Behavioral Assessment of Mild Traumatic Brain Injury (mTBI)

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Mild traumatic brain injury (mTBI) is becoming more prevalent every year, “with an incidence of about 100 to 300 per 100 000” (Konrad et al 2010). Mild traumatic brain injury or concussion can be the result of any minor trauma to the head from accident, sports related injury, blast injury, or fall. “Possible acute symptoms of mTBI comprise short-time unconsciousness, headache, dizziness, irritability, anxiety and impaired neuropsychological functions such as reduced attention, concentration or memory problems” (Evans, 1992; Hall et al. 2005 as cited by Konrad et al 2010). Some people who sustain a mTBI return to base level of function within hours and some take up to two months, there are even those that years later have not fully return to base level functioning resulting in the impairment of daily functioning.

There are several methods to assess behavior post-mTBI, most of these tests are traditional pen and paper test but there are also computer-based tests. One of the difficulties with current mTBI assessment is the time it takes to complete them. Most mTBI assessments use several tests and take an estimated seven hours to complete. The three studies that follow each explore different behavioral assessments for mTBI.

Konrad et al (2010) hypothesized that mTBI resulted in sustained functional and emotional effects and cognitive impairments even six years after the trauma took place.

In their study Konrad and colleagues recruited 33 mTBI subjects and matched up 33 control subjects. The following criteria determined the mTBI subjects: fluency in the German language, documented proof of diagnosis, aged between 18 and 65 at the time of assessment, a score 13-15 on the Glasgow Coma Scale taken 30 minutes after the su...

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... trauma, or could there be a genetic link? Therefore it is paramount to the welfare of people with mTBI that we find an accurate means of predicting whether these individuals will eventually return to their baseline level of function.

Works Cited

Konrad, C., Geburek, A. J., Rist, F., Blumenroth, H., Fischer, B., Husstedt, I., …Lohmann, H. (2011). Long-term cognitive and emotional consequences of mild traumatic brain injury. Psychological Medicine, 41, 1197-1211.

Raskin, S. A., Mateer, C. A., & Tweeten, R. (1998). Neuropsychological assessment of individuals with mild traumatic brain injury. The Clinical Neuropsychologist, 12(1), 21-30.

Schatz, P., Pardini, J. E., Lovell, M. R., Collins, M. W., & Podell, K. (2006). Sensitivity and specificity of the ImPACT Test Battery for concussion in athletes. Archives of Clinical Neuropsychology, 21, 91-99.

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