Rehabilitation and outcome following pediatric traumatic brain injury

Beaulieu, Cynthia L.

doi:10.1016/s0039-6109(02)00009-9

Cited by 38 publications

(34 citation statements)

References 46 publications

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“…Although the acute presentation may appear mild, the need for medical attention may be greater in the pediatric population for two reasons. First, children are more likely to be vulnerable to the consequences of TBI than adults Beaulieu 2002), thus a mild injury that may not induce functional deficits in the adult population could cause severe deficits in the pediatric population. Second, although the symptoms at the time of injury may be mild, the effect could have long-lasting consequences because the pediatric brain is in a highly plastic stage of development (Annegers et al 1998;Giza and Prins 2006).…”

Section: Introductionmentioning

confidence: 99%

Experimental Mild Traumatic Brain Injury Induces Functional Alteration of the Developing Hippocampus

Morrison

2010

Journal of Neurophysiology

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Section: Introductionmentioning

confidence: 99%

Experimental Mild Traumatic Brain Injury Induces Functional Alteration of the Developing Hippocampus

Morrison

2010

Journal of Neurophysiology

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“…This issue may be influenced by feelings from both medical professionals and family members that the child has been put through enough, having survived an accident and been subjected to many medical procedures to ensure his or her survival. Unfortunately, for many children with moderate and severe injuries, sequelae remain after the point at which medical stability is reached, and rehabilitation is needed to optimise recovery and the re-entry into everyday life (Beaulieu, 2002). Tepas et al (2009) evaluated the relationship between a delay in the transition from acute care to rehabilitation, and found that comprehensive delays in the rehabilitation diminished the outcome in the severe group.…”

Section: Ctbi Treatmentmentioning

confidence: 99%

“…This result implies the need for a seamless transition during the early care to optimise the recovery during the window of opportunity that presents itself in the early stages following a CTBI. Beaulieu (2002) states that it is unwise to put one"s faith in a recovery after a CTBI in the neural plasticity itself, remarking that "while neural plasticity offers the potential for reorganisation, it is the behavioural demands of the environment that allows the organism to take advantage of this potential and to maximise recovery" (p 393).…”

Section: Ctbi Treatmentmentioning

confidence: 99%

“…The impact of a TBI on a child"s ability to achieve developmental milestones is the critical factor in determining long-term outcome (Beaulieu, 2002). However, the understanding of the ongoing development of the brain and the cognitive functions after a CTBI is limited.…”

Section: Development Of New Functionsmentioning

confidence: 99%

“…Rehabilitation is crucial after CTBI in order to foster recovery through neural reorganisation and, thereby, to improve long-term outcome (Beaulieu, 2002). The importance of fostering recovery is most crucial during the early stages after CTBI (Tepas et al, 2009;Beaulieu, 2002).…”

Section: Rehabilitationmentioning

confidence: 99%

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Long-term cognitive outcome of childhood traumatic brain injury

Jonsson¹

2010

PsycEXTRA Dataset

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There is limited knowledge of cognitive outcome extending beyond 5 years after childhood traumatic brain injury, CTBI. The main objectives of this thesis were to investigate cognitive outcome at 6 14 years after CTBI, and to evaluate if advancements in the neurosurgical care, starting 1992, did influence long-term outcome and early epidemiology. An additional aim was to study the relationship between early brain injury parameters and early functional outcome. Study 1 evaluated cognitive progress during 14 years after CTBI, over three neuropsychological assessments in 8 patients with serious CTBI. Study 2 used patient records to investigate early epidemiology, received rehabilitation and medical follow up in two clinical cohorts, n=82 and n=46, treated neurosurgically for CTBI before and after 1992. An exploratory cluster analysis was applied to analyse the relation between early brain injury severity parameters and early functional outcome. In Study 3, participants in the two cohorts, n=18 and n=23, treated neurosurgically for CTBI before and after 1992, were subject to an extensive neuropsychological assessment, 13 and 6 years after injury, respectively. Assessment results of the two cohorts were compared with each other and with controls. Data were analysed with multivariate analyses of variance. Results and discussion. There were significant long-term cognitive deficits of similar magnitude and character in the two cohorts with CTBI, treated before and after the advancements in neurosurgical care. At 6 14 years after injury, long-term deficits in verbal intellectual and executive functions were found, and were discussed in terms of their late maturation and a decreased executive control over verbal memory-functions after CTBI. Visuospatial functions had a slightly better long-term recovery. The amount of rehabilitation received was equally low in both cohorts. The length of time spent in intensive care and the duration of care in the respirator may have a stronger relationship to early outcome than does a single measure of level of consciousness at admission. Main conclusions are that cognitive deficits are apparent at longterm follow up, 6 13 years after neurosurgically treated CTBI, even after advancements in the neurosurgical care in Sweden. Measures of verbal IQ, verbal memory and executive functions were especially low while visuospatial intellectual functions appear to have a better long-term recovery.

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Organische Psychosyndrome

Buchmann¹,

Fegert²

2012

Psychiatrie Und Psychotherapie Des Kindes- Und Jugendalters

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Rehabilitation and outcome following pediatric traumatic brain injury

Cited by 38 publications

References 46 publications

Experimental Mild Traumatic Brain Injury Induces Functional Alteration of the Developing Hippocampus

Experimental Mild Traumatic Brain Injury Induces Functional Alteration of the Developing Hippocampus

Long-term cognitive outcome of childhood traumatic brain injury

Organische Psychosyndrome

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