Outcome of a Comprehensive Neurorehabilitation Program for Patients With Traumatic Brain Injury

Community-integrated brain injury rehabilitation: Treatment models and challenges for civilian, military, and veteran populations

“…In these early studies, comprehensive holistic/day-treatment CIR programs appear to produce gains that are maintained by most participants over time [22], increase societal participation [12], show better vocational outcomes [11], and improve self-and family ratings [23]. Effectiveness of the comprehensive holistic/day-treatment CIR program model appears to have cross-cultural relevance, with positive outcomes observed outside of the more common sites of the United Kingdom and the United States, including recent studies in Japan [24] and Finland [25].…”

“…CIR programs have some support in the moderate-tosevere TBI literature, including remediation of neurobehavioral problems [9] and higher productivity based on ratings of activities [25]. However, mixed results were noted in a study of predominantly moderate-to-severe TBI patients versus controls that compared specialized team CIR with an interdisciplinary model of TBI rehabilitation to existing services available in various community settings in the United Kingdom [28].…”

Enhanced vocational rehabilitation for Veterans with mild traumatic brain injury and mental illness: Pilot study

“…Of the studies that have been conducted, results are promising. For example, findings from two nonrandomized studies suggest that including cognitive rehabilitation in traditional vocational rehabilitation improved return to work outcomes for civilians with traumatic brain injury (TBI) [43][44]. McGurk et al conducted a randomized controlled trial comparing a multicomponent cognitive retraining program with traditional SE to traditional SE alone and found that work outcomes were better for those civilians with serious MI in the enhanced model [22].…”

Mental Activity Restoration Peculiarities in Children With Severe Traumatic Brain Injury at the Early Stage of Rehabilitation

“…Профессиональные знания, реализуемые специали-стами команды в практике реабилитации больных после ТЧМТ, охватывают разные психофизические области воздействия: физическое здоровье, речь, поведение и пр., что в целом способствует восстановлению процес-са психосоциальной реинтеграции каждого пациента в общество [11,12]. Однако, процесс реинтеграции для многих представляется весьма трудоемким, что требует специфической помощи не только в условиях стацио-нарного лечения, но и при выписке в условия семейной реабилитации.…”

“…Необходимой частью реабилитационного процесса являются индивидуальные программы реабилитации, и в стационарах востребованы краткосрочные програм-мы, рассчитанные на период стационарного лечения (1,5-6 мес) [12,14]. В индивидуальных программах реабилитации определяются краткосрочные и долгосроч-ные цели оказания помощи пациентам с травмой мозга с учетом условий реабилитации (стационар, амбулатор-ное лечение, уход и консультирование семьи на дому), состояния здоровья пациента и уровня его актуальных и потенциальных возможностей к восстановлению.…”