NDLI: Advocacy for Change: An Osteopathic Review of Traumatic Brain Injury Among Combat Veterans.

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Advocacy for Change: An Osteopathic Review of Traumatic Brain Injury Among Combat Veterans.

Content Provider	Europe PMC
Author	Pendlebury, Gehan A Oro, Peter Haynes, William Byrnes, Thomas R Keane, James Goldstein, Leonard
Editor	Muacevic, Alexander Adler, John R
Copyright Year	2022
Abstract	As a "signature injury" of the Iraq and Afghanistan wars, traumatic brain injury (TBI) remains a major health concern among military service members. Traumatic brain injury is associated with a wide range of symptoms which may be cognitive, emotional, psychological, biochemical, and social in nature. Mild TBI (mTBI) ranks as the most common traumatic brain injury among veterans. Due to the absence of specific symptoms, mTBI diagnosis may be challenging in acute settings. Repetitive traumatic brain injury during combat deployments can lead to devastating chronic neurodegenerative diseases and other major life disruptions. Many cases of TBI remain undetected in veterans and may lead to long-term adverse comorbidities such as post-traumatic stress disorder (PTSD), suicide, alcohol disorders, psychiatric diagnoses, and service-related somatic dysfunctions. Veterans with TBI are almost twice as likely to die from suicide in comparison to veterans without a history of TBI. Veterans diagnosed with TBI experience significant comorbid conditions and thus advocacy for improved care is justified and necessary. Given the complexity and variation in the symptomatology of TBI, a personalized, multimodal approach is warranted in the evaluation and treatment of veterans with TBI and other associated conditions. As such, this review provides a broad overview of treatment options, with an emphasis on advocacy and osteopathic integration in the standard of care for veterans.
Journal	Cureus
Volume Number	14
DOI	10.7759/cureus.25051
PubMed Central reference number	PMC9199571
Issue Number	5
PubMed reference number	35719755
e-ISSN	21688184
Language	English
Publisher	Cureus
Publisher Date	2022-05-16
Publisher Place	Palo Alto (CA)
Access Restriction	Open
Subject Keyword	veterans health administration (vha) mild traumatic brain injury moderate traumatic brain injury veterans health post traumatic stress disorder (ptsd) traumatic brain injury combat veterans mild head injury closed head injury military trauma
Content Type	Text
Resource Type	Article
Subject	Medicine

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