Neurorehabilitation in traumatic brain injury: does it make a difference?
Each year, 1.4 million people in the United States are seen in a hospital for a traumatic brain injury. Those with moderate-to-severe traumatic brain injury frequently go through a course of inpatient neurorehabilitation prior to discharge back into the community. A broad overview of neurorehabilitation is presented, including the standards for admission to inpatient rehabilitation and the members and roles of the neurorehabilitation team. Common medical complications that are managed after moderate-to-severe traumatic brain injury are reviewed. The spectrum of arousal issues is summarized. The evidence regarding neurorehabilitation is then reviewed. Future studies that are underway to better understand the utility of neurorehabilitation are then discussed.
Greenwald
Brian D
BD
Department of Rehabilitation Medicine, Mount Sinai Medical Center, New York, NY, USA. brian.greenwald@mountsinai.org
Rigg
John L
JL
D001930:Brain Injuries / Q000150:complications / Q000175:diagnosis / Q000534:rehabilitation*; D019317:Evidence-Based Medicine; D006801:Humans; D007018:Hypopituitarism / Q000209:etiology / Q000517:prevention & control; D009128:Muscle Spasticity / Q000209:etiology / Q000628:therapy; D009999:Ossification, Heterotopic / Q000209:etiology / Q000628:therapy; D010348:Patient Care Team / Q000458:organization & administration; D024382:Professional Role; D011379:Prognosis; D015397:Program Evaluation; D020127:Recovery of Function; D012017:Referral and Consultation; D012047:Rehabilitation Centers / Q000458:organization & administration; D012640:Seizures / Q000209:etiology / Q000517:prevention & control; D012720:Severity of Illness Index; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000209:etiology / Q000628:therapy