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Therapist Taryn Stejskal talks about the Solution-Focused Therapy Model that uses questions like the Exception Question and the Miracle Question to help people engage in their own problem solving.
“TBI is not a derogatory term. It is not career-ending. Hiding it from everyone else is derelict. You could get other people killed. If you don’t ask for help, it makes you less of a man.” Read Karl Holt's story.
Ron Broughton of Brookhaven Hospital talks about measuring outcome, the importance of looking at the person as a whole and not as an injury, and erasing the stigma of TBI.
Dr. James Malec talks about the difficulties of measuring outcome in TBI since targeted outcomes can range from the patient opening his eyes to managing headaches to getting back to work.
Holistic rehab is the "whatever it takes" model. Balance issues may be treated by a PT and depression by a psychologist, but therapies overlap for the outcome of the whole person.
Dr. James Malec suggests caregivers try to be alert to symptoms that may develop post-injury like sleep disturbance or depression, but to lean on the side of trying not to worry too much.
Cognitive rehab for people with TBI includes any intervention that addresses cognitive problems — from using a smartphone to help with memory to developing particular visual-spatial skills.
Designed to measure post-acute outcome, the Mayo-Portland Adaptability Inventory helps providers measure the progress of people with TBI and tailor appropriate treatment plans.
In the next 5-10 years, we could see revolutionary changes to the way brain injury is treated, diagnosed, managed, and understood as an overall disease process.
It's disheartening for physicians to have to tell families with a loved one with severe TBI that, to date, there is no definitive treatment besides waiting and offering support.
When the brain is injured, the body's reparative system calls in the "clean-up cells." Unfortunately, they clean indiscriminately, which can cause more damage.
The most damage from a TBI does not come from the injury itself but from the secondary consequences. Learn how progesterone can help because of its pleiotropic nature.
Once the efficacy study proves definitively that progesterone works as a treatment for moderate to severe TBI and is FDA-approved, progesterone would be a cheap and readily available drug.
In the Phase III trial, humans are given natural progesterone — which comes from yams — within a four-hour window when it can coat the brain and offer neuro protection.
The story of one young man gives researchers like Dr. David Wright great hope that progesterone can be an effective treatment to help people recover from moderate to severe TBI.
The NFL and the military are currenty testing how better to detect and understand concussions through various mechanisms like sensors in helmets, mouthpieces, and earpieces.
NFL Head, Neck, and Spine Committee Co-Chair Dr. Richard Ellenbogen talks about the lack of a definitive tool to diagnose brain injury, but what techniques we do have to keep athletes safe.
The NICoE has $10 million worth of neuroimaging equipment for evaluating TBI and psychological health issues, most importantly, the MRI, the PET scan, and the MEG.
Neuroimaging the brain with a MEG can show, in real time, how damage to the brain can interrupt, slow, or stop communication from one part of the brain to other parts.