The importance of early rehabilitation in traumatic brain injury
Traumatic brain injury, known as a silent epidemic, is considered as one of the leading causes of injury and disability and is a major health-related concern worldwide. Based on the level of consciousness, TBI is usually divided into three types of mild, moderate, and severe. Moderate to severe brain injury, as compared to mild brain injury, often results in long-term disorders that require more rehabilitation interventions. People with brain injury suddenly develop physical, cognitive, behavioral, and emotional disorders that can lead to severe disabilities, especially regarding their work, productivity, and social and family responsibilities. Therefore, it is essential to provide support for recovery and regaining independence through rehabilitation interventions. Early rehabilitation is one of the most important phases of rehabilitation which is crucial to maintain and improve brain function, improve quality of life, and prepare the patient to return to their daily activities of and community participation. According to studies and guidelines, early rehabilitation care can be categorized into three classes of early specialized thorough care, purposeful and patient-centered care, and teamwork care. Accurate recognition of the components of early rehabilitation and its implementation can lead to reduced hospital stay, reduced medical costs, improved neurological function, improved quality of life, and thus the patients’ successful return to work and community.
2. Kaur P, Sharma S. Recent advances in pathophysiology of traumatic brain injury. Current neuropharmacology. 2018 Oct 1;16(8):1224-38.
3. Jaimes LM, Thompson HJ, Landis CA, Warms CA. Nurses' Knowledge of Pain Management for Patients with Combat‐Related Traumatic Brain Injuries on Rehabilitation Units. Rehabilitation Nursing. 2015;40(2):74-83.
4. Shehab MS, Ibrahim NM, Abd-Elkader H. Impact of an Educational Program on Nurses' Knowledge and Practice Regarding Care of Traumatic Brain İnjury Patients at Intensive Care Unit at Suez Canal University Hospital. International Journal of Caring Sciences. 2018;11(2):1104.
5. Brasure M, Lamberty GJ, Sayer NA, Nelson NW, MacDonald R, Ouellette J, et al. Participation after multidisciplinary rehabilitation for moderate to severe traumatic brain injury in adults: a systematic review. Archives of physical medicine and rehabilitation. 2013;94(7):1398-420.
6. Lamontagne ME, Gagnon C, Allaire AS, Noreau L. Effect of rehabilitation length of stay on outcomes in individuals with traumatic brain injury or spinal cord injury: a systematic review protocol. Systematic reviews. 2013;2(1):59.
7. De Goumoëns V, Didier A, Mabire C, Shaha M, Diserens K. Families’ needs of patients with acquired brain injury: acute phase and rehabilitation. Rehabilitation Nursing Journal. 2019 Nov 1;44(6):319-27.
8. Fuke R, Hifumi T, Kondo Y, Hatakeyama J, Takei T, Yamakawa K, et al. Early rehabilitation to prevent postintensive care syndrome in patients with critical illness: a systematic review and meta-analysis. BMJ open. 2018;8(5):e019998.
9. Singh R, Venkateshwara G, Batterley J, Bruce S. Early rehabilitation in head injury; can we improve the outcomes? Archives of trauma research. 2013;2(3):103.
10. Iaccarino MA, Bhatnagar S, Zafonte R. Rehabilitation after traumatic brain injury. Handbook of clinical neurology. 2015;127:411-22.
11. Steiner E, Murg-Argeny M, Steltzer H. The severe traumatic brain injury in Austria: early rehabilitative treatment and outcome. Journal of trauma management & outcomes. 2016;10(1):5.
12. Gray M, Woods D, Hadjikoumi I. Early access to rehabilitation for paediatric patients with traumatic brain injury. European Journal of Trauma and Emergency Surgery. 2012;38(4):423-31.
13. Buhl I, Pallesen H. Early rehabilitation of patients with severe acquired brain injury: strategies to promote participation. Scandinavian journal of occupational therapy. 2015 May 4;22(3):181-95.
14. Eakin MN, Ugbah L, Arnautovic T, Parker AM, Needham DM. Implementing and sustaining an early rehabilitation program in a medical intensive care unit: a qualitative analysis. Journal of critical care. 2015;30(4):698-704.
15. Goddard SL, Lorencatto F, Koo E, Rose L, Fan E, Kho ME, et al. Barriers and facilitators to early rehabilitation in mechanically ventilated patients—a theory-driven interview study. Journal of intensive care. 2018;6(1):4.
16. Frazzitta G, Valsecchi R, Zivi I, Sebastianelli L, Bonini S, Zarucchi A, et al. Safety and feasibility of a very early verticalization in patients with severe traumatic brain injury. The Journal of head trauma rehabilitation. 2015;30(4):290-2.
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