Chapter 11

### OBJECTIVES

• 1) Differentiate the focal and diffuse injury and sequela associated with traumatic brain injury

• 2) Examine the medical management of the patient with traumatic brain injury

• 3) Differentiate the evaluation and treatment methods of those with traumatic brain injury from those for other neurologic conditions

• 4) Structure evaluations and treatment sessions appropriate to the cognitive recovery level described by the Ranchos Scale to promote both physical and cognitive gains

• 5) Manage various behaviors as they arise during a treatment session with particular emphasis paid to agitation

• 6) Screen for mild traumatic brain injury

• 7) Recognize family adjustment issues and provide appropriate education

• 8) Write goals with cognitive and behavioral qualifiers to the physical activities

• 9) Review the presentation, pathology, and medical management of brain tumor in adults and children

• 10) Discuss the role of physical therapy in the management of patients with brain tumor

CASE A, PART I

Aaron is a 22-year-old Caucasian male brought by ambulance to the Emergency Department, following a motor vehicle accident (MVA), in which he was driving without a seatbelt, struck an electric pole, and flew through the windshield. His blood alcohol level is .20, and he is unconscious with multiple fractures, including his right femur, right clavicle, right radius and ulna, multiple ribs and jaw. He has multiple contusions and a deep gash on the right side of his head, although the skull remains intact. He is not opening his eyes even to deep pressure on his palm or foot, is not verbalizing, and his intact left extremities are held in flexion.

### Pay Per View: Timed Access to all of AccessPhysiotherapy

24 Hour Subscription $34.95 Buy Now 48 Hour Subscription$54.95