Flanagan Steven R, Kwasnica Christina, Brown Allen W, Elovic Elie P, Kothari Sunil
Mount Sinai Hospital, New York, NY 10029-6504, USA.
Arch Phys Med Rehabil. 2008 Mar;89(3 Suppl 1):S9-14. doi: 10.1016/j.apmr.2007.12.010.
This self-directed learning module reviews common clinical problems and issues pertaining to early management of persons with traumatic brain injury (TBI). It is part of the study guide on brain injury medicine in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. Acute TBI is frequently complicated by agitation, dystonia, and numerous orthopedic and neurologic comorbidities, often causing a decrement in function, which requires careful assessment and treatment. Individuals with acute brain injury typically receive rehabilitation in a setting determined by numerous factors, including medical stability and tolerance to rehabilitation interventions.
To describe (a) common traumatic brain injury-related comorbidities and treatment strategies, (b) potential causes of declining patient performance, and (c) appropriate settings for rehabilitation interventions.
本自主学习模块回顾了与创伤性脑损伤（TBI）患者早期管理相关的常见临床问题和议题。它是针对物理医学与康复领域的从业者和学员的自主物理医学教育项目中脑损伤医学学习指南的一部分。急性TBI常伴有激越、肌张力障碍以及众多骨科和神经科合并症，常导致功能下降，这需要仔细评估和治疗。急性脑损伤患者通常在由多种因素决定的环境中接受康复治疗，这些因素包括医疗稳定性和对康复干预的耐受性。
描述（a）与创伤性脑损伤相关的常见合并症及治疗策略，（b）患者表现下降的潜在原因，以及（c）康复干预的合适环境。
