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Industry: Email Alert RSS FeedTraumatic brain injury occurring with spinal cord injury: significance for rehabilitation
Journal of Rehabilitation, April-June, 1993 by Mary Alice Povolny, Steven P. Kaplan
Summary
The literature clearly points out the high co-occurrence rate of TBI with SCI. It is also clear that dual diagnosis is frequently missed, and that the effects of a head injury can have strong negative impact on rehabilitation outcome. The client with SCI may fail to reach optimal function unless these problems are identified and addressed by rehabilitation professionals. By understanding the impact of cognitive impairments on client functions, rehabilitation professionals will be better able to provide appropriate programming and treatment plans. Also, an awareness of the emotional effects of FBI can allow us to more effectively work with the family as well as the person with SCI to facilitate positive rehabilitation outcome. Helping both the family and the individual identify and anticipate emotional shifts can encourage improved coping with the changes that occur due to injury. Finally, determining an accurate level of cognitive functioning is critical, because it may be associated with medical stability and with a person's ability to assimilate necessary post SCI survival and adaptation skills (Davidoff, Roth & Richards, 1992).
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We must actively look for TBI in SCI cases, and we should have a high index of suspicion that they are concomitant. In doing so, our neuropsychological assessment measures will need modification to cope with the decreased upper extremity motor function of some people with SCI. In addition, other factors affecting assessment of this specific population, including anoxia, pre-morbid functioning, substance abuse and depression must be addressed. Eliminating the attitude of "one disability per customer" allows us to provide knowledgeable, effective rehabilitation services to individuals with head injuries concomitant with SCI.
References
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