Abstract
Growing evidence indicates that multiple types of brain injury, including traumatic
brain injury, are dynamic conditions that continue to change years after onset. For
a subset of individuals who incur these injuries, decline occurs over time and is
likely due to progressive neurodegenerative processes, comorbid conditions, aging,
behavioral choices, and/or psychosocial factors. Deterioration, whether directly or
indirectly associated with the original brain injury, necessitates a clinical approach
as a chronic health condition, including identification of risk and protective factors,
protocols for early identification, evidence-based preventive and ameliorative treatment,
and training in self-management. We propose that the acknowledgment of chronic brain
injury will facilitate the research necessary to provide a disease management approach.
Keywords
List of abbreviations:
CBI (chronic brain injury), IOM (Institute of Medicine), TBI (traumatic brain injury)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: February 11, 2013
Footnotes
No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.
Identification
Copyright
© 2013 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
