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  • 33 - Traumatic brain injury

  • from Section C - Disease-specific neurorehabilitation systems
  • Edited by Michael Selzer, University of Pennsylvania, Stephanie Clarke, Université de Lausanne, Switzerland, Leonardo Cohen, National Institute of Mental Health, Bethesda, Maryland, Pamela Duncan, University of Florida, Fred Gage, Salk Institute for Biological Studies, San Diego
  • Book:
    Textbook of Neural Repair and Rehabilitation
    Published online:
    04 August 2010
    Print publication:
    16 February 2006, pp 527-541

  • Summary

    This chapter highlights the problems encountered after traumatic brain injury (TBI), and suggests clinical strategies and treatment methods by which many of these problems can be alleviated. Alcohol plays a significant part in the majority of TBI, particularly in road traffic accidents but also in falls and violence. In the acute stages following TBI, there could be some robust predictor of eventual outcome. This may help to focus on an appropriate rehabilitation strategy and enable accurate information to be imparted to the patient's family. All rehabilitation needs to involve an appropriate client-centred, goal setting process and outcome measures are clearly necessary to monitor those goals and determine when they have been met. Continued developments in neuroscience should steadily lead to a greater understanding of the mechanisms of neural recovery and neural plasticity which hopefully will lead to a firmer basis for the management of people following TBI.