12. Neuropsychological Rehabilitation Flashcards
DF: Injury to the brain from an outside force
Trauma
4 Common causes of TBI
- MV Accidents
- Falls
- Assaults
- Sports injuries
2 Types of TBI
- Penetrating head
2. Closed head
Closed TBI Primary Injury: Bruising at the site of impact _______ and opposite the site of impact ______
Coup, Contra-coup
Following TBI, there is a LOC (________) or PTA (________).
Loss of consciousness; Post-traumatic amnesia
DF: Deficits reflect functions mediated by specifically injured brain region
Focal effects
DF: Decifits involving attention
Diffuse effects
2 Neurological syndromes
- Amnestic
2. Frontal love/dysexecutive
DF: Long term and potentially permanent memory change after TBI. Injury in and around temporal loves
Amnestic Syndrome
DF: Changes in one or more frontal lobe-based functions. Damage around prefrontal cortex
Frontal love/Dysexecutive syndrome
3 Types of prefrontal syndromes
- Apathetic
- Dysexecutive
- Disinhibited
\_\_\_\_\_\_\_\_ Prefrontal Syndrome: Mediofrontal region Lack of boredom Poor initiation of activity Loss of spontanaeity
Apathetic
\_\_\_\_\_\_\_\_ Prefrontal Syndrome: Dorsolateral region Poor planning and monitoring of outcomes Perseveration/inflexibility Distractibility
Dysexecutive
\_\_\_\_\_\_\_\_ Prefrontal Syndrome: Orbitofrontal region Changes in social awareness and judgement Impaired inhibition Emotional Lability Inappropriate behaviour
Disinhibited
_________ Treatment for TBI:
Reestablishing or strengthening premorbid skills
Use of compensatory strategies
Assist adaptation to cognitive disabilities
Therapeutic
