Pediatric traumatic brain injuries (TBI) are underreported, which means that many children and teens are not getting needed services to help with post-injury cognitive issues that, though often mild, can cause academic and other difficulties. Mild TBI is defined as a traumatically induced structural or physiological disruption of brain function as the result of an external force that is indicated by the onset or worsening of at least one of the following clinical signs immediately following the event: Loss of consciousness lasting less than 30 minutes The most characteristic features of TBI are the resulting cognitive disturbances that are often present after the injury. Neuroplasticity Principles to Promote Functional Cognition in Mild Traumatic Brain Injury American Occupational Therapy Association Home & Community Health Special Interest Section Quarterly Newsletter (2017) Emily A White, Asha K Vas. B., Bond, F. W., Masuda, A., & Lillis, J. Dementia is typically associated with the elderly population. For information about traumatic brain injury in children (ages birth through 21), see ASHA's Practice Portal page on Pediatric Traumatic Brain Injury. Try the following strategies to achieve this holistic approach: With MI, the clinician can guide patients to self-identify behaviors they wish to change with methods that work for the patient. © 1997- American Speech-Language-Hearing Association, Traumatic brain injury, or TBI, causes damage to the brain that can result in speech, language, thinking, and swallowing problems. ET Monday–Friday, Site Help | A–Z Topic Index | Privacy Statement | Terms of Use This ability allows them to use facilitative therapeutic support from SLPs or psychologists to overcome those challenges. What is a Traumatic Brain Injury (TBI)? Neurorehabilitation, 28, p. 167-180. If the address matches an existing account you will receive an email with instructions to reset your password. ASHA does not endorse the information on these sites. The clinician using MI adopts a nonjudgmental, collaborative communication style with techniques including: GAS is an effective method of measurement that actively engages patients through individualized goals and interprofessional collaboration. We hypothesized that adults with mTBI would perform worse than a group of adults with orthopedic injuries (OIs) on … improve attention during daily tasks and activities; Improve memory using tools like memory books, calendars, and to-do lists; improve problem-solving, planning, and organization skills; work on social skills, including reading social cues and taking turns in conversation; and. Imaging tests help in determining the diagnosis and prognosis of a TBI patient. An excellent resource for management suggestions is “Clinician’s Guide to Cognitive Rehabilitation in mTBI: Application for Military Service Members and Veterans,” developed by SLPs, neuropsychologists/rehabilitation psychologists, and occupational therapists. Even a mild TBI can lead to more serious problems if you get hit in the head again. Molecular and Cellular Neuroscience, 66, 75–80. You do not have JavaScript Enabled on this browser. Treatment will focus on helping you communicate better using these tools. Motivational interviewing: Helping people change. Prognosis for mild traumatic brain injury: results of the WHO Collaborating Centre Task Force on Mild Traumatic Brain Injury. However, dementia can affect younger individuals. Neuroimaging Following Mild TBI Provider Education Slides ICD-10 Coding Guidance for TBI Provider Education Slides Additional provider education materials are available by email request for the Vision Dysfunction with mild TBI, Dizziness with mild TBI, and the Neuroendocrine Dysfunction Screening post mild TBI clinical recommendations. Individuals with mild TBI can present clinically with cognitive, physical, or behavioral problems [5]. Later, you may develop seizures or brain swelling. People with mild to moderate injuries may receive skull and neck X-rays to check for bone fractures or spinal instability. Later, you may develop seizures or brain swelling. Mild traumatic brain injury (mTBI) and TBI in general have received greater attention in the past few years due in part to increased awareness of risks involved with sports-related brain injuries and with the return of veterans from Iraq and Afghanistan. feeding and swallowing disorders in children, augmentative and alternative communication, The Brain Injury Association of America, Centers for Disease Control and Prevention, being hit by or running into an object; and. Community Mental Health Journal, 4(6), 443–453. The SLP will work with you starting from the early stages of recovery. Relevant references on mild traumatic brain injury include: Gardner, R. C., & Yaffe, K. (2015). Cognitive defusion (seeing thoughts merely as internal language that may or may not be helpful). Katharine Seagly, PhD, neuropsychologist and clinical faculty member at University of Michigan; Lisa Milman, PhD, CCC-SLP, assistant professor at Utah State and affiliate of ASHA Special Interest Group 2, Neurogenic Communication Disorders; Pauline Mashima, PhD, CCC-SLP, adjunct professor at University of Hawaii, Manoa, and affiliate of ASHA Special Interest Groups 2, Neurogenic Communication Disorders, 14, Cultural and Linguistic Diversity, and 18, Telepractice; Teresa Ashman, PhD, ABPP-Rp, rehabilitation psychologist in private practice and a research scientist affiliated with the Center for Health Assessment Research and Translation at the University of Delaware.