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

1
Department of Neurology, University Neurorehabilitation, Inselspital Bern, Bern University Hospital and University of Bern, 3010 Bern, Switzerland
2
ARTORG Center for Biomedical Engineering Research, University of Bern, 3010 Bern, Switzerland
*
Author to whom correspondence should be addressed.
Med. Sci. 2019, 7(3), 47; https://doi.org/10.3390/medsci7030047
Received: 20 December 2018 / Revised: 2 March 2019 / Accepted: 8 March 2019 / Published: 18 March 2019
(This article belongs to the Special Issue Traumatic Brain Injury)
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PDF [331 KB, uploaded 27 March 2019]

Abstract

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. View Full-Text
Keywords: traumatic brain injury; neurorehabilitation; disorders of consciousness; paroxysmal sympathetic hyperactivity; posttraumatic agitation; posttraumatic hydrocephalus; posttraumatic neuroendocrine disorders; cognitive rehabilitation; neuropsychological rehabilitation traumatic brain injury; neurorehabilitation; disorders of consciousness; paroxysmal sympathetic hyperactivity; posttraumatic agitation; posttraumatic hydrocephalus; posttraumatic neuroendocrine disorders; cognitive rehabilitation; neuropsychological rehabilitation
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Oberholzer, M.; Müri, R.M. Neurorehabilitation of Traumatic Brain Injury (TBI): A Clinical Review. Med. Sci. 2019, 7, 47.

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