Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 3, Supplement 1 , Pages S9-S14, March 2008

Congenital and Acquired Brain Injury. 2. Medical Rehabilitation in Acute and Subacute Settings

  • Steven R. Flanagan, MD

      Affiliations

    • Mount Sinai Hospital, New York, NY
    • Corresponding Author InformationCorrespondence to Steven R. Flanagan, MD, Mt Sinai Hospital, Box 1240B, 1 Gustave L. Levy Pl., New York, NY 10029-6504
    • ,
  • Christina Kwasnica, MD

      Affiliations

    • Barrow Neurologic Institute, Phoenix, AZ
    • ,
  • Allen W. Brown, MD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN
    • ,
  • Elie P. Elovic, MD

      Affiliations

    • Kessler Medical Rehabilitation Research and Education Center, West Orange, NJ
    • ,
  • Sunil Kothari, MD

      Affiliations

    • The Institute for Rehabilitation and Research, Houston, TX.

Abstract 

Flanagan SR, Kwasnica C, Brown AW, Elovic EP, Kothari S. Congenital and acquired brain injury. 2. Medical rehabilitation in acute and subacute settings.

This self-directed learning module reviews common clinical problems and issues pertaining to early management of persons with traumatic brain injury (TBI). It is part of the study guide on brain injury medicine in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. Acute TBI is frequently complicated by agitation, dystonia, and numerous orthopedic and neurologic comorbidities, often causing a decrement in function, which requires careful assessment and treatment. Individuals with acute brain injury typically receive rehabilitation in a setting determined by numerous factors, including medical stability and tolerance to rehabilitation interventions.

Overall Article Objectives

To describe (a) common traumatic brain injury−related comorbidities and treatment strategies, (b) potential causes of declining patient performance, and (c) appropriate settings for rehabilitation interventions.

Key Words: Brain injuries, Comorbidity, Muscle spasticity, Psychomotor agitation, Rehabilitation

 

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.

 Reprints are not available from the author.

PII: S0003-9993(07)01858-8

doi:10.1016/j.apmr.2007.12.010

Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 3, Supplement 1 , Pages S9-S14, March 2008

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