Flashcards in Module 9 Deck (23)
What is the definition of traumatic brain injury (TBI)?
An insult to the brain that is caused by an external force. Symptoms resulting from TBI may be temporary or permanent depending upon the extent of the neurological damage.
What is the range for age of onset of TBI?
What is the gender influence of TBIs?
What is the prevalence of TBIs?
What is the average mortality rate of TBIs?
What are the diagnostic procedures of TBIs?
Computerized tomography (CT)
Magnetic resonance imaging (MRI)
Positron emission tomography (PET)
Single-photon emission computerized tomography (SPECT)
Functional magnetic resonance imaging (fMRI)
Diffusion tensor imaging (DTI)- can see diffuse axon injury breaks in the axons.
What are the primary injuries caused by a TBI?
Facial injury-blunt trauma
Diffuse axonal injury (DAI)
What are the secondary injuries of a TBI?
Hypoxic-ischemic injury-cell death
Intracranial hematoma-blood causing compression
Soft tissue injuries
Spinal cord injury
Peripheral nerve injury
Internal organ injury
What are the three different levels of the Glasgow coma scale?
What are the different levels of the Glasgow outcome scale?
Degree of disability (severely disabled, moderately disabled, good recovery)
What are the levels of consciousness?
Persistent vegetative state
What are the ten levels of the rancho Los amigos cognitive functioning?
3- localized response
9- PA stand by assist (request)
10- PA modified independent
What levels of the rancho Los amigos cognitive functioning scale are total assist?
What levels of the rancho Los amigos cognitive functioning scale are max assist?
What level of the rancho Los amigos cognitive functioning scale is moderate assist?
What level of the rancho Los amigos cognitive functioning scale is minimal assist ADL?
What levels of the rancho Los amigos cognitive functioning scale are stand by assist?
What level of the rancho Los amigos cognitive functioning scale is modified independence?
What are the factors influencing rehabilitation?
Pre-morbid status including previous sizable neuronal loss secondary to brain injury, disease, or age result in a worse brain injury.
What are the drugs associated with TBIs?
Disinhibited behavior- atenolol
Nausea/gastric stasis- reglan
What's part of the rehabilitation process for TBI?
Functional recovery potential
Guide to physical therapist practice (strength impairments, sensory and perceptual impairments, coordination impairments, balance impairments, functional impairments)
What are the implications for O and P for TBIs?
Heterotopic ossification-joints get irritated and form bone and freeze up. Need stretching and ROM.
Fractures/walking boots-axial resist AFOs