As the country is progressing and road travel is becoming more and more prevalent, the
number of road accidents have also increased in recent years. Road accidents are the major
cause of traumatic brain injury in India. Surprisingly it mainly affects young people causing
severe loss of active man power and increasing disability burden of the country.
Physical rehabilitation can not only facilitate recovery in such patients but also prevent
development of complications.
Ans: YES. Depending upon the extent of injury, age of the individual and other co morbid conditions, time of recovery is variable but most coma patients come to senses after head injury.
Ans: YES. With proper home care facilities and training of caregivers, if the medical condition of the patient is stable, he/ she can be taken care of at home with non-invasive ventilation and a tracheostomy tube. We at Lokbandhu help you to learn this skill in an easy manner. We enable you to take best care of your loved ones in an efficient yet simple manner.
Ans: A patient with Traumatic Brain injury passes through various recovery stage which can be technically named as RLA staging. In simple words, person with brain injury initially goes to coma, then vegetative state, then a minimally conscious state followed by following simple commands, confused, agitated and then slowly start giving appropriate responses to simple and complex commands. There can be subtle cognitive issues which can take a long time to resolve.
Ans: Various complications can develop as a part of TBI like:
● Electrolyte Imbalance: There can be imbalance in salts of the body like sodium and potassium. So regular blood tests are required in initial phase.
● Facial Palsy: There can be droopinig of face, eyelids etc due to facial nerve paralysis.
● Dysphagia: Difficulty in swallowing food.
● Dysarthria: Difficulty to articulate and speak.
● Spasticity and contracture: Muscle and joint stiffness.
● Seizures: They can develop fits over time if the injury is big.
● Pain: Which can be due to immobilised muscles and joints or nerve issues.
● Deep vein thrombosis: Blood clots in blood vessels.
● Chest infections: Due to bed bound state or tracheostomy.
● Urinary incontinence: Difficulty in passing urine.
A physiatrist is able to manage most of these complications effectively.