traumatic brain injury (tbi) rehabilitation programs for younger children and adolescents vanderbilt...
TRANSCRIPT
![Page 1: Traumatic Brain Injury (TBI) Rehabilitation Programs for Younger Children and Adolescents Vanderbilt Bill Wilkerson Center: Pi Beta Phi Rehabilitation](https://reader035.vdocument.in/reader035/viewer/2022071806/56649d885503460f94a6d212/html5/thumbnails/1.jpg)
Traumatic Brain Injury (TBI)Rehabilitation Programs for
Younger Children and Adolescents
Vanderbilt Bill Wilkerson Center: Pi Beta Phi Rehabilitation Institute
![Page 2: Traumatic Brain Injury (TBI) Rehabilitation Programs for Younger Children and Adolescents Vanderbilt Bill Wilkerson Center: Pi Beta Phi Rehabilitation](https://reader035.vdocument.in/reader035/viewer/2022071806/56649d885503460f94a6d212/html5/thumbnails/2.jpg)
Populations Served• Since 1988, the mission of the Pi Beta Phi
Rehabilitation Institute at Vanderbilt Bill Wilkerson Center has been service to children and adults with acquired brain injuries.
![Page 3: Traumatic Brain Injury (TBI) Rehabilitation Programs for Younger Children and Adolescents Vanderbilt Bill Wilkerson Center: Pi Beta Phi Rehabilitation](https://reader035.vdocument.in/reader035/viewer/2022071806/56649d885503460f94a6d212/html5/thumbnails/3.jpg)
Services Provided
• Our services focus on the most primary and persistent concerns after post acute recovery from TBI: memory, executive functions, academic learning skills, speech-language abilities, & social communication.
• Additionally, we provide therapies to improve functional self-care, safety, mobility, strength, range of motion, balance and coordination, and feeding and swallowing.
• Depending upon the age of the client, our therapy programs are aimed at readiness for school, school reentry, classroom placement, and selection of appropriate supports for academic success.
![Page 4: Traumatic Brain Injury (TBI) Rehabilitation Programs for Younger Children and Adolescents Vanderbilt Bill Wilkerson Center: Pi Beta Phi Rehabilitation](https://reader035.vdocument.in/reader035/viewer/2022071806/56649d885503460f94a6d212/html5/thumbnails/4.jpg)
Age 3 to 10Therapy Services • Speech-Language Pathology:
Evaluation and tx of cognitive-communicative & academic skills, and social communication.
• Occupational Therapy: Evaluations and tx to address physical, visual, perceptual, and cognitive abilities limiting functional independence, safety, and school academic success.
Pre-school/School-Age/Academic• Develop language-literacy and
handwriting skills, • Improve executive functions and
attention and class room performance
• Assistance with IEP and classroom/school placement.
![Page 5: Traumatic Brain Injury (TBI) Rehabilitation Programs for Younger Children and Adolescents Vanderbilt Bill Wilkerson Center: Pi Beta Phi Rehabilitation](https://reader035.vdocument.in/reader035/viewer/2022071806/56649d885503460f94a6d212/html5/thumbnails/5.jpg)
Age 11 – 21 Therapy Services• Speech-Language Pathology:
Evaluation and treatment targeting cognitive-communicative deficits, academic skill development, and social communication.
• Occupational Therapy: Assessment and treatment targeting physical, visual, perceptual, and cognitive deficits that influence independence in activities of daily living, safety, and academic success. Driver Evaluation/Training
• Physical Therapy: Assessment and treatment targeting physical problems, such as decreased mobility, balance, coordination, dizziness, weakness, that influence independence and safety in daily activities.
Middle School, High School, & College Academic Entry/Re-entry• Conduct a comprehensive evaluation
of the student’s cognitive deficits to identify barriers to academic success.
• Comprehensive treatment plan is developed with goals targeting reading comprehension, listening skills, speech, writing, attention, and memory
![Page 6: Traumatic Brain Injury (TBI) Rehabilitation Programs for Younger Children and Adolescents Vanderbilt Bill Wilkerson Center: Pi Beta Phi Rehabilitation](https://reader035.vdocument.in/reader035/viewer/2022071806/56649d885503460f94a6d212/html5/thumbnails/6.jpg)
Physical Therapy• Evaluation of balance and vestibular function, including a
neurological screen– Oculomotor function – Vestibular screening– BPPV assessment (video goggles) – Dynamic visual acuity/Gaze stability ( inVision computerized testing)– Dynamic gait assessment
• Examine use of sensory cues for balance (vestibular, visual, somatosensory) – Computerized dynamic platform posturography (Neurocom Smart
Equitest)
![Page 7: Traumatic Brain Injury (TBI) Rehabilitation Programs for Younger Children and Adolescents Vanderbilt Bill Wilkerson Center: Pi Beta Phi Rehabilitation](https://reader035.vdocument.in/reader035/viewer/2022071806/56649d885503460f94a6d212/html5/thumbnails/7.jpg)
Physical Therapy• Balance/vestibular rehabilitation– Oculomotor training– Vestibulo-ocular-reflex (VOR) training– Functional balance retraining– Dynamic gait training
• Dual-task activities to incorporate cognitive skills
• Incorporate relevant functional tasks, including sports specific activities
![Page 8: Traumatic Brain Injury (TBI) Rehabilitation Programs for Younger Children and Adolescents Vanderbilt Bill Wilkerson Center: Pi Beta Phi Rehabilitation](https://reader035.vdocument.in/reader035/viewer/2022071806/56649d885503460f94a6d212/html5/thumbnails/8.jpg)
Balance Disorders Laboratory (BDL)• The BDL is a diagnostic clinic where
specially-trained audiologists conduct tests to help physicians determine the cause of dizziness, disequilibrium and vertigo.
• The BDL specializes in unique treatment options, and assess conditions using the most current testing techniques and technologies (e.g. head impulse, rotational, and videonystagmography testing).
![Page 9: Traumatic Brain Injury (TBI) Rehabilitation Programs for Younger Children and Adolescents Vanderbilt Bill Wilkerson Center: Pi Beta Phi Rehabilitation](https://reader035.vdocument.in/reader035/viewer/2022071806/56649d885503460f94a6d212/html5/thumbnails/9.jpg)
Driver Evaluation and Training
• Evaluate patients to determine if they are able to safely drive a vehicle in a variety of environments.
• If patient is able to benefit from intervention– train patients to drive
without risk. – train the use of adaptive
driving equipment.
![Page 10: Traumatic Brain Injury (TBI) Rehabilitation Programs for Younger Children and Adolescents Vanderbilt Bill Wilkerson Center: Pi Beta Phi Rehabilitation](https://reader035.vdocument.in/reader035/viewer/2022071806/56649d885503460f94a6d212/html5/thumbnails/10.jpg)
How to refer…
![Page 11: Traumatic Brain Injury (TBI) Rehabilitation Programs for Younger Children and Adolescents Vanderbilt Bill Wilkerson Center: Pi Beta Phi Rehabilitation](https://reader035.vdocument.in/reader035/viewer/2022071806/56649d885503460f94a6d212/html5/thumbnails/11.jpg)
Multidisciplinary TBI Clinic
• Collaboration between PBPRI, Acute Care SLP Service, and Trauma Surgery
• Director – Oscar Guillamondegui, MD