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Brain Injury News
Reporting the Evidence
Two panels of experts worked with the research team to identify key questions in the rehabilitation and survivor phases for adults with TBI. The first panel was composed of two physiatrists, a survivor of TBI, the wife of a survivor of TBI, a State vocational rehabilitation counselor, a neuropsychologist, a psychologist, a clinical coordinator of an outpatient TBI rehabilitation program, and a rehabilitation clinical nurse specialist, all from the Portland, OR, area. The second panel was composed of nationally recognized experts in rehabilitation.
The panels formulated five questions pertaining to the phases of recovery described above. These questions addressed the effectiveness of (1) early rehabilitation in the acute care setting (timing), (2) intensity of rehabilitation, (3) cognitive rehabilitation, (4) supported employment, and (5) care coordination (case management). For each of these questions, members of the research team worked with panelists to write a brief rationale for the question, define key terms, and specify the relevant patient populations, interventions, and outcome measures to be examined in the literature review. The questions were:
Should interdisciplinary rehabilitation begin during the acute hospitalization for traumatic brain injury? Does the intensity of inpatient interdisciplinary rehabilitation affect long-term outcomes? Does the application of cognitive rehabilitation enhance outcomes for people who sustain TBI? Does the application of supported employment enhance outcomes for people with TBI? Does the provision of long-term care coordination enhance the general functional status of people with TBI?
Brain damage can be devastating.
Brain damage is damage that results in impairments in one or more functions, including: arousal, attention, language, memory, reasoning, abstract thinking, judgment, problem-solving, sensory abilities, perceptual abilities, motor abilities, psychosocial behavior, information processing and speech.
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Definition:
A disorder caused by injury to the cerebral area of the brain that occurs before or during birth or in the first few months after birth. Damage to the cerebrum may cause paralysis (palsy) in one or more parts of the body.
Crouzon syndrome
Definition:
Many of the signs of Crouzon syndrome result from the early fusion of the skull bones during childhood. Abnormal growth of these bones leads to wide-set, bulging eyes due to shallow eye sockets; eyes that do not point in the same direction (strabismus); a beaked nose; and an underdeveloped upper jaw.
stroke
Definition:
A condition produced by a blood clot that lodges in an artery and blocks the flow of blood to a portion of the brain, producing symptoms ranging from paralysis of limbs and loss of speech to unconsciousness and death. Less commonly, a stroke may be the result of bleeding into the substance of the brain.
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