Case Report
Year: 2017 | Month: May | Volume: 7 | Issue: 5 | Pages: 418-421
Effect of Six Months Intensive Multidisciplinary Approach for Fifteen Months Post-Traumatic Brain Injury Patient-A Case Report
Annie Thomas1, Nagarjuna Narayanasetti2, T. S. Vasan3, Supriya. R4
1Assistant professor, JSS College of physiotherapy, JSS Hospital, Mysuru-4
2Lecturer, JSS College of physiotherapy, JSS Hospital, Mysuru-4
3Professor in Neurosurgery, JSS medical college, Mysuru
4Clinical supervisor, Grade 2, JSS institute of speech and hearing, Mysuru-4
Corresponding Author: Annie Thomas
ABSTRACT
Introduction: Traumatic brain injury is caused by an external physical force which may result in altered level of consciousness with or without impairment of cognitive and physical functions in individuals. It is neither congenital nor degenerative in nature. The impairments can be permanent with partial or total functional disabilities or psychosocial maladjustment. The Intensive rehabilitation with multiple health disciplinary teams can improve a certain extent of physical and cognitive aspects of brain injury patients.
Case Report: In this case report we are presenting a 19 year old boy diagnosed as diffuse axonal injury with Glasgow coma scale (GCS ) Score of 4/15 (E1M2V1) at the time of incident has come to our department after 8 months with no head control, no cognitive and no voluntary attempts to do functional activity. The main objective of management is to improve mobility, communication, perception and cognitive functions with minimum period of time by working as a health team.
Conclusion: After 14 months post incident with intense rehabilitation of six months his GCS score is improved with scoring of 13/15 (E4M6V3). The improvement seen may be partly attributed to the coordinated work of the team members who meet in the case conference every two weeks to review & revise the treatment protocol. Such that common and individual goals are shared and total therapy time is managed, to incorporate all goals by team members
Key words: Traumatic brain injury, Diffused axonal injury, Glasgow coma scale, Multi disciplinary approach