Skip to main content

Moderate and Severe Traumatic Brain Injury Rehabilitation

  • Chapter
  • First Online:
Book cover Managing Dismounted Complex Blast Injuries in Military & Civilian Settings
  • 432 Accesses

Abstract

Traumatic brain injury (TBI) results in a significant number of deaths and disability annually. Most persons with moderate or severe TBI require services within a variety of settings, from the intensive care unit to the rehabilitation spectrum due to the natural history of the injury. A person with moderate-severe TBI may suffer from physical, cognitive, psychological, or spiritual impairments that create obstacles in each of these settings. The need for highly complex care places a major strain on resources within the Department of Defense, Veterans Health Administration, and civilian sector. Thus, coordinated care is required to create the best outcomes.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Brenner LA, Homaifar BY, Adler LE, Wolfman JH, Kemp J. Suicidality and veterans with a history of traumatic brain injury: precipitants events, protective factors, and prevention strategies. Rehabil Psychol. 2009;54(4):390–7.

    Article  Google Scholar 

  2. Barnes DE, Kaup A, Kirby KA, Byers AL, Diaz-Arrastia R, Yaffe K. Traumatic brain injury and risk of dementia in older veterans. Neurology. 2014;83(4):312–9.

    Article  Google Scholar 

  3. Defense Medical Surveillance System (DMSS), Theater Medical Data Store (TMDS) provided by the Armed Forces Health Surveillance Center (AFHSC), prepared by the Defense and Veterans Brain Injury Center (DVBIC). PDF available for download at: http://dvbic.dcoe.mil/dod-worldwide-numbers-tbi.

  4. Centers for Disease Control and Prevention. Traumatic Brain Injury Get the Facts. 2016 [cited 2016 Nov 28]. Available from: http://www.cdc.gov/traumaticbraininjury/get_the_facts.html.

  5. Rosenfeld JV, McFarlane AC, Bragge P, Armonda RA, Grimes JB, Ling GS. Blast-related traumatic brain injury. Lancet Neurol. 2013;12(9):882–93.

    Article  Google Scholar 

  6. Warden D. Military TBI during the Iraq and Afghanistan wars. J Head Trauma Rehabil. 2006;21(5):398–402.

    Article  Google Scholar 

  7. Okie S. Traumatic brain injury in the war zone. N Engl J Med. 2005;352(20):2043–7.

    Article  CAS  Google Scholar 

  8. Giacino JT, Ashwal S, Childs N, et al. The minimally conscious state: definition and diagnostic criteria. Neurology. 2002;58(3):349–53.

    Article  Google Scholar 

  9. McLean A Jr, Stanton KM, Cardenas DD, Bergerud DB. Memory training combined with the use of oral physostigmine. Brain Inj. 1987;1:145–59.

    Article  Google Scholar 

  10. Lezak MD. Neuropsychological assessment. 2nd ed. New York: Oxford University Press; 1983.

    Google Scholar 

  11. Greenwald BD, Burnett DM, Miller MA. Congenital and acquired brain injury. 1. Brain injury: epidemiology and pathophysiology. Arch Phys Med Rehabil. 2003;84:S3–7.

    Article  Google Scholar 

  12. Bayley M, Teasell R, Kua A, Marshall S, Cullen N, Colantonio A. ABIKUS evidence based recommendations for rehabilitation of moderate to sever acquired brain injury. 1st ed. Ontario Neurotrauma Foundation; Toronto, 2007.

    Google Scholar 

  13. Luauté J, Plantier D, Wiart L, Tell L, SOFMER group. Care management of the agitation or aggressiveness crisis in patients with TBI. Systematic review of the literature and practice recommendations. Ann Phys Rehabil Med. 2016;59(1):58–67.

    Article  Google Scholar 

  14. Bryant RA. Posttraumatic stress disorder, flashbacks, and pseudomemories in closed head injury. J Trauma Stress. 1996;9:621–9.

    Article  CAS  Google Scholar 

  15. Bryant RA, Harvey AG. Traumatic memories and pseudomemories in posttraumatic stress disorder. Appl Cogn Psychol. 1998;12:81–8.

    Article  Google Scholar 

  16. Koch WJ, Taylor S. Assessment and treatment of motor vehicle accident victims. Cogn Behav Pract. 1995;2:327–42.

    Article  Google Scholar 

  17. Layton BS, Wardi Zonna K. Posttraumatic stress disorder with neurogenic amnesia for the traumatic event. Clin Neuropsychol. 1995;9:2–10.

    Article  Google Scholar 

  18. McMillan TM. Post-traumatic stress disorder and severe head injury. Br J Psychiatry. 1991;159:431–3.

    Article  CAS  Google Scholar 

  19. McMillan TM. Posttraumatic stress disorder following minor and severe closed head injury: 10 single cases. Brain Inj. 1996;10(10):749–58.

    Article  CAS  Google Scholar 

  20. Bryant RA, Marosszeky JE, Crooks J, Gurka JA. Posttraumatic stress disorder after severe traumatic brain injury. Am J Psychiatry. 2000;157:629–31.

    Article  CAS  Google Scholar 

  21. Temkin NR. Risk factors for posttraumatic seizures in adults. Epilepsia. 2003;44(Suppl 10):18–0.

    Article  Google Scholar 

  22. Englander J, Bushnik T, Duong TT, et al. Analyzing risk factors for late posttraumatic seizures: a prospective, multicenter investigation. Arch Phys Med Rehabil. 2003;84(3):365–73.

    Article  Google Scholar 

  23. Yablon SA. Posttraumatic seizures. Arch Phys Med Rehabil. 1993;74(9):983–1001.

    CAS  PubMed  Google Scholar 

  24. Powner DJ, Boccalandro C, Alp MS, Vollmer DG. Endocrine failure after traumatic brain injury in adults. Neurocrit Care. 2006;5:61–70.

    Article  Google Scholar 

  25. Powner DJ, Boccalandro C. Adrenal insufficiency following traumatic brain injury in adults. Curr Opin Crit Care. 2008;14:163–6.

    Article  Google Scholar 

  26. Schneider HJ, Schneider M, Saller B, et al. Prevalence of anterior pituitary insufficiency 3 and 12 months after traumatic brain injury. Eur J Endocrinol. 2006;154:259–65.

    Article  CAS  Google Scholar 

  27. Pai AB, Robbins WA. Darko. Moderate to severe TBI. In: Batmangelich I, Cristian S, editors. Physical medicine and rehabilitation patient centered care: mastering the competencies. New York: Demos; 2014.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ajit B. Pai .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Robbins, W., Pai, A.B. (2018). Moderate and Severe Traumatic Brain Injury Rehabilitation. In: Galante, J., Martin, M., Rodriguez, C., Gordon, W. (eds) Managing Dismounted Complex Blast Injuries in Military & Civilian Settings. Springer, Cham. https://doi.org/10.1007/978-3-319-74672-2_19

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-74672-2_19

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-74671-5

  • Online ISBN: 978-3-319-74672-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics