Akira Miyamoto, Yuichi Takata, Tomotaka Ueda, Takaaki Kubo, Kenichi Mori, Chimi Miyamoto
Faculty of Rehabilitation Sciences, Nishikyushu University, Kanzaki, Japan.
Faculty of Human Science, Hokkaido Bunkyo University, Eniwa, Japan.
Front Hum Neurosci. 2022 Jun 22;16:870190. doi: 10.3389/fnhum.2022.870190. eCollection 2022.
For public health professionals, traumatic brain injury (TBI) and its possible protracted repercussions are a significant source of worry. In opposed to patient neurorehabilitation with developed brain abnormalities of different etiologies, neurorehabilitation of affected persons has several distinct features. The clinical repercussions of the various types of TBI injuries will be discussed in detail in this paper. During severe TBI, the medical course frequently follows a familiar first sequence of coma, accompanied by disordered awareness, followed by agitation and forgetfulness, followed by return of function. Clinicians must be aware of common medical issues that might occur throughout the various stages of neurorehabilitation, for example, posttraumatic hydrocephalus, paroxysmal sympathetic hyperactivity and posttraumatic neuroendocrine disorders, at each step of the process. Furthermore, we address problems about the scheduling of various rehabilitation programs as well as the availability of current data for comprehensive rehabilitative neuropsychology techniques.
对于公共卫生专业人员而言，创伤性脑损伤（TBI）及其可能产生的长期影响是一个重大的担忧来源。与患有不同病因所致脑部发育异常的患者进行神经康复不同，受影响人群的神经康复具有几个明显特征。本文将详细讨论各类TBI损伤的临床影响。在重度TBI期间，病程通常遵循常见的昏迷初始顺序，伴有意识紊乱，随后是躁动和遗忘，最后是功能恢复。在神经康复的各个阶段，临床医生必须了解可能出现的常见医学问题，例如创伤后脑积水、阵发性交感神经过度兴奋和创伤后神经内分泌紊乱。此外，我们还讨论了各种康复计划的安排问题以及综合康复神经心理学技术的现有数据可用性。
