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NIH Issues Consensus Statement on the Rehabilitation of Persons with Traumatic Brain Injury

American Family Physician,  Feb 15, 1999  by Verna L. Rose

<< Page 1  Continued from page 1.  Previous | Next

*Families of persons with traumatic brain injury should themselves receive support. This can include in-home assistance and ongoing counseling.

*Rehabilitation efforts should include modification of the person's home, social and work environments to enable fuller participation in all venues.

*Special programs are needed to identify and treat persons with mild traumatic brain injury.

*Specialized, interdisciplinary and comprehensive treatment programs are necessary to address particular medical, rehabilitation, social, family and educational needs of young children with traumatic brain injury.

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*Specialized, interdisciplinary and comprehensive treatment programs are necessary to address particular medical, rehabilitation, family and social needs of persons older than age 65 with traumatic brain injury.

*Educational programs are needed to increase the degree to which community care providers are aware of the problems experienced by persons with traumatic brain injury.

The report also includes a list of recommendations for future research that is needed to help guide the rehabilitation of persons with traumatic brain injury. These recommendations include the following: *Gender differences in survival rates, patterns of severity and long-term manifestations of traumatic brain injury need to be studied.

*The duration, natural history and life course manifestations of mild, moderate and severe traumatic brain injury should be studied.

*The relationship between the pathophysiology of traumatic brain injury and the effectiveness of different interventions should be studied.

*Basic and common classification systems of traumatic brain injury are needed.

*Uniform standards and minimal data sets to describe injury type, severity and significant interacting variables, which could provide a total injury profile across a continuum of recovery should be developed.

*The long-term consequences of traumatic brain injury of varying severity, including the consequences of aging on persons with traumatic brain injury, should be studied.

*The epidemiology of mild traumatic brain injury should be studied.

*The consequences and effects of rehabilitation after traumatic brain injury should be studied.

*The effectiveness of community-based rehabilitation for persons with traumatic brain injury should be studied.

*Severity risk-adjustment models for studies of persons with traumatic brain injury should be established.

COPYRIGHT 1999 American Academy of Family Physicians
COPYRIGHT 2008 Gale, Cengage Learning