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Rehabilitation After Traumatic Brain Injury

What is rehabilitation after traumatic brain injury?

Traumatic brain injury (TBI) occurs when a sudden injury causes damage to your brain. A "closed head injury" may cause brain damage if something hits your head hard but doesn’t break through your skull. A "penetrating head injury" is brain damage that occurs when an object breaks through your skull and enters your brain.

Symptoms that may occur after TBI may include headaches, dizziness, confusion, convulsions, loss of coordination, slurred speech, poor concentration, memory problems, and personality changes.

For people younger than 75, the most common cause of TBI is traffic accidents. For people older than 75, the most common cause is falling. Other common causes include violent assaults, firearms, and sports injuries.

If you have experienced a TBI, rehabilitation may be an important part of your recovery. Rehabilitation can take many forms depending on your needs, and might include physical, occupational, and speech therapy, as well as psychiatric care and social support. All of these are designed to help you recover from the effects of your injury as much as possible.

Why is rehabilitation after traumatic brain injury needed?

Rehabilitation may help:

  • Improve your ability to function at home and in your community
  • Help treat the mental and physical problems caused by TBI
  • Provide social and emotional support
  • Help you adapt to changes as they occur during your recovery

Rehabilitation can also help prevent complications of TBI such as:

  • Blood clots
  • Pain
  • Pressure ulcers, also called bedsores
  • Breathing problems and pneumonia
  • A drop in blood pressure when you move around
  • Muscle weakness and muscle spasm
  • Bowel and bladder problems
  • Reproductive and sexual function problems

What are the risks of rehabilitation after traumatic brain injury?

Rehabilitation after a TBI is not likely to cause problems, but there is always a risk that parts of treatment such as physical or occupational therapy might lead to new injuries or making existing symptoms or injuries worse if not done properly.

That’s why it is important to work closely with your rehabilitation specialist who will take steps to help prevent problems, but they may still happen. Be sure to discuss any concerns with your healthcare provider before rehabilitation.

How do I prepare for rehabilitation after traumatic brain injury?

Before you can start rehabilitation after TBI, you must receive care and treatment for the early effects of TBI, which might include:

  • Emergency treatment for head and any other injuries
  • Intensive care treatment
  • Surgery to repair brain or skull injuries
  • Recovery in the hospital
  • Transfer to a rehabilitation hospital

What happens during rehabilitation after traumatic brain injury?

Because every person's needs and abilities after TBI are different, you will have a rehabilitation program designed especially for you. Your rehabilitation program is likely to involve many types of medical professionals so it’s important to have one central person you can talk to. This person is often called your case coordinator.

Over time, your rehabilitation program will probably change as your needs and abilities change.

Rehabilitation can take place in various settings. You, your case coordinator, and your family should pick the setting that works best for you. Possible settings include:

  • Inpatient rehabilitation hospital
  • Outpatient rehabilitation hospital
  • Home-based rehabilitation
  • A comprehensive day program
  • An independent living center

Your individual rehabilitation program may include any or all of these treatments:

  • Physical therapy
  • Physical medicine
  • Occupational therapy
  • Psychiatric care
  • Psychological care
  • Speech and language therapy
  • Social support

You have many options for rehabilitation therapy, and the type of rehabilitation therapy that you need will be determined by your medical team. Your medical team will assess your needs and abilities. This evaluation may include:

  • Bowel and bladder control
  • Speech ability
  • Swallowing ability
  • Strength and coordination
  • Ability to understand language
  • Mental and behavioral state
  • Social support needs

What happens after rehabilitation for traumatic brain injury?

How long your rehabilitation therapy lasts and how much follow-up care you will need after rehabilitation depends on how severe your brain damage was and how well you respond to therapy. Some people may be able to return to the same level of ability they had before TBI, and some may need lifetime care.

Some long-term results of TBI can show up years later. You may be at higher risk long-term for problems such as Parkinson's disease, Alzheimer's disease, and other forms of dementia.

After rehabilitation you may be given these instructions:

  • Symptoms and signs that you should call your healthcare provider about
  • Symptoms and signs that are to be expected
  • Advice on safety and self-care
  • Advice on alcohol and drug use
  • Community support resources available to you

Your primary care provider should be given all the records and recommendations from your rehabilitation therapy team to help ensure that you continue to get the right care.

Next steps

Before you agree to the test or the procedure make sure you know:

  • The name of the test or procedure
  • The reason you are having the test or procedure
  • The risks and benefits of the test or procedure
  • When and where you are to have the test or procedure and who will do it
  • When and how will you get the results
  • How much will you have to pay for the test or procedure
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