On February 28, the Senate Armed Services Subcommittee on Personnel held a hearing about traumatic brain injury from repeated blast exposure for U.S. service members. Senator Elizabeth Warren, Chairwoman of the subpanel, led the two-hour hearing in which senators questioned experts. Senator Warren said, “We need to do better for our troops, and we need to do it right now.”

In a recent New York Times report, Dave Phillips brought attention to abundant evidence indicating that brain injuries and “serious and lasting harm” in veterans are related to their exposure to repetitive blasts from weapons used in training.

We are super excited about this opportunity! When you register with the TROOPS referral program, you will be connected with multiple research teams, several of which are recruiting for studies of treatments for concussion (mTBI). Civilians are welcome to join, and there is no upper age limit.

A study published by Andrea Schneider et al. in the American Heart Association journal Stroke highlights how a prior history of traumatic brain injury is strongly associated with long-term stroke risk among US military veterans. Based on previous research, TBI is highly prevalent among military veterans. Those with prior TBI are at an increased long-term risk for stroke.

“Veterans who reported having at least one traumatic brain injury or TBI at any time in their life had lower cognitive scores in later life, compared to twin siblings who did not experience a TBI,” observed Dr. Chanti-Ketterl during a recent podcast about a twin study of WWII veterans (published in Neurology), of which she was the first author.

Repeated blast exposure from firing heavy weaponry such as cannons, mortars, shoulder-fired rockets, and even large-caliber machine guns is causing long-term injury to the brains of our military service members. The New York Times reported on the military’s struggle to understand the life-changing mental and physical problems U.S. troops face as a result of blast exposure.

A study published in JAMA Neurology aimed to find out whether cognitive behavioral therapy (CBT) could be a viable option for veterans suffering from severe levels of both PTSD and PTH. The study found that a new therapy, CBT for headache, reduced how much these veterans were affected by headaches and PTSD when compared to the usual treatment and that the treatment effect lasted up to 6 months after the therapy.

A recent literature review conducted by Danielle DuPlessis et al. investigated the use of multi-domain assessments in tracking the recovery from concussion in both sports-related and military contexts. The study, published in Physical Therapy in Sport, found a strong preference for dual-task assessments, specifically, combinations of walking on a level surface while the participant answered questions.

Research published in Nature Medicine by Mitchell and colleagues found that MDMA-assisted manualized inner-directed therapy (MDMA-AT) is a more effective treatment than manualized inner-directed therapy alone for improving moderate to severe post-traumatic stress disorder (PTSD).

A study found that active duty service members with a history of mild traumatic brain injury (mTBI) and PTSD had similarly lower levels of resting state functional connectivity (rsFC) in regions associated with working memory compared to service members with an orthopedic injury.

Service members and veterans with a history of mild traumatic brain injury (including concussion) and struggling with symptoms of depression may want to participate in a clinical trial of a cognitive behavioral app designed specifically for the military community.

A study found that “veterans with chronic headache were very interested in combining alternatives, such as acupuncture, massage, yoga or tai chi, with mainstream medicine and that they were encouraged by the fact that alternatives exist to simply taking additional pharmaceuticals for pain.”

Some clinics in the Defense Intrepid Network for TBI and Brain health, a system of 13 clinics for TBIs, have integrated nutrition plans into treatment programs for “active duty service members diagnosed with mild-to-moderate TBI and associated health conditions.”

Dr. Mac Donald et al. conducted a 10-year prospective study of veterans deployed to Iraq and Afghanistan to determine the trajectory of disability within this population and identify which subset of the population is most at risk. Their study demonstrated that veterans who sustained a concussion in combat had “very high odds of poor long-term outcome trajectory.”

Veterans with mTBI (concussion) and their caregivers are invited to participate in a research study. Mind Over Matter (M.O.M.) provides a platform that gives veterans with an mTBI and their caregivers an active voice in developing a pathway for increasing the relevance of TBI Patient-Centered Outcomes Research (PCOR) and Comparative Effectiveness Research (C.E.R.).

A study found that veterans with mTBI history performed significantly worse on 4 of 9 cognitive tests than either the age-matched non mTBI veterans or the healthy controls. Concerningly, the test results for veterans with mTBI showed they were cognitively “at least three decades older.” They performed most closely to the cohort of early-stage Parkinson’s Disease patients.

A study found that persistent post-concussion symptoms (PPCSs) “were associated with an increased likelihood of perpetrating IPV in the subsequent year when controlling for other common IPV risk factors,” including binge drinking, marijuana use, pain level, and probable PTSD.

Veterans with or without a history of head injury are encouraged to participate in a remote study to learn about how receiving bright light or negative ions in the morning might affect sleep in veterans of all ages.

The Tampa, Florida VA association’s Post-Deployment Rehabilitation and Evaluation Program (PREP) “is an inpatient rehabilitation program that specializes in the evaluation and treatment of complex reactions and symptoms associated with possible mild TBI.” The program appears to be one of the more comprehensive multidisciplinary care programs.

According to the Veterans Association (VA), 11.9% of veterans use marijuana, often to self-medicate for illnesses like PTSD. Yet the VA will not expand its cannabis research and "continues to deny cannabis recommendations to veterans in 36 states that allow medical marijuana," according to an article in Politico.