Physical Therapy to Treat TBI : Treatment Approaches for Brain Injury Cases

By Bijal Shah

Traumatic Brain Injury (TBI) is anything that can impact normal function of a brain after birth (mostly caused due to an accident).  Rehab treatment approach varies as per what stage and how fresh the brain injury (TBI) is. It also depends on therapist’s experience level and belief in the treatment approach. For me, not one approach is a gold standard or right than other. I have also experienced that treatment approaches vary depending on patient’s prior level of function, age and comfort level. TBI

Some treatment will give excellent results with one patient while the other patient may complain of pain or discomfort with that same method. So the goal of this blog is to discuss some basic methods that therapists use to treat TBI patients. I will try to keep it real simple so not only therapists but other readers can also get some knowledge out of this article.  I discuss types and etiology of TBI here. The other thing to keep in mind is, the same treatment method can be used as the main treatment approach versus just a preventive measure depending on the acuity of an injury. So let’s talk about treatment methods for TBI patients. Continue reading “Physical Therapy to Treat TBI : Treatment Approaches for Brain Injury Cases”

What is Traumatic Brain Injury (TBI)

By Bijal Shah

Since I work with brain injury patients, Traumatic Brain Injury is my favorite topic to discuss and write. For me, it is difficult to put down words on Traumatic Brain Injury (TBI) as there is so much involved with TBI. But I also don’t want to write five pages long article and bore all my readers. So I am going to try to keep this a short and sweet article. In this article, I am going to discuss definition, types and some basic information on TBI. I discussed different treatment approaches of TBI here.  So let’s start! TBI

Brain injury is anything that can impact normal function of a brain. An acquired brain injury is when an injury happens after the birth. Here the brain is normally developed already.  There are two types of acquired brain injury: Traumatic and non-traumatic brain injury. Continue reading “What is Traumatic Brain Injury (TBI)”

Tale of a TBI survivor: From ventilation to Ambulation with Physical Therapy

By Bijal Shah

Traumatic brain injury is a type of injury that often results from an accident involves a long recovery process way past physical healing, and requires a lot of patience and persistence from all parties involved.  This is a case of 64 year old Traumatic Brain Injury(TBI) survivor who made significant progress to achieve his near normal function with aggressive rehabilitation, nursing and respiratory therapy.  

History and Examination:

A 64 year old male was admitted to my facility in March 2015 from a recent hospitalization with change in mental status and traumatic brain injury. Due to HIPAA, we are going to address him as a patient (Pt) or Mr. M.

At the time of evaluation, he was on ventilator at night. His cuff was inflated at all time, unable to tolerate deflation of cuff, or unable to tolerate capping or PMV. Due to this, he was not able to communicate at the time of evaluation.  During PT and OT evaluations, he demonstrated hypo tonicity on bilateral upper and lower extremities. He was unable to perform any active movement, unable to follow one step simple commands verbally, visually or with tactile cues. Continue reading “Tale of a TBI survivor: From ventilation to Ambulation with Physical Therapy”