Traumatic Brain injury rehab - student

Gingem · Oct 12, 2007

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:bang: Dear All

I am currently studying for foundation degree in Allied Health (hoping to get a BSc Hons in Podiatry - eventually). I am struggling to find any information on a Podiatrists role in Traumatic Brain injury rehabilitation for a presentation.

Can any one help me with this subject please?

thanks Gemma

Craig Payne · Oct 13, 2007

Gingem said: ↑

I am struggling to find any information on a Podiatrists role in Traumatic Brain injury rehabilitation for a presentation.
Click to expand...

Welcome to Podiatry Arena. You will be very lucky if you can find anything specific on this. Podiatrists would essential play a role in manageing foot pathology that these people may develop as a result of any residual lower limb dysfunction as well as help with the basic foot care/hygiene if they can not self care (and carer can't manage).
This is from my lecture notes on TBI:

Traumatic Brain/Head Injury (TBI)

Damage to living brain tissue caused by an external mechanical force. Common cause of death before age 50 yrs (10% of all deaths in USA). Mortality of 50% in severe cases.

Damage occurs to all tissues (neural, blood, meninges) – also get varying amounts of intra- and/or extra-cerebral ischaemia, haemorrhage and oedema. The haemorrhage and oedema act as space occupying lesions--> focal neurological deficits. Intracranial swelling --> herniation of brain tissue. Cranial fractures may lacerate arteries and meninges --> CSF leakage and/or entry of air and bacteria. Large amount of neurotransmitters are released, especially glutamate (excitatory) --> activation of ion channels--> calcium inlfux into cells --. increase in cellular metabolism and increased production of free radicals --> further damage.

Aetiology:
50% are due to motor vehicle accidents; also commonly due to falls, assaults and failed suicide attempts.

Clinical features:
No two cases of head injury are the same.
Concussion (loss of awareness and memory; unresponsiveness); contusions and laceration to cranium --> hemiplegia and focal neurological signs. If more severe --> rigidity of muscles, coma, hemiplegia, dilated and unreactive pupils, respiratory irregularity); if severe non-penetrating trauma --> coma, respiratory irregularity, unresponsive pupils, diffuse motor flaccidity
If subdural haematoma --> coma, wide pulse pressure, dilated and fixed pupils, spastic hemiplegia, hyperreflexia, rigidity (mortality and morbidity high following subdural haematoma)
10-40% develop epilepsy, up to several years later
Tend to have more cognitive and behavioural impairments than those with a stroke.

Management:
Initial – stabilise patient; clear airway; control acute bleeding; prevent further damage (eg spinal fracture)
Hospital – airway secured; IV lines; respiratory assistance; determine severity (eg Glasgow Coma Scale); CT or MRI (for determination of bleeding and to determine operable haematomas); neurosurgery for displace cranial fractures; protection against heat loss, fluid imbalances and airway obstruction; monitor for renal failure, convulsions; may need sedation
Rehabilitation – amnesia and post-concussion syndrome are common; physiotherapy and occupational therapy

Scales for measuring function and outcomes of those with TBI – eg Glasgow Outcome Study, Disability Rating Scale, Functional Independence Measure, Western Neuro Sensory Stimulation Scale
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Gingem · Oct 14, 2007

Thank you for your help and for taking the time to reply. I have based my notes on orthotics and foot pathologies resulting from dysfunction.

Thanks again

Gemma

Traumatic Brain injury rehab - student

Gingem Welcome New Poster

Craig Payne Moderator

Gingem Welcome New Poster

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AYUDA CON CASO CLINICO DE TALAGIA POSTRAUMATICA???

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Traumatic Brain injury rehab - student

Gingem Welcome New Poster

Craig Payne Moderator

Gingem Welcome New Poster

Topical oxygen therapy in acute traumatic musculoskeletal wounds of the foot and ankle

Lesión en lecho por avulsión ungueal traumática

Management of posttraumatic osteoarthritis with an integrated orthotic and rehabilitation initiative

HBOT - Hyperbaric Oxygen Treatment in the resolution of traumatic and regressive foot and lower extr

AYUDA CON CASO CLINICO DE TALAGIA POSTRAUMATICA???

Fibroma tendinoso postraumático

Caso clinico:onicolisis traumatica en pie diabetico

Share This Page

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