Treatments and rehabilitation in the acute and chronic state of traumatic brain injury.
cognition
neuro-critical care
neuro-rehabilitation
sport-related concussion
traumatic brain injury
Journal
Journal of internal medicine
ISSN: 1365-2796
Titre abrégé: J Intern Med
Pays: England
ID NLM: 8904841
Informations de publication
Date de publication:
06 2019
06 2019
Historique:
pubmed:
19
3
2019
medline:
8
5
2020
entrez:
19
3
2019
Statut:
ppublish
Résumé
Traumatic brain injury (TBI) is a major cause of acquired disability globally, and effective treatment methods are scarce. Lately, there has been increasing recognition of the devastating impact of TBI resulting from sports and other recreational activities, ranging from primarily sport-related concussions (SRC) but also more severe brain injuries requiring hospitalization. There are currently no established treatments for the underlying pathophysiology in TBI and while neuro-rehabilitation efforts are promising, there are currently is a lack of consensus regarding rehabilitation following TBI of any severity. In this narrative review, we highlight short- and long-term consequences of SRCs, and how the sideline management of these patients should be performed. We also cover the basic concepts of neuro-critical care management for more severely brain-injured patients with a focus on brain oedema and the necessity of improving intracranial conditions in terms of substrate delivery in order to facilitate recovery and improve outcome. Further, following the acute phase, promising new approaches to rehabilitation are covered for both patients with severe TBI and athletes suffering from SRC. These highlight the need for co-ordinated interdisciplinary rehabilitation, with a special focus on cognition, in order to promote recovery after TBI.
Identifiants
pubmed: 30883980
doi: 10.1111/joim.12900
pmc: PMC6527474
mid: NIHMS1018717
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
608-623Subventions
Organisme : NINDS NIH HHS
ID : R21 NS086714
Pays : United States
Informations de copyright
© 2019 The Association for the Publication of the Journal of Internal Medicine.
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