Traumatic Brain Injury

Traumatic Brain Injury (TBI) 

Can be characterized as either an “open” or “closed” injury to the head. An open head injury involves an object that penetrates both the skull and the brain itself which results in an obvious wound. A closed head injury does not result in an open wound but can still certainly be debilitating in that cognition and language skills are dramatically affected. Damage is generally at the point of impact which is known as a “coup” injury and to the opposite side which is a “countercoup” injury. This occurs when the brain bounces back to the opposite side. Such can lead to bleeding (Hemorrhage), Swelling (Edema), Seizures, Imbalance of Cerebrospinal Fluid (Hydrocephalus) and infection. 

Valuable TBI Information

To some extent, the entire brain is adversely affected. As one can expect, there are many variables as to the degree of damage and is dependent on the amount and direction of the force. This can be characterized as being mild, moderate or severe. The duration in which one suffers varies widely and can last few days, weeks, months or in some cases are permanent. Cognitive training involves the restoration, compensation and/or adaptation with regards to the determined deficits. Even with the best medical care, the individual can still having many deficits. As a result, an entirely different person may emerge after the injury. No two people are exactly alike. A cognitive training program must be tailored for each individual and a qualified therapist must take into consideration the personality, behavior, education, work history as well as overall interests of the patient. With a myriad of considerations, a formal assessment in tandem with these personality considerations are required. The ultimate goal is to return the person back to their previous level of function. With formal cognitive training, the odds of doing so increases.