Document Detail


Rehabilitation after traumatic brain injury.
MedLine Citation:
PMID:  10746340     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Head injury is a common disabling condition but regrettably facilities for rehabilitation are sparse. There is now increasing evidence of the efficacy of a comprehensive multidisciplinary rehabilitation team compared to natural recovery following brain injury. This chapter outlines some basic concepts of rehabilitation and emphasises the importance of valid and reliable outcome measures. The evidence of the efficacy of a rehabilitation programme is discussed in some detail. A number of specific rehabilitation problems are outlined including the management of spasticity, nutrition, pressure sores and urinary continence. The increasingly important role of assistive technology is illustrated, particularly in terms of communication aids and environmental control equipment. However, the major long-term difficulties after head injury focus around the cognitive, intellectual, behavioural and emotional problems. The complex management of these disorders is briefly addressed and the evidence of the efficacy of some techniques discussed. The importance of recognition of the vegetative stage and avoidance of misdiagnosis is emphasised. Finally, the important, but often neglected, area of employment rehabilitation is covered.
Authors:
M P Barnes
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  British medical bulletin     Volume:  55     ISSN:  0007-1420     ISO Abbreviation:  Br. Med. Bull.     Publication Date:  1999  
Date Detail:
Created Date:  2000-05-03     Completed Date:  2000-05-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376542     Medline TA:  Br Med Bull     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  927-43     Citation Subset:  IM    
Affiliation:
Academic Unit of Neurological Rehabilitation, University of Newcastle upon Tyne, UK.
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MeSH Terms
Descriptor/Qualifier:
Aftercare / organization & administration
Behavior Therapy
Brain Injuries / psychology,  rehabilitation*
Community-Institutional Relations
Disability Evaluation
Humans
Patient Care Team / organization & administration
Rehabilitation, Vocational / utilization
Reproducibility of Results
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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