Adopting a multidisciplinary approach, Management of Brain-Injured Children describes the epidemiology, assessment and management of traumatic and non-traumatic brain injuries in children.
Traumatic brain injury (TBI) remains a significant source of death and permanent disability, contributing to nearly one-third of all injury related deaths in the United States and exacting a profound personal and economic toll. Despite the increased resources that have recently been brought to bear to improve our understanding of TBI, the developme
In the past decade, few subjects at the intersection of medicine and sports have generated as much public interest as sports-related concussions - especially among youth. Despite growing awareness of sports-related concussions and campaigns to educate athletes, coaches, physicians, and parents of young athletes about concussion recognition and management, confusion and controversy persist in many areas. Currently, diagnosis is based primarily on the symptoms reported by the individual rather than on objective diagnostic markers, and there is little empirical evidence for the optimal degree and duration of physical rest needed to promote recovery or the best timing and approach for returning to full physical activity. Sports-Related Concussions in Youth: Improving the Science, Changing the Culture reviews the science of sports-related concussions in youth from elementary school through young adulthood, as well as in military personnel and their dependents. This report recommends actions that can be taken by a range of audiences - including research funding agencies, legislatures, state and school superintendents and athletic directors, military organizations, and equipment manufacturers, as well as youth who participate in sports and their parents - to improve what is known about concussions and to reduce their occurrence. Sports-Related Concussions in Youth finds that while some studies provide useful information, much remains unknown about the extent of concussions in youth; how to diagnose, manage, and prevent concussions; and the short- and long-term consequences of concussions as well as repetitive head impacts that do not result in concussion symptoms. The culture of sports negatively influences athletes' self-reporting of concussion symptoms and their adherence to return-to-play guidance. Athletes, their teammates, and, in some cases, coaches and parents may not fully appreciate the health threats posed by concussions. Similarly, military recruits are immersed in a culture that includes devotion to duty and service before self, and the critical nature of concussions may often go unheeded. According to Sports-Related Concussions in Youth, if the youth sports community can adopt the belief that concussions are serious injuries and emphasize care for players with concussions until they are fully recovered, then the culture in which these athletes perform and compete will become much safer. Improving understanding of the extent, causes, effects, and prevention of sports-related concussions is vitally important for the health and well-being of youth athletes. The findings and recommendations in this report set a direction for research to reach this goal.
The return to school following traumatic brain injury (TBI) is fraught with challenges for children and adolescents, their families, and school professionals. This volume provides the practical knowledge needed to understand the neuropsychological problems associated with TBI and facilitate students' reintegration into the regular or special education classroom. Research-based strategies are presented for assessing and accommodating each student's needs, with suggestions for testing that can be completed by practitioners without extensive neuropsychological training. Featuring numerous illustrative clinical examples, the book also includes an extended case history that brings to life the entire process of recovery from TBI. Reviewing basic neuroanatomy, the book first discusses the functional problems and areas of learning difficulty that typically arise from different types of injury. It explores the associated emotional challenges and issues facing families, emphasizing the importance of working closely with parents and building effective home-school partnerships. Identified and briefly described are over 30 psychological measures that can be used to evaluate cognitive and academic skills; memory and learning; attention; executive and reasoning skills; visual-motor and perceptual skills; and psychosocial, emotional, and behavioral functioning. Detailed sample assessments are provided for two students with injuries of varying severity, showing how test results and other information can be integrated into a useful comprehensive report. Guidelines are then presented for managing school reentry and conducting team-based planning and decision making. General programming considerations are discussed, as are specific interventions that incorporate knowledge from the fields of ADHD, learning disabilities, and adult rehabilitation. Written in a clear, non-technical style, this book is an essential resource for school psychologists, counselors, and social workers; special education professionals; and other clinicians working with young people. It will also serve as a text in graduate-level neuropsychological assessment courses.
This is a comprehensive, must-have reference that provides parents with the support and information they need to help their child recover from a closed-head injury and prevent further incidents. Coping with traumatic brain injury (TBI) involves a complex process of readjustment to the changes in a once healthy child and affects everyone in the family. Traumatic brain injury occurs when the brain abruptly and violently moves within the skull as a result of extreme force to the head during an automobile, biking, or playground accident, for example. The effects of TBI can range from mild to severe and recovery can take from weeks to years. Although each child's condition is unique, all TBI patients experience impairment in one or more of the following areas: cognition; emotion/behaviour; and motor skills. While TBI can happen to anyone, children, particularly teens, are susceptible. And, children who have already had one TBI are at greatest risk. Written by a team of medical specialists, therapists, educators, and an attorney, the book covers: what is traumatic brain injury?; medical concerns; rehabilitation and treatments; coping and adjustment; effects on learning and thinking, speech and language, and behaviour; educational needs; and legal issues. Throughout the book, a case study of a boy who was injured at age eight, illustrates the effects of TBI on education, socialisation and independence. Parent statements at the end of each chapter attest to the variety of response families have, and offer insight about the experience of raising a child with TBI. A resource guide of support and advocacy organisations, a reading list, and glossary round out this authoritative guide. This book is useful to professionals who provide services to children with TBI and their families. General and special educators will find it essential reading to help their students with TBI. But most of all, the book gives parents the hope and facts they need to improve the outcome of their child's recovery.
With the contribution from more than one hundred CNS neurotrauma experts, this book provides a comprehensive and up-to-date account on the latest developments in the area of neurotrauma including biomarker studies, experimental models, diagnostic methods, and neurotherapeutic intervention strategies in brain injury research. It discusses neurotrauma mechanisms, biomarker discovery, and neurocognitive and neurobehavioral deficits. Also included are medical interventions and recent neurotherapeutics used in the area of brain injury that have been translated to the area of rehabilitation research. In addition, a section is devoted to models of milder CNS injury, including sports injuries.
Traumatic Brain Injury Rehabilitation: Children and Adolescents provides rehabilitation professionals in all areas of rehabilitation with a comprehensive, interdisciplinary framework for treatment of brain-injured children and adolescents. The book begins with an explanation of the pathophysiology of closed head injury and its typical consequences, leads the reader through various clinical intervention and therapeutic techniques, and concludes with guidelines for re-integrating the child into school, family, and work communities. Drawing upon the authors' backgrounds in speech-language therapy, occupational therapy, physical therapy, physical medicine and rehabilitation, and neurology, the book presents a thorough discussion of all areas of head injury rehabilitation.
Covering the full spectrum of rehabilitation after traumatic brain injury, this practical reference by Drs. Blessen C. Eapen and David X. Cifu presents best practices and considerations for numerous patient populations and their unique needs. In an easy-to-read, concise format, it covers the key information you need to guide your treatment plans and help patients relearn critical life skills and regain their independence. - Covers neuroimaging, neurosurgical and critical care management, management of associated complications after TBI, pharmacotherapy, pain management, sports concussion, assistive technologies, and preparing patients for community reintegration. - Discusses special populations, including pediatric, geriatric, and military and veteran patients. - Consolidates today's available information and guidance in this challenging and diverse area into one convenient resource.
The Veterans Benefits Administration (VBA) provides disability compensation to veterans with a service-connected injury, and to receive disability compensation from the Department of Veterans Affairs (VA), a veteran must submit a claim or have a claim submitted on his or her behalf. Evaluation of the Disability Determination Process for Traumatic Brain Injury in Veterans reviews the process by which the VA assesses impairments resulting from traumatic brain injury for purposes of awarding disability compensation. This report also provides recommendations for legislative or administrative action for improving the adjudication of veterans' claims seeking entitlement to compensation for all impairments arising from a traumatic brain injury.