Travmatik Beyin Hasarı Rehabilitasyonu

Yıl 2019, , 161 - 167, 20.12.2019

Savaş Karpuz

https://doi.org/10.33713/egetbd.625775

Öz

Giriş: Bu makale
epidemiyoloji, tıbbi ve rehabilitasyon sorunları, travmatik beyin hasarı (TBH)
rehabilitasyonu için mevcut kanıtlar, son gelişmeler ve ortaya çıkan
uygulamalar hakkında genel bir bakış sunmayı amaçlamaktadır.

Materyal-metot: Bu
derlemenin verilerini toplama aşamasında Medline endeksli yayınlar ve önemli
rehabilitasyon metinleri ve Kuzey Amerika Fiziksel Tıp ve Rehabilitasyon
kliniklerinde ilgili bölümleri ve erişilen internet yayınları dahil edildi.

Sonuçlar: TBH,
Dünya Sağlık Örgütü tarafından 21.yüzyılda dünya geneli için sıtma ve HIV /
AIDS'e benzer şekilde önemli bir sağlık sorunu olarak nitelendirilmiştir.
Hastaların üçte birinde uzun süreli bilişsel ve davranışsal bozukluklarla yaşarlar.
Beyindeki yaralanmalar sadece beyin hasarına neden olmakla kalmaz, aynı zamanda
vakaların % 20'sinde meydana gelen yaralanmalardan dolayı nöroendokrin ve
nöromedikal komplikasyonları içerebilen multisistemik bir bozukluğa yol
açabilir. Multidisipliner bir beyin hasarı rehabilitasyon programına erken
başlamasıyla elde edilen sonuç ve fonksiyonel faydaların ümit verici kanıtları
vardır. Bununla birlikte, TBH yaş, yaralanma şiddeti ve tipi, fonksiyonel sonuç
ölçüleri ve küçük örneklemlerinden dolayı özünde heterojen popülasyon olması
nedeniyle araştırması zorluklarla doludur. TBH rehabilitasyonundaki son
gelişmeler arasında göreve özel eğitim, bilgisayar destekli bilişsel
iyileştirme ve görsel-mekansal ve görsel tarama teknikleri ve motor bozukluklar
için vücut ağırlığı destekli yürüyüş bandı ve robotik cihazlar yer almaktadır.

Anahtar Kelimeler

Travmatik beyin hasarı, nörorehabilitasyon, engellilik

Kaynakça

• Paşaoğlu A. Erişkinde Kafa Travmaları. Temel Nöroşirürji Cilt I, TürkNöroşirürji Derneği Yayınları, S.316-323: 2005 Ankara.
• Ministry of Health 2005 Health Facts Singapore. Available at: http:// www.moh.gov.sg/corp/publications/statistics/principal.do. Accessed 1 June 2018.
• Thurman DJ, Alverson C, Dunn KA, Guerrero J, Sniezek JE. Traumatic brain injury in the United States: A public health perspective. J Head Trauma Rehabil 1999;13:1-8.
• Kraus JF, McArthur DL. Epidemiologic aspects of brain injury. Neurol Clin 1996;14:435-50.
• Wakai A, Roberts I, Schierhout G. Mannitol for acute traumatic brain injury. Cochrane Database Syst Rev 2005;(4):CD001049.
• Bullock R, Chestnut RM, Clifton G, Ghajar J, Marion DW, Narayan RK, et al. Guidelines for the management of severe traumatic brain injury. Brain Trauma Foundation. Eur J Emerg Med 1996;3:109-27.
• Roberts I. Aminosteroids for acute traumatic brain injury. Cochrane Database Syst Rev 2000;(4):CD001527.
• Harris O A, Colford J M, Good M C, Matz P G. The role of hypothermia in the management of severe brain injury: a meta-analysis. Arch Neurol 2002;59:1077-83.
• Schierhout G; Roberts, I. Anti-epileptic drugs for preventing seizures following acute traumatic brain injury. Cochrane Database Syst Rev 2001;(4):CD000173.
• Ordahan B, Karahan AY, Basaran A, Turkoglu G, Kucuksarac S, Cubukcu M, et al. Impact of exercises administered to stroke patients with balance trainer on rehabilitation results: a randomized controlled study. Hippokratia 2015;19(2):125–130.
• Whyte J, Hart T, Laborde A, Rosenthal M. Rehabilitation of the patient with traumatic brain injury. In: DeLisa JA, Gans BM, Walsh NE, editors. Physical Medicine and Rehabilitation – Principles and Practice. 4th ed. Vol 2. Philadelphia: Lippincott Williams & Wilkins, 2005: 1680-93.
• Bondanelli M, De Marinis L, Ambrosio MR, Monesi M, Valle D, Zatelli MC, et al. Occurrence of pituitary dysfunction following traumatic brain injury. J Neurotrauma 2004;21:685-96.
• Choi SC, Narayan RK, Anderson RL, Ward JD. Enhanced specificity of prognosis in severe brain injury. J Neurosurg 1988;69:381-5.
• Lewin HS, O’Donnell VM, Grossman RG. The Galveston Orientation and Amnesia Test. A practical scale to assess cognition after head injury. J Nerv Ment Dis 1979;167:675-84.
• Lewin W, Marshall TFD, Roberts AH. Long-term outcome after severe head injury. BMJ 1979;2:1533-7.
• Bishara FM, Partridge FM, Godfrey HP, Knight RG. Post-traumatic amnesia and Glasgow Coma Scale related to outcome in survivors in a consecutive series of patients with severe closed-head injury. Brain Inj 1992;6:373-80. Rappaport M, Hall KM, Hopkins HK. Disability Rating Scale for severe head trauma: coma to community. Arch Phys Med Rehabil 1982; 63: 118-23.
• Karpuz S, Küçükşen S, Travmatik Beyin Hasarlı Hastalarda Rehabilitasyon Sonuçları. Şişli Etfal Hastanesi T›p Bülteni, Cilt: 51, Sayı: 3, 2017
• Luerssen, TG, Klauber MR, Marshall, LF. Outcome from head injury related to patient’s age. A longitudinal prospective study of adult and paediatric head injury. J Neurosurg 1988;68:409-16.
• Khan F, Baguley IJ, Cameron ID. Rehabilitation after traumatic brain injury. Med J Aust 2003;178:290-5
• Chestnut RM, Carney N, Maynard H, Mann NC, Patterson P, Helfand M. Summary report: evidence for the effectiveness of rehabilitation for persons with traumatic brain injury. J Head Trauma Rehabil 1999;14: 176-88.
• Wright J. The FIM (TM). The Center for Outcome Measurement in Brain Injury. Available at: http://www.tbims.org/combi/FIM. Accessed 28 November 2006.
• Turner-Strokes L, Disler PB, Nair A, Wade DT. Multi-disciplinary rehabilitation for acquired brain injury in adults of working age. Cochrane Database Syst Rev 2005;(3):CD004170.
• Hart T, Whyte J, Millis S, Bode R, Malec J, Richardson RN, et al. Dimensions of disordered attention in traumatic brain injury: further validation of the Moss Attention Rating Scale. Arch Phys Med Rehabil 2006;87:647-55.
• Azouvi P, Couillet J, Leclercq M, Martin Y, Asloun S, Rousseaux M. Divided attention and mental effort after severe traumatic brain injury. Neuropsychologia 2004;42:1260-8.
• Cicerone KD. Remediation of “working attention” in mild traumatic brain injury. Brain Inj 2002;16:185-95.
• Dou ZL, Man DW, Ou HN, Zheng JL, Tam SF. Computerized errorless learning-based memory rehabilitation for Chinese patients with brain injury: a preliminary quasi-experimental clinical design study. Brain Inj 2006;20:219-25.
• Cicerone KD, Dahlberg C, Malec JF, Langenbahn DM, Felicetti T, Kneipp S, et al. Evidence-based cognitive rehabilitation: updated review of the literature from 1998 through 2002. Arch Phys Med Rehabil 2005;86:1681-92.
• Rose FD, Brooks BM, Rizzo AA. Virtual reality in brain damage rehabilitation: review. Cyberpsychol Behav 2005;8:241-62; discussion 263-71.
• Hesse S, Schmidt H, Werner C, Bardeleben A. Upper and lower extremity robotic devices for rehabilitation and for studying motor control. Curr Opin Neurol 2003;16:705-10.
• Ziino C, Ponsford J. Selective attention deficits and subjective fatigue following traumatic brain injury. Neuropsychology 006;20:383-90.
• Heng KW, Lee AH, Zhu S, Tham KY, Seow E. Helmet use and bicyclerelated trauma in patients presenting to an acute hospital in Singapore. Singapore Med J 2006;47:367-72.
• Yap LK, Au SY, Ang YH, Ee CH. Nursing home falls: a local perspective. Ann Acad Med Singapore 2003;32:795-800
• Pape TL, Jaffe NO, Savage T, Collins E, Warden D. Unresolved legal and ethical issues in research of adults with severe traumatic brain injury: Analysis of an ongoing protocol. J Rehabil Res Dev 2004;41:155-74.
• Karahan AY, Kucuksen S, Yilmaz H, Salli A, Gungor T, Sahin M. Effects of rehabilitation services on anxiety, depression, care-giving burden and perceived social support of stroke caregivers. Acta Medica (Hradec Kralove). 2014;57(2):68-72.