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Post traumatic brain injury rehabilitation .If you have a stroke or head trauma but there is no destruction of brain tissue, the tissue can gradually regain its function. Recovery can take anywhere from 6 months to a few years, but rehabilitation you can speed it up and make it more complete. Destroyed brain tissues cannot regain their function, but other parts of the brain sometimes learn to manage some of the functions of the destroyed area. Rehabilitation contributes to this learning process. The amount and speed of functional recovery cannot be predicted with certainty. Therefore, rehabilitation begins as soon as the affected person is clinically stable. Early rehabilitation also helps prevent complications such as muscle shortening (contracture), muscle weakness, and depression.
A detailed evaluation of the affected person concerned, including psychological tests, will help the rehabilitation team identify the type and severity of traumatic brain injury. Afterwards, members of the rehabilitation team will assess which of the lost functions can be recovered with rehabilitation therapy and prepare a program focused on specific individual needs. The success of the rehabilitation will depend on the general state of the affected person, her degree of mobility, her muscular strength, the functioning of the intestine and the bladder, her functional capacity before the brain injury, her social situation, and her ability to learn. , motivation and coping and, finally, their willingness to participate in a rehabilitation program.
If the brain injury causes limb weakness or paralysis, therapists will move the affected limb or encourage the affected limb to do it on their own. Movement of the affected limb helps to avoid or alleviate contractures and to maintain the degree of joint mobility. Generally, the unaffected limbs should also be made to work to preserve muscle tone and strength. The person affected is also expected to be able to carry out other activities, such as moving in bed, turning around and changing positions and sitting. It is important for the mental and physical health of the affected person to regain the ability to get out of bed and move to a seat or wheelchair safely and independently.
Coordination exercises may also be necessary. Sometimes therapists restrict the unaffected limb (so-called restriction-induced movement therapy). For example, people with a partially paralyzed arm may wear a mitten or sling while repeatedly exercising daily activities, such as eating, washing, grooming, writing, and opening doors. This strategy helps reestablish brain connection to use the weakened or paralyzed limb.
Some problems resulting from brain injury require specific therapeutic help, for example for walking (training to walk or move), to improve coordination and balance, to reduce spasticity (involuntary muscle contractions) otherwise to recompense for idea or verbal communication troubles. For example, those with walking difficulties should learn to avoid falls. The occupational therapy can help improve coordination. The thermotherapy or cry therapy They can temporarily decrease muscle spasticity and allow muscles to stretch. People with unilateral blindness can be taught to avoid door frames or other obstacles, for example, by turning their heads to the affected side.
A stroke or other brain injury, especially a concussion, can damage the ability to think (cognition). The affected person may present difficulties of orientation, attention and concentration, perception, understanding, learning, organization of thought, problem solving, memory or speech. The type of problems you may have will depend on the type of injury. Cognitive rehabilitation is a very slow process, which must be tailored to the situation of each affected person and requires individualized treatment. The goals are brain retraining and learning different ways to compensate for deficiencies in specific situations. For example, tasks such as tying shoes are divided into a series of simpler tasks and each one is worked on separately. The use of verbal, visual and tactile indicators (touches), such as voices,