Military rehabilitation
Military rehabilitation
Moving forward
The mTBI Vestibular Service will continue to raise awareness of the conditions and importance of early intervention . The service plans to deliver regular teaching ‘ roadshows ’ across the UK ’ s military units , with the aim to increase the recognition of mTBIs and ensure that individuals receive timely support and a referral into DMRC Stanford Hall .
The service also plans to engage in research to help build the evidence base in this area and progress treatment accordingly .
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Carrick FR , McLellan K , Brock JB , Randall C , Oggero E ( 2015 ) Evaluation of the effectiveness of a novel brain and vestibular rehabilitation treatment modality in PTSD patients who have suffered combat-related traumatic brain injuries . Frontiers in Public Health . 15 ( 8 ): 1-8 . DOI : 10.3389 / fpubh . 2015.00015
Denby E , Murphy D , Busuttil W , Sakel M , Wilkinson D ( 20200 Neuropsychiatric outcomes in UK military veterans with mild traumatic brain injury and vestibular dysfunction . J Head Trauma Rehabil . 35 ( 1 ): 57-65 . DOI : 10.1097 / HTR . 0000000000000468 .
Dewan MC , Rattani A , Gupta S , et al ( 2019 ) Estimating the global incidence of traumatic brain injury . J Neurosurg , 130 ( 4 ): 1080-1097 . DOI : 10.3171 / 2017.10 . JNS17352 .
Hawley CA , de Burgh HT , Russell RJ , Mead A ( 2015 ) Traumatic brain injury recorded in the UK joint theatre trauma registry among the UK armed forces . J Head Trauma Rehabil . 30 ( 1 ): E47-56 . DOI : 10.1097 / HTR . 0000000000000023 .
Key messages
Mild traumatic brain injury ( mTBI ) is a common injury seen within the UK military population . Although the majority of people recover well within three months , there remains a proportion of people who experience symptoms beyond this point ( post-concussion syndrome ).
Recognising a possible mTBI , providing reassurance and referring to the appropriate service in a timely manner will help to maximise recovery for these individuals .
Sayer NA ( 2012 ) Traumatic brain injury and its neuropsychiatric sequelae in war veterans . Annu Rev Med , 63:405-419 . DOI : 10.1146 / annurevmed-061610-154046 .
Spinos P , Sakellaropoulos G , Georgiopoulos M , et al ( 2010 ) Post-concussion syndrome after mild traumatic brain injury in Western Greece . J Trauma , 69 ( 4 ): 789-94 . DOI : 10.1097 / TA . 0b013e3181edea67 .
Sterr A , Herron KA , Hayward C , Montaldi D ( 2006 ) Are mild head injuries as mild as we think ? eurobehavioral concomitants of chronic postconcussion syndrome . BMC Neurol , 6:7 . https :// doi . org / 10.1186 / 1471-2377-6-7 .
VA / DoD ( 2016 ) Clinical practice guideline for the management of concussion-mild traumatic brain injury . Department of Veterans Affairs Department of Defence . Version 2 . Available at www . va . gov / covidtraining / docs / mTBICPGFullCPG50821816 . pdf [ accessed 25 May 2023 ].
Kay A , Teasdale G ( 2001 ) Head injury in the United Kingdom . World J Surg . 25 ( 9 ): 1210-1220 . DOI : 10.1007 / s00268-001-0084-6 .
Lange RT , Brickell TA , Ivins B , Vanderploeg RD , French LM ( 2013 ) Variable , not always persistent , post-concussion symptoms after mild TBI in U . S . military service members : a five-year cross Sectional outcome study . J . Neurotrauma , 30:958 – 969 . DOI : 10.1089 / neu . 2012.2743 .
MacGregor AJ , Shaffer RA , Dougherty AL , et aL ( 2010 ). Prevalence and psychological correlates of traumatic brain injury in Operation Iraqi Freedom . J Head Trauma Rehabil . 25 ( 1 ): 1-8 . DOI : 10.1097 / HTR . 0b013e3181c2993d .
Words KATHERINE BROCKMAN , Band 7 Occupational Therapist , Ministry of Defence ( MOD ) Defence Medical Rehabilitation Centre , Stanford Hall , email katherine . brockman100 @ mod . gov . uk
June 2023 OTnews 41