In terms of the clinical pathology, mTBI is characterized by a diverse range of clinical features, demonstrating tremendous heterogeneity of the underlying pathology. Individuals suffering from mTBI may report a range of enduring1+ symptoms for weeks, months, and even years post-injury. In over 90% of mTBI cases, computed tomography (CT) and structural magnetic resonance imaging (MRI) investigation are unremarkable; however, with the more sophisticated brain function-related techniques abnormalities may be detected. While many mTBIs tend to result in a recovery period of days or weeks, this is not the case for all mTBIs. In some instances, the use of the classification “mild” is a misnomer, particularly for the group of patients that experience a prolonged recovery and meet criteria for persistent concussional symptoms/post-concussion syndrome (PCS). This review will focus on the post-injury cognitive sequelae and neuropsychological assessment in the management of mTBI, in the context of pre-injury characteristics and other post-injury sequelae.Item Assessment of a home-based standing frame programme in people with progressive multiple sclerosis (SUMS): a pragmatic, multi-centre, randomised, controlled trial and cost-effectiveness analysis(Elsevier, 2019-08) Jarrett, LouisePeople severely impaired with progressive multiple sclerosis spend much of their day sitting, with very few options to improve motor function. As a result, secondary physical and psychosocial complications can occur. Effective and feasible self-management strategies are needed to reduce sedentary behaviour and enhance motor function. In this study, we aimed to assess the clinical and cost effectiveness of a home-based, self-managed, standing frame programme.31301748Item “I’m in a very good frame of mind”: the experience of standing frame use in people with progressive multiple sclerosis(Elsevier, 2019-01) Jarrett, LouiseItem Experiences of stroke survivors, their families and unpaid carers in goal setting within stroke rehabilitation: a systematic review of qualitative evidence.(Wolters Kluwer, 2018-06) Lloyd, Anna; Bannigan, K.; Sugavanam, T.; Freeman, J.The objective of the review was to synthesize the best available qualitative evidence regarding the experiences of stroke survivors, their families and unpaid carers, about goal setting within stroke rehabilitation.