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Traumatic Brain Injury Rehabilitation, An Issue of Physical Medicine and Rehabilitation Clinics of North America, E-Book

Traumatic Brain Injury Rehabilitation, An Issue of Physical Medicine and Rehabilitation Clinics of North America, E-Book

Blessen C. Eapen | David X. Cifu

(2017)

Additional Information

Book Details

Abstract

This issue will focus on traumatic brain injury and will include articles on the following: Pathophysiology of TBI; Acute Management of Moderate-Severe TBI; Disorder of Consciousness; Rehabilitation of Moderate-Severe TBI; Acute Diagnosis and Management of Concussion; Rehabilitation of Persistent Symptoms after Concussion Chronic Traumatic Encephalopathy; Unique Aspect of TBI in the Military and Veteran; and many more!

Table of Contents

Section Title Page Action Price
Front Cover Cover
Traumatic Brain InjuryRehabilitation\r i
Copyright\r ii
Contributors iii
CONSULTING EDITOR iii
EDITORS iii
AUTHORS iii
Contents vii
Foreword vii
Preface: Traumatic Brain Injury Rehabilitation\r vii
Pathophysiology of Traumatic Brain Injury vii
Acute Management of Moderate-Severe Traumatic Brain Injury vii
Disorders of Consciousness vii
Management of Medical Complications During the Rehabilitation of Moderate-Severe Traumatic Brain Injury viii
Diagnosis and Management of Acute Concussion viii
Rehabilitation of Persistent Symptoms After Concussion viii
Chronic Traumatic Encephalopathy: Known Causes, Unknown Effects viii
Unique Aspects of Traumatic Brain Injury in Military and Veteran Populations ix
Neuropsychological Evaluation in Traumatic Brain Injury ix
Educational and Vocational Issues in Traumatic Brain Injury ix
Integrative Medicine in Traumatic Brain Injury ix
Medicolegal Issues in Traumatic Brain Injury x
Toward a Postmodern Pragmatic Discourse Semioethics for Brain Injury Care: Empirically Driven Group Inquiry as a Dialogical ... x
Research Frontiers in Traumatic Brain Injury: Defining the Injury x
PHYSICAL MEDICINEANDREHABILITATION\rCLINICS OF NORTH AMERICA\r xi
FORTHCOMING ISSUES xi
August 2017 xi
November 2017 xi
February 2018 xi
RECENT ISSUES xi
February 2017 xi
November 2016 xi
August 2016 xi
May 2016 xi
Foreword xiii
Preface\r xv
Traumatic Brain Injury Rehabilitation\r xv
Pathophysiology of Traumatic Brain Injury 215
Key points 215
TRAUMATIC BRAIN INJURY: CAUSES, PREVALENCE, AND DEVELOPMENT OF THE NATIONAL RESEARCH ACTION PLAN 215
MILD TRAUMATIC BRAIN INJURY 216
Causes, Diagnosis, and Symptoms 216
Pathophysiology 217
MODERATE AND SEVERE TRAUMATIC BRAIN INJURY 218
Causes, Diagnosis, and Symptoms 218
Pathophysiology 218
BLAST-INDUCED TRAUMATIC BRAIN INJURY 219
Causes, Diagnosis, and Symptoms 219
Pathophysiology 219
SUMMARY 220
REFERENCES 220
Acute Management of Moderate-Severe Traumatic Brain Injury 227
Key points 227
INTRODUCTION 227
PATIENT EVALUATION AND MANAGEMENT OVERVIEW 229
History 229
Physical Examination 229
Prevention of Secondary Insults 230
ABCs 230
Monitoring 231
Initial Imaging 231
Follow-up Imaging 232
Molecular Biomarkers 233
PHARMACOLOGIC TREATMENT OPTIONS 233
Osmotic Diuretics 233
Analgesics and Sedatives 234
Anticonvulsants 234
Steroids 234
Pressors 234
NONPHARMACOLOGIC TREATMENT OPTIONS 234
Goals 235
Temperature 235
Hyperbaric Oxygen 235
Increased Intracranial Pressure 236
SURGICAL TREATMENT OPTIONS 237
Mass Lesions 237
Decompressive Craniectomy 238
Cranioplasty 238
TREATMENT RESISTANCE AND COMPLICATIONS 239
EVALUATION OF OUTCOME 240
SUMMARY AND DISCUSSION 241
REFERENCES 241
Disorders of Consciousness 245
Key points 245
INTRODUCTION 245
CONSCIOUSNESS 246
CLINICAL ENTITIES 246
Brain Death 246
Coma 247
Vegetative State/Unresponsive Wakefulness State 247
Minimally Conscious State 247
Acute Confusional State 247
Locked in Syndrome 247
CLINICAL EXAMINATION AND QUANTITATIVE ASSESSMENT 248
BEHAVIORAL ASSESSMENT SCALES 248
Coma Recovery Scale-Revised 248
Sensory Modality and Rehabilitation Techniques 250
Western Neurosensory Stimulation Profile 250
Wessex Head Injury Matrix 250
Sensory Stimulation Assessment Measure 250
Coma Near Coma Scale 250
Disorders of Consciousness Scale 251
IMAGING AND COMPLEMENTARY STUDIES 251
PET Scan 251
Functional MRI 251
Electroencephalograms 251
Event-Related Potentials 252
Bispectral Index/Power Spectral Analysis 252
TREATMENT INTERVENTIONS 252
Pharmacologic Treatment 252
Amantadine 252
Bromocriptine 253
Modafinil 253
Methylphenidate 253
Zolpidem 253
Levodopa 253
Nonpharmacologic Treatments 254
Neurorehabilitation 254
Transcranial direct current stimulation 254
Transcranial magnetic stimulation 254
Deep brain stimulation 255
SUMMARY 255
REFERENCES 255
Management of Medical Complications During the Rehabilitation of Moderate-Severe Traumatic Brain Injury 259
Key points 259
POSTTRAUMATIC SEIZURES 260
PAROXYSMAL SYMPATHETIC HYPERACTIVITY 260
SPASTICITY 261
POSTTRAUMATIC HYDROCEPHALUS 261
AGITATION 262
NEUROENDOCRINE DYSFUNCTION 263
HETEROTOPIC OSSIFICATION 264
VENOUS THROMBOEMBOLISM 264
CRANIAL NERVE DYSFUNCTION 265
FAMILY AND CAREGIVER SUPPORT 265
SUMMARY 265
REFERENCES 266
Diagnosis and Management of Acute Concussion 271
Key points 271
INTRODUCTION 271
DEFINITION AND DIAGNOSIS OF ACUTE CONCUSSION 272
ACUTE CONCUSSION ASSESSMENT AND MANAGEMENT 274
MULTIDIMENSIONAL ASSESSMENT OF ACUTE CONCUSSION 274
FOLLOW-UP EVALUATION AND MANAGEMENT OF ACUTE CONCUSSION 275
INJURY MANAGEMENT AND RETURN TO ACTIVITY AFTER CONCUSSION 283
SUMMARY 285
REFERENCES 285
Rehabilitation of Persistent Symptoms After Concussion 287
Key points 287
INTRODUCTION 287
GENERAL APPROACH 288
Prevention 288
Identification 288
Early Intervention 288
Communication 288
Conceptualizing Cocontributing Factors 289
Caveats for Pharmacologic Treatment Options 289
Nonpharmacological Approach 289
Rest versus return to activity 289
SYMPTOM-SPECIFIC REHABILITATION INTERVENTIONS 291
Headaches 291
Considerations 291
Management 292
Mood 293
Chronic Traumatic Encephalopathy 301
Key points 301
INTRODUCTION 301
TRAUMATIC BRAIN INJURY 303
Epidemiology 304
CHRONIC TRAUMATIC ENCEPHALOPATHY 305
Chronic Traumatic Encephalopathy Macroscopy 305
Chronic Traumatic Encephalopathy Microscopy 306
Single Traumatic Brain Injury and Blast Traumatic Brain Injury 307
Chronic Traumatic Encephalopathy Prevalence 307
Chronic Traumatic Encephalopathy–Related Long-Term Effects 307
CHRONIC TRAUMATIC ENCEPHALOPATHY: TAUOPATHY, OTHER PROTEINOPATHIES, AND GENETICS 308
Tau (Hyperphosphorylated) 308
β-Amyloid 308
Transactive Response DNA-binding Protein 309
α-Synuclein 309
Genetics 310
CHRONIC TRAUMATIC ENCEPHALOPATHY: ASTROCYTES, MICROGLIA, BLOOD-BRAIN BARRIER, AND NEUROINFLAMMATION 310
Astrocytes 310
Microglia 310
Blood-Brain Barrier and Neuroinflammation 310
Chronic Traumatic Encephalopathy and Brain Polypathology 311
COMBAT TRAUMATIC BRAIN INJURY AND BLAST TRAUMATIC BRAIN INJURY: CHRONIC TRAUMATIC ENCEPHALOPATHY? 311
Historical Perspective 311
Traumatic Brain Injury, Chronic Encephalopathy, and Posttraumatic Stress Disorder 312
FUTURE DIRECTIONS 313
Chronic Traumatic Encephalopathy and Clinicopathologic Studies 313
Chronic Traumatic Encephalopathy and Pathology-Imaging Correlation Studies 313
ACKNOWLEDGMENTS 313
REFERENCES 314
Unique Aspects of Traumatic Brain Injury in Military and Veteran Populations 323
Key points 323
INTRODUCTION/EPIDEMIOLOGY OF TRAUMATIC BRAIN INJURY IN THE MILITARY 324
MILITARY CULTURE 324
IDENTIFYING AND TREATING CONCUSSION IN THE WAR ZONE 325
Mechanism of Injury 328
VETERANS HEALTH ADMINISTRATION AND DEPARTMENT OF DEFENSE SYSTEMS OF CARE FOR IDENTIFICATION AND TREATMENT OF TRAUMATIC BRAI ... 328
Traumatic Brain Injury Screening 328
Traumatic Brain Injury Rehabilitation 329
Disability Process 329
PSYCHIATRIC COMORBIDITIES IN MILITARY AND VETERANS HEALTH ADMINISTRATION SAMPLES WITH TRAUMATIC BRAIN INJURY 330
SUMMARY/FUTURE DIRECTIONS 332
REFERENCES 332
Neuropsychological Evaluation in Traumatic Brain Injury 339
Key points 339
AN OVERVIEW OF NEUROPSYCHOLOGY 339
CLINICAL UTILITY OF NEUROPSYCHOLOGICAL EVALUATION 340
DECONSTRUCTING THE NEUROPSYCHOLOGICAL EVALUATION 341
Test Selection 341
Test Validity Versus Assessment Validity 342
Neuropsychological Domains and Tests 343
Test Interpretation 344
NEUROPSYCHOLOGICAL EVALUATION AND TRAUMATIC BRAIN INJURY OUTCOMES 345
MEASURING CHANGE OVER TIME 346
USE OF NEUROPSYCHOLOGICAL EVALUATION TO INFORM INTERVENTIONS 346
NEUROPSYCHOLOGICAL EVALUATION IN REHABILITATION 347
SUMMARY 347
REFERENCES 348
Educational and Vocational Issues in Traumatic Brain Injury 351
Key points 351
INTRODUCTION TO EDUCATIONAL ISSUES IN TRAUMATIC BRAIN INJURY 352
COLLABORATION AND INFORMATION DISSEMINATION 353
EDUCATIONAL SERVICES FOR STUDENTS WITH DISABILITIES 353
ROLES AND RESPONSIBILITIES 355
VOCATIONAL ISSUES IN TRAUMATIC BRAIN INJURY 355
PREDICTORS OF EMPLOYMENT 356
WORKPLACE SUPPORTS 356
EMPLOYMENT AVENUES 358
Supported Employment 358
Customized Employment 359
Internships 359
Apprenticeships 359
Postsecondary Education 359
PROMOTING SUCCESSFUL RETURN TO WORK 359
ROLE OF CLINICIANS RELATED TO EMPLOYMENT 360
SUMMARY AND RECOMMENDATIONS 360
REFERENCES 361
Integrative Medicine in Traumatic Brain Injury 363
Key points 363
INTRODUCTION 363
Integrative Medicine 363
Complementary and Integrative Health 364
ACUPUNCTURE 364
NUTRACEUTICALS 365
OMEGA-3 FATTY ACIDS 366
ZINC 366
VITAMIN D 367
VITAMIN B3 367
VITAMIN E 368
CREATINE 368
Creatine–Traumatic Brain Injury Studies 368
CURCUMIN 369
QIGONG 369
TAI CHI 370
YOGA 371
MEDITATION/MINDFULNESS 371
SUMMARY 372
REFERENCES 373
Medicolegal Issues in Traumatic Brain Injury 379
Key points 379
INTRODUCTION 379
CONTROVERSIES AND CAVEATS 380
THE MEDICOLEGAL EXAMINATION: AN OVERVIEW 381
MEDICOLEGAL TERMINOLOGY 381
ETHICAL CAVEATS 382
REVIEW OF EXPERT ROLES IN MEDICOLEGAL CASES 383
INDEPENDENT MEDICAL EVALUATION TIPS FOR TRAUMATIC BRAIN INJURY CASES 383
THE INDEPENDENT MEDICAL EVALUATION EXAMINATION 383
THE INDEPENDENT MEDICAL EVALUATION REPORT 384
EXPERT WITNESS TESTIMONY: PREPARATION AND PERFORMANCE 384
NEUROPSYCHOLOGICAL ASSESSMENT: A PHYSIATRIC PRIMER 386
Limitations of Neuropsychological Test Findings in a Medicolegal Setting 387
NEUROIMAGING AND NEUROPSYCHOLOGY: MEDICOLEGAL IMPLICATIONS FOR THE PHYSIATRIST 388
THE FUTURE OF NEUROPSYCHOLOGY AND NEUROIMAGING IN PHYSIATRIC EXPERT TESTIMONY 388
PRACTICAL RECOMMENDATIONS 389
SUMMARY 389
ACKNOWLEDGMENTS 389
REFERENCES 389
Toward a Postmodern Pragmatic Discourse Semioethics for Brain Injury Care 393
Key points 393
INTRODUCTION 394
AS MCGRATH HAS POINTED OUT 397
AS PETRILLI STATES 399
THE ‘PRINCIPLIST PARADIGM’ IS INADEQUATE 400
PHILOSOPHIC FOUNDATIONS IN PEIRCEAN SEMIOTICS AND THE PROCESS OF SEMIOSIS 402
SUMMARY 407
REFERENCES 408
Research Frontiers in Traumatic Brain Injury 413
Key points 413
INTRODUCTION 413
NEUROIMAGING 414
NEUROIMAGING RESEARCH 415
Diffusion Tensor Imaging Traumatic Brain Injury Literature Summary 415
MR Spectroscopy Traumatic Brain Injury Literature Summary 415
Functional MRI Traumatic Brain Injury Literature Summary 415
Resting State Functional MRI Traumatic Brain Injury Literature Summary 416
Susceptibility Weighted Imaging Traumatic Brain Injury Literature Summary 416
Arterial Spin Labeling Traumatic Brain Injury Literature Summary 416
Magnetoencephalography Traumatic Brain Injury Literature Summary 416
SERUM AND BLOOD BIOMARKERS 416
GENETICS 418
PHYSIOLOGY OF TRAUMATIC BRAIN INJURY 420
Minutes to Days After Brain Injury 420
Weeks to Months After Brain Injury 422
UNDERSTANDING THE PREINJURY AND POSTINJURY PHENOTYPE 422
Gender 423
Prior Head Injury 423
Headache History and Symptomatology 423
Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder 423
Psychiatric Comorbidities: Depression, Anxiety, and Posttraumatic Stress Disorder 424
Alcohol and Substance Use 424
Summary 424
FUTURE DIRECTIONS 424
SUMMARY 425
DISCLOSURE STATEMENT 425
REFERENCES 425
Index 433