a Concussion Care Centre of Virginia, Glen Allen, USA.
Neuropsychol Rehabil. 2003 Jan-Mar;13(1-2):31-41. doi: 10.1080/09602010.
Mild traumatic brain injury (MTBI) accounts for approximately 80% of all brain injuries, and persistent sequelae can impede physical, emotional, social, marital, vocational, and avocational functioning. Evaluation of impairment and disability following MTBI typically can involve such contexts as social security disability application, personal injury litigation, worker's compensation claims, disability insurance policy application, other health care insurance policy coverage issues, and the determination of vocational and occupational competencies and limitations. MTBI is still poorly understood and impairment and disability assessment in MTBI can present a significant diagnostic challenge. There are currently no ideal systems for rating impairment and disability for MTBI residua. As a result, medicolegal examiners and clinicians must necessarily familiarise themselves with the variety of disability and impairment evaluation protocols and understand their limitations. The current paper reviews recommended procedures and potential obstacles and confounding issues.
轻度创伤性脑损伤（MTBI）约占所有脑损伤的 80%，持续的后遗症可能会妨碍身体、情绪、社交、婚姻、职业和业余功能。MTBI 后的损伤和残疾评估通常涉及社会保障残疾申请、人身伤害诉讼、工人赔偿索赔、残疾保险政策申请、其他健康保险政策覆盖问题，以及职业和职业能力和限制的确定。MTBI 仍然知之甚少，MTBI 的损伤和残疾评估可能带来重大的诊断挑战。目前还没有理想的 MTBI 后遗症损伤和残疾评级系统。因此，法医学检查人员和临床医生必须熟悉各种残疾和损伤评估方案，并了解其局限性。本文回顾了推荐的程序以及潜在的障碍和混杂问题。
