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Head Injury (Long Term rehabilitation (spasticity management (casting,…
Head Injury
Long Term rehabilitation
individualised
spasticity management
casting
stretching
antagonist strengthening
gait re-training
part practice
full practice
muscle strengthening. Many reps
muscle-reactivation
gym muscle strengthening
balance
multi-tasking
static vs dynamic
cardiovascular retraining
Injury type/theory
blunt trauma
contra-cou head injury
GCS scale
epidemiology
usually young males
physiology
grey/white matter shearing
haemorrhage
symptoms dependent on area affected
Acute Management
severe
intubation/life support
slow stream rehabilitation
minimal return to function/altered functional outcomes
milld
largest proportion
high level balance/coordination re-training
return to normal function
moderate
slow stream rehabilitation
Assessment
Subjective
determination of cognitive status/alteration of conversations
mechanism of injury
patient complaints - does the patient have insight?
patient goals
Past medical History
Social history - family supports
Medications
Objective
functional statuses
Manual muscle test
sensation
reflexes
coordination tests e.g. DDK
balance
static
dynamic
high level balance/coordination tests
cardiovascular fitness tests