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Traumatic Brain Injuries: Case Study Presentation
Transcript of Traumatic Brain Injuries: Case Study Presentation
Case Study Presentation
Incident, cause/pathology & effect
Assessment & Treatment
My Case Study
1. Traumatic Brain Injury (TBI)
2. Acquired Brain Injury (ABI)
1 million people attend A&E each year following a head injury with many more going unreported and not assessed.
135,000 of these are admitted to hospital.
In the UK it is estimated there are half a million adults living with long-term disabilities as a result of a TBI
85% of these are classed as minor, 10% as moderate, 5% as severe.
M:F ratio is 2-3:1 but this is 5:1 in 15 - 29 years
Pathology of Injury
1. Intracranial Haematoma
2. Cerebral Swelling
3. Tentorial or Tonsillar Herniation
4. Cerebral Ischaemia
1. Cortical Contusions & Lacerations
2. Diffuse Axonal Injuries
The Therapists Role
loss of consciousness
cause & circumstance
headaches & vomiting
1. Conservative Management
2. Surgical Management
burr holes / craniotomy
NICE (2007) Guidelines on Head Injury
BSRM & RCP (2003) Rehabilitation
following acquired brain injury
DOH (2005) NSF for
RCP (2012) National Clinical
Guidelines for Stroke
fell backwards after
avoiding a cyclist
and hit head
CT Scan 1
CT Scan 2
Neuro Rehab Ref
Crossman AR & Neary D (2005) Neuroanatomy. Churchill Livingstone, London.Department for Health (2005) The National Service Framework for Long-term Conditions. Accessed at http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4105369.pdf .Headway (2012) Key Facts and Statistics. (accessed on 15.12.12 at https://www.headway.org.uk/key-facts-and-statistics.aspx)HEllweg S & Johannes S (2008) Physiotherapy after traumatic brain injury: A systematic review of the literature. Brain Injury. 22 (5); 365 - 373.Lindsay K.W & Bone I (2001) Neurology and Neurosurgery Illustrated (3rd Ed). Churchill Livingston, Edinburgh)Martial Van der Linden SM & Shiel A (2000) Wessex Head Injury Matrix and Glasglow/Glasgow-Liege Coma Scale: A Validation and Comparison Study. Neuropsychological Rehabilitation. 10 (2); 167 - 184.NICE (2007) Head Injury: Triage, assessment, investigation and early management of head injury in infants, children and adults. London.Shiel A, Horn SA, Wilson BA, Watson MJ, Campbell MJ & Mclellan DL (2000) The Wessex Head Injury Matrix (WHIM) main scale: a preliminary report on a scale to assess and monitor patient recovery after severe head injury. Clinical Rehabilitation. 14; 408 - 416.Shiel A, Burn JPS, Clark DH, Wilson BA, Burnett ME and Mclellan DL (2001) The effects of increased rehabilitation therapy after brain injury: results of a prospective controlled trial. Clinical Rehabilitation. 15; 501 - 514.Stokes M (2006) Physical Management in Neurological Rehabilitation (2nd Ed). Elsevier Mosby, London.