Neurorehabilitation of Traumatic Brain Injury (TBI): A Clinical Review

Traumatic brain injury (TBI) and its potential long-term consequences are of major concern for public health. Neurorehabilitation of affected individuals has some specific characteristics in contrast to neurorehabilitation of patients with acquired brain lesions of other aetiology. This review will...

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Main Authors: Michael Oberholzer, René M. Müri
Format: Article
Language:English
Published: MDPI AG 2019-03-01
Series:Medical Sciences
Subjects:
Online Access:http://www.mdpi.com/2076-3271/7/3/47
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author Michael Oberholzer
René M. Müri
author_facet Michael Oberholzer
René M. Müri
author_sort Michael Oberholzer
collection DOAJ
description Traumatic brain injury (TBI) and its potential long-term consequences are of major concern for public health. Neurorehabilitation of affected individuals has some specific characteristics in contrast to neurorehabilitation of patients with acquired brain lesions of other aetiology. This review will deal with the clinical consequences of the distinct lesions of TBI. In severe TBI, clinical course often follows a typical initial sequence of coma; followed by disturbed consciousness; later, post-traumatic agitation and amnesia; and finally, recovery of function occurs. In the different phases of neurorehabilitation, physicians should be aware of typical medical complications such as paroxysmal sympathetic hyperactivity, posttraumatic hydrocephalus, and posttraumatic neuroendocrine dysfunctions. Furthermore, we address questions on timing and on existing evidence for different rehabilitation programmes and for holistic neuropsychological rehabilitation approaches.
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spelling doaj.art-f80abd8ca2784d78a39e678d10c914462022-12-22T01:44:43ZengMDPI AGMedical Sciences2076-32712019-03-01734710.3390/medsci7030047medsci7030047Neurorehabilitation of Traumatic Brain Injury (TBI): A Clinical ReviewMichael Oberholzer0René M. Müri1Department of Neurology, University Neurorehabilitation, Inselspital Bern, Bern University Hospital and University of Bern, 3010 Bern, SwitzerlandDepartment of Neurology, University Neurorehabilitation, Inselspital Bern, Bern University Hospital and University of Bern, 3010 Bern, SwitzerlandTraumatic brain injury (TBI) and its potential long-term consequences are of major concern for public health. Neurorehabilitation of affected individuals has some specific characteristics in contrast to neurorehabilitation of patients with acquired brain lesions of other aetiology. This review will deal with the clinical consequences of the distinct lesions of TBI. In severe TBI, clinical course often follows a typical initial sequence of coma; followed by disturbed consciousness; later, post-traumatic agitation and amnesia; and finally, recovery of function occurs. In the different phases of neurorehabilitation, physicians should be aware of typical medical complications such as paroxysmal sympathetic hyperactivity, posttraumatic hydrocephalus, and posttraumatic neuroendocrine dysfunctions. Furthermore, we address questions on timing and on existing evidence for different rehabilitation programmes and for holistic neuropsychological rehabilitation approaches.http://www.mdpi.com/2076-3271/7/3/47traumatic brain injuryneurorehabilitationdisorders of consciousnessparoxysmal sympathetic hyperactivityposttraumatic agitationposttraumatic hydrocephalusposttraumatic neuroendocrine disorderscognitive rehabilitationneuropsychological rehabilitation
spellingShingle Michael Oberholzer
René M. Müri
Neurorehabilitation of Traumatic Brain Injury (TBI): A Clinical Review
Medical Sciences
traumatic brain injury
neurorehabilitation
disorders of consciousness
paroxysmal sympathetic hyperactivity
posttraumatic agitation
posttraumatic hydrocephalus
posttraumatic neuroendocrine disorders
cognitive rehabilitation
neuropsychological rehabilitation
title Neurorehabilitation of Traumatic Brain Injury (TBI): A Clinical Review
title_full Neurorehabilitation of Traumatic Brain Injury (TBI): A Clinical Review
title_fullStr Neurorehabilitation of Traumatic Brain Injury (TBI): A Clinical Review
title_full_unstemmed Neurorehabilitation of Traumatic Brain Injury (TBI): A Clinical Review
title_short Neurorehabilitation of Traumatic Brain Injury (TBI): A Clinical Review
title_sort neurorehabilitation of traumatic brain injury tbi a clinical review
topic traumatic brain injury
neurorehabilitation
disorders of consciousness
paroxysmal sympathetic hyperactivity
posttraumatic agitation
posttraumatic hydrocephalus
posttraumatic neuroendocrine disorders
cognitive rehabilitation
neuropsychological rehabilitation
url http://www.mdpi.com/2076-3271/7/3/47
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