Assessment of Traumatic Brain Injury

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Preparation for Physiotherapy Assessment

Physiotherapy assessment commences once the patient is medically stable.

In view of the complexity of many patients with TBI, the assessment is frequently unable to be completed within a single session so is ongoing for the first few physiotherapy sessions. Close liaison with other members of the multidisciplinary team is extremely beneficial, and on occasion joint assessments by 2 or even 3 therapists from different disciplines can be beneficial.

Handling during Ax

In the initial stages following TBI, careful handling is essential when assessing patients, especially if they are in a minimally conscious state.

Information required before starting the assessment

The following information should be provided by the medical team before beginning the physiotherapy assessment:

• State of consciousness of the patient - for further information see the Coma Recovery Scale page
• Areas of the brain injured, including diffuse and secondary injury
• Site of Decompression Craniotomy, if this has been performed on the patient
• Any other injuries sustained - patients who have TBI from road traffic accidents frequently also have a range of musculoskeletal, abdominal and chest injuries
• Any impact on cognition of the patient - neuropsychological assessment is indicated.

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