该杂志涉及与脑损伤的病因学、流行病学、治疗和结果相关的主题，特别关注对功能状态、参与、康复和生活质量的影响。学科反映了广泛的多学科范围，包括神经科学、神经病学、神经心理学、精神病学、临床心理学、职业治疗、物理治疗、言语病理学、社会工作和护理。欢迎提交在整个生命周期内影响大脑功能的所有疾病（中风、肿瘤、进行性神经系统疾病、痴呆、创伤性脑损伤、癫痫等）。

The journal "Brain Impairment" focuses on topics related to the etiology, epidemiology, treatment, and outcomes of brain injuries, with particular emphasis on their impact on functional status, participation, rehabilitation, and quality of life. The disciplines represented reflect a broad multidisciplinary scope, including neuroscience, neurology, neuropsychology, psychiatry, clinical psychology, occupational therapy, physical therapy, speech pathology, social work, and nursing. Submissions are welcome for all diseases that affect brain function throughout the lifespan, including stroke, tumors, progressive neurological diseases, dementia, traumatic brain injury, and epilepsy.

《Brain Impairment》期刊关注脑损伤的病因学、流行病学、治疗及其结果，特别强调这些因素对功能状态、参与度、康复及生活质量的影响。该期刊的学科范围广泛，涵盖神经科学、神经病学、神经心理学、精神病学、临床心理学、职业治疗、物理治疗、言语病理学、社会工作和护理等多个领域。欢迎提交所有影响大脑功能的疾病相关研究，包括中风、肿瘤、进行性神经系统疾病、痴呆、创伤性脑损伤和癫痫等。

Brain Impairment

Background Depression is commonly studied post stroke, while anxiety is less studied. This study presents prevalence of depression and anxiety at 1- and 12-months post ischemic stroke alongside three methods for examining within-subjects change over time. Methods Participants were ischemic stroke patients of the Auckland Regional Community Stroke Study (ARCOS-V) with Hospital Anxiety and Depression Scale data at 1- (n = 343) and 12-months (n = 307). Change over time was examined using within-subjects repeated measures ANOVA, calculation of the Reliable Change Index, and a Sankey diagram of those meeting cut-off scores (&gt;7) for caseness over time. Results Using repeated measures ANOVA, depression scores didn’t change significantly over time, while anxiety symptoms decreased significantly. When reliable change was calculated, 4.2% of individuals had reliable decreases in anxiety symptoms, while 5.7% had reliable decreases in depression symptoms. Those who had a reliable decrease in one tended to have a reliable decrease in the other. In the Sankey, the proportion of those meeting the cut-off score for anxiety did not change over time (12.8 and 12.7% at 1- and 12-months), while those meeting the cut-off for depression increased slightly (3.7–4.5%) and those meeting cut-offs for both decreased from 10.4 to 8.1%. Conclusion The three methods produced very different findings. Use of cut-off scores is common but has limitations. Calculation of clinically reliable change is recommended. Further work is needed to ensure depression and anxiety are monitored over time post-stroke, and both should be the subject of intervention efforts in both acute and late stages post-stroke.

Suzanne Barker-Collo

Rita Krishnamurthi

Balakrishnan Nair

Anna Ranta

Jeroen Douwes

Valery Feigin

Depression and anxiety at 1- and 12-months post ischemic stroke: methods for examining individual change over time

卒中后1个月和12个月的抑郁和焦虑：探讨个体随时间变化的方法

Abstract Introduction: Services to support adults with acquired brain injury (ABI) and return to work goals are varied. In Queensland, Australia, return to work goals may be addressed through private or publicly funded rehabilitation services or through publicly funded employment programs. No set frameworks or processes are in place to guide clinicians in providing vocational rehabilitation to adults with ABI, and the extent to which services address clients’ vocational goals and/or provide vocational rehabilitation is unknown. Method: This qualitative study investigated the clinical practice and experiences of allied health rehabilitation clinicians (n = 34) to identify current practice in providing vocational rehabilitation to adults with ABI, including pathways and services; models, frameworks and tools; and recommendations for ideal services. Focus groups and online surveys were conducted, with data analysed via content analysis. Results: ABI vocational rehabilitation was inconsistently delivered within and across services in Queensland, with differences in access to services, aspects of vocational rehabilitation provided and timeframes for rehabilitation. Five key themes were identified regarding ABI vocational rehabilitation and service delivery in Queensland: Factors influencing ABI and return to work; Service provision; ABI vocational rehabilitation processes (including assessment tools and interventions); Service gaps; and Ideal ABI vocational rehabilitation services. Discussion: These findings can inform clinical practice and development, and current and future service delivery models for ABI vocational rehabilitation.

Kerrin Watter

Alena Murray

Vanette McLennan

Jessica Vogler

Shelley Ehlers

Sarah Jeffery

Mandy Nielsen

Areti Kennedy

Clinician perspectives of ABI vocational rehabilitation in Queensland

昆士兰颅脑损伤职业康复的临床医生观点

Background We aimed to investigate the association between protein intake and quadriceps quantity and quality on the paretic and non-paretic sides during rehabilitation in people with subacute stroke. Method Eighty-six people with stroke were recruited from a rehabilitation ward. We measured quadriceps muscle quantity and quality on the paretic and non-paretic sides using ultrasonography at admission and after 4 weeks. Protein intake was assessed 2 or 3 weeks after admission, and participants were classified into two groups: adequate and inadequate protein intake groups. Analysis of covariance was used to determine the effects of protein intake on quadriceps muscle quantity and quality. Results The mean age (standard deviation), median interval between stroke onset and admission (interquartile range) and male proportion of the study participants were 67.6 (13.5) years, 22.5 (16.8–31.3) days, and 54.7%, respectively. The adequate protein intake group showed significantly greater improvements in paretic-side quadriceps thickness than the inadequate group (group-by-time interaction, F = 8.771, P = 0.004). In contrast, no significant interactions were observed in quadriceps thickness on the non-paretic side (F = 2.383, P = 0.127) and quadriceps echo intensity on both sides (paretic-side: F = 0.020, P = 0.887, non-paretic side: F = 0.181, P = 0.672). Conclusions Adequate protein intake may be useful for improving quadriceps quantity on the paretic side in people with subacute stroke undergoing rehabilitation. However, quadriceps quantity on the non-paretic side and quadriceps quality on both sides were not significantly associated with adequate protein intake.

Shu Tanaka

Mizue Suzuki

Yosuke Kimura

Shingo Koyama

Hiroaki Masuda

Iwao Kojima

Katsumi Suzukawa

Kenichiro Takasugi

Minoru Yamada

Association between adequate protein intake and quadriceps quantity and quality during rehabilitation in people with subacute stroke

亚急性期卒中患者康复期间充足蛋白质摄入与股四头肌数量和质量的关系

Background and objectives Falls research has explored the characteristics of patients with a brain injury who experienced falls and the nature of these falls. However, the characteristics of falls with consequence have not yet been investigated. This study aimed to explore the consequences of patient falls in inpatient brain injury rehabilitation. Method Data were retrospectively analysed from incident reports and patient medical charts. Participants were included who had fallen during brain injury rehabilitation at a metropolitan hospital between January 2017 and December 2021. Falls with a reported consequence including pain, laceration, soft tissue injury, fracture and traumatic brain injury (consequential falls) were compared to falls that did not have a consequence. Significant patient and fall variables for a fall with consequence were explored. Results Over the 5-year study period 855 patients were admitted and 161 patients (64% male) experienced 276 falls. Of the 161 patients, 90 (56%) experienced a consequence from one or more falls, with 119 (43%) of falls having consequences. The odds of a consequential fall increased 1.03 times for each year increase in age. The odds of a consequential fall in autumn, winter, and spring were two to three times higher than in summer and were 3.6 times higher when the fall was unwitnessed by staff. Conclusions More falls with consequence occurred with increasing age and when unwitnessed by staff. This knowledge supports the need for older persons to have additional supervision and assistance during inpatient brain injury rehabilitation to reduce harm from falls.

Kathryn Marshall

Janelle Griffin

Joshua Knowles

Shannon Galletly

Freyr Patterson

Ryan Bell

Falls on an inpatient brain injury rehabilitation unit … What are the consequences?

脑损伤康复病房跌倒的后果是什么？

Michelle McIntyre

Jennifer Cullen

Caoilfionn Turner

India Bohanna

Ali Lakhini

Kylie Rixon

Corrigendum to: The development of a cognitive screening protocol for Aboriginal and/or Torres Strait Islander peoples: the Guddi Way screen

勘误：为澳大利亚原住民和/或托雷斯海峡岛民开发的认知筛查方案：Guddi Way筛查

Background Wearable devices, such as accelerometers, offer novel approaches to measuring post-stroke upper limb activity. Limited studies have explored feasibility of accelerometry. Guided by the Bowen Feasibility Framework, this feasibility study aimed to examine the practicality, acceptability, and limited efficacy of accelerometry in a self-directed upper limb program with stroke survivors using a pre-post study of sequentially eligible inpatients. Method Key metrics were: practicality (60% of participants had 10 hours of wear per day for 3 or more days), acceptability (adherence to recommended wear-time), and limited efficacy (correlation between Wolf Motor Function Test (WMFT) and upper limb use from accelerometry data). Results Twelve stroke survivors were recruited over 7 months, mean age 73 years (range 39–94 years). Eight participants (67%) met the practicality and acceptability criteria. A moderate positive correlation existed between WMFT and upper limb use at admission (rs = 0.33, P = 0.42) and at discharge (rs = 0.42, P = 0.34). Conclusion Wearable devices were feasible and acceptable for most stroke survivors, however, one-third found the devices uncomfortable, and this should be factored into sample size calculations of future studies.

Tamara Tse

Yvonne Y. K. Mak-Yuen

Wesley Young

Susan Darzins

Feasibility of accelerometry in a self-directed upper limb activity program of a subacute setting with stroke survivors

亚急性期中风幸存者自我导向上肢活动计划中加速度计的可行性

Abbreviation	Brain. Impair.
Journal Impact	1.05
Quartiles(Global)	REHABILITATION(Q3)

ISSN	1443-9646, 1839-5252
h-index	28

Publication Information	Publisher: Commonwealth Scientific and Industrial Research Organisation，Publishing cycle: Tri-annual，Journal Type: journal，Open Access Journals: No
Basic data	Year of publication: 2008，Proportion of original research papers: 86.84%，Self Citation Rate:9.10%， Gold OA Rate: 41.05%
Average review cycle	网友分享经验：>12周，或约稿
Average recruitment ratio	网友分享经验：容易

Brain Impairment

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Depression and anxiety at 1- and 12-months post ischemic stroke: methods for examining individual change over time

Clinician perspectives of ABI vocational rehabilitation in Queensland

Association between adequate protein intake and quadriceps quantity and quality during rehabilitation in people with subacute stroke

Falls on an inpatient brain injury rehabilitation unit … What are the consequences?

Corrigendum to: The development of a cognitive screening protocol for Aboriginal and/or Torres Strait Islander peoples: the Guddi Way screen

Depression and anxiety at 1- and 12-months post ischemic stroke: methods for examining individual change over time

Association between adequate protein intake and quadriceps quantity and quality during rehabilitation in people with subacute stroke

Falls on an inpatient brain injury rehabilitation unit … What are the consequences?

Corrigendum to: The development of a cognitive screening protocol for Aboriginal and/or Torres Strait Islander peoples: the Guddi Way screen

Feasibility of accelerometry in a self-directed upper limb activity program of a subacute setting with stroke survivors