Ch 4 Mild Traumatic Brain Injury Flashcards
How does American College of Rehab Med define mTBI
traumatically induced physiologic disruption of brain function as manifested by at least 1 of the following:
-any period of LOC
-any loss of memory before or after
-any alteration in mental status
What is the incidence of mTBI in the US?
75% of TBIs
What are 2 causes of dizziness and loss of balance following mTBI?
-vestibular d/o
-orthostatic hypotension
What is 1 cause of change of vision in mTBI
difficulty with subtle eye movement or motor control resulting in blurred vision, convergence insufficiency (focus)
In what time period do symptoms of concussion normally resolve?
2-4 weeks
What is importance of early intervention?
Most effective means of reducing disability
What are 2 ways a BI specialist can contribute to reducing disability after brain injury?
-monitor return to work/school
-treat emotional problem that may arise during recovery period
List physical/somatic symptoms of mTBI
noise/light sensitivity
impaired hearing
dizziness/loss of balance
headache
fatigue
seizure
List cognitive symptoms of mTBI
inattentiveness
decreased concentration
poor memory
impaired judgement
slowed processing
executive dysfunction
List behavioral symptoms of mTBI
depression
anxiety
agitation
irritability
impulsivity
aggression
What is the MOST common symptom of mTBI
headache
When does a HA signal need for medical attention?
Rapidly progressing and severe
should obtain CT
What are 2 possible reasons for incomplete recovery from mTBI?
40+, female, traumatic experience
low socioeconomic status
previous psych dx, substance abuse, pending litigation
What percentage of people with mTBI develop Persistent Post-Concussive Symptoms (PPCS)?
10-15%
List 5 components of treatment plan for PPCS
Physiatry
Neurology
Neuropsych and behavioral psych
OT/PT/SLP
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