Treatments and rehabilitation in the acute and chronic state of traumatic brain injury
Abstract
Traumatic brain injury (TBI) is a major cause of acquired disability globally, and effective treatment methods are scarce. Lately, there has been increasing recognition of the devastating impact of TBI resulting from sports and other recreational activities, ranging from primarily sport‐related concussions (SRC) but also more severe brain injuries requiring hospitalization. There are currently no established treatments for the underlying pathophysiology in TBI and while neuro‐rehabilitation efforts are promising, there are currently is a lack of consensus regarding rehabilitation following TBI of any severity. In this narrative review, we highlight short‐ and long‐term consequences of SRCs, and how the sideline management of these patients should be performed. We also cover the basic concepts of neuro‐critical care management for more severely brain‐injured patients with a focus on brain oedema and the necessity of improving intracranial conditions in terms of substrate delivery in order to facilitate recovery and improve outcome. Further, following the acute phase, promising new approaches to rehabilitation are covered for both patients with severe TBI and athletes suffering from SRC. These highlight the need for co‐ordinated interdisciplinary rehabilitation, with a special focus on cognition, in order to promote recovery after TBI.
Document Details
- Document Type
- Pub Defense Publication
- Publication Date
- May 20, 2019
- Source ID
- 10.1111/joim.12900
Entities
People
- A. K. Godbolt
- B.‐m. Bellander
- Eric Peter Thelin
- H. Levin
- N. Marklund
- P. Mccrory
Organizations
- Baylor College of Medicine
- Hjärnfonden
- Karolinska Institutet
- Karolinska University Hospital
- Lund University
- Michael E. DeBakey Veterans Affairs Medical Center in Houston
- National Institutes of Health
- Stiftelsen Gamla Tjänarinnor
- Swedish Research Council
- Swedish Society for Medical Research
- United States Department of Defense
- University of Cambridge