We present an aggressive rehabilitation program that addresses specific post-concussion symptoms for patients with a mild traumatic brain injury (mTBI). Our pathway is illustrated by our report of a 38-year-old female who was injured during a wind storm as a result of a direct blow to the left temporal area. In the fourth month following her injury, she was diagnosed with a right-sided central and peripheral vestibular neuropathy. She had cognitive difficulties and consistently poor multitasking abilities. After five months of brain rest and incomplete resolution of symptoms, she was referred to our program. This program involved the implementation of an aggressive rehabilitation program with progression of activity based upon achievement of multiple symptomregulated goals. It was initially clear that prior to injury this patient was highly functional and wanted to regain the cognitive and executive functions needed for day to day life. Therefore, the aggressive rehabilitation program was initiated in the fifth month after her injury. In the neuroscience community, as well as the global community, mild traumatic brain injury (mTBI) or concussion is experiencing a rapid growth in awareness. Youth sports organizations are highly concerned with the risk of mTBI and its long term effects on the brains of young athletes. Concussion is somewhat an anathema because of a lack of understanding of the pathogenesis involved post concussive event as well as a frequent lack of imaging or pathological evidence for it.
Joseph F. Clark, Aggressive Rehabilitation Pathway Targeting Concussion Symptoms: Illustration with a Case Study
Last date updated on June, 2014