Early rehabilitation of higher cortical brain functioning in neurosurgery, humanizing the restoration of human skills after acute brain lesions

Wild, Klaus R. H. von

doi:10.1007/978-3-211-35205-2_1

Advances in Functional and Reparative Neurosurgery

2006

DOI: 10.1007/978-3-211-35205-2_1

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Early rehabilitation of higher cortical brain functioning in neurosurgery, humanizing the restoration of human skills after acute brain lesions

Klaus R. H. von Wild

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Cited by 4 publications

(1 citation statement)

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“…These patients display functional disabilities and injuryrelated neurological impairments with prolonged periods of recovery (Andelic et al, 2008;Sigurdardottir et al, 2009;von Wild, 2006). Recently, there has been an increased focus on the outcomes of severe TBI cases and the effectiveness of rehabilitation in improving physical, cognitive, psychosocial, and functional outcomes (Greenwood et al, 2004;Lippert-Gruner et al, 2007a;Shiel et al, 2001).…”

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confidence: 99%

Does an Early Onset and Continuous Chain of Rehabilitation Improve the Long-Term Functional Outcome of Patients with Severe Traumatic Brain Injury?

Anđelić

Bautz‐Holter

Rønning

et al. 2012

Journal of Neurotrauma

199

129

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There are currently no international guidelines regarding treatment in the early rehabilitation phase for persons with severe traumatic brain injury (TBI), and only a few studies have investigated the effect of integrating rehabilitation into acute TBI care. The aim of the study was to evaluate whether a continuous chain of rehabilitation that begins with the acute phase could improve the functional outcome of severe TBI patients, compared to a broken chain of rehabilitation that starts in the sub-acute phase of TBI. A total of 61 surviving patients with severe TBI were included in a quasi-experimental study conducted at the Level I trauma center in Eastern Norway. In the study, 31 patients were in the early rehabilitation group (Group A) and 30 patients were in the delayed rehabilitation group (Group B). The functional outcomes were assessed 12 months post-injury with the Glasgow Outcome Scale Extended (GOSE) and the Disability Rating Scale (DRS). A favorable outcome (GOSE 6-8) occurred in 71 % of the patients from Group A versus 37 % in Group B ( p = 0.007). The DRS score was significantly better in Group A ( p = 0.03). The ordinal logistic regression analysis was used to quantify the relationship between the type of rehabilitation chain and the GOSE. A better GOSE outcome was found in patients from Group A (unadjusted OR 3.25 and adjusted OR 2.78, respectively). These results support the hypothesis that better functional outcome occurs in patients who receive early onset and a continuous chain of rehabilitation.

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mentioning

confidence: 99%

Does an Early Onset and Continuous Chain of Rehabilitation Improve the Long-Term Functional Outcome of Patients with Severe Traumatic Brain Injury?

Anđelić

Bautz‐Holter

Rønning

et al. 2012

Journal of Neurotrauma

199

129

View full text Add to dashboard Cite

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Prophylactic administration of levetiracetam accelerates consciousness level and neurological recovery after neurosurgical operation with supratentorial craniotomy – Preliminary report

Kutsuna

Makita²,

Katsuhara

et al. 2021

Interdisciplinary Neurosurgery

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Early Intensive Rehabilitation for Patients with Traumatic Brain Injury: A Prospective Pilot Trial

Fan

Sun

et al. 2020

World Neurosurgery

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Early rehabilitation of higher cortical brain functioning in neurosurgery, humanizing the restoration of human skills after acute brain lesions

Cited by 4 publications

References 20 publications

Does an Early Onset and Continuous Chain of Rehabilitation Improve the Long-Term Functional Outcome of Patients with Severe Traumatic Brain Injury?

Does an Early Onset and Continuous Chain of Rehabilitation Improve the Long-Term Functional Outcome of Patients with Severe Traumatic Brain Injury?

Prophylactic administration of levetiracetam accelerates consciousness level and neurological recovery after neurosurgical operation with supratentorial craniotomy – Preliminary report

Early Intensive Rehabilitation for Patients with Traumatic Brain Injury: A Prospective Pilot Trial

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