Traumatic Brain Injury as a Chronic Health Condition
Traumatic Brain Injury as a Chronic Health Condition
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DOI：
10.1016/j.apmr.2013.01.023
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发表时间：
2013-06-01
影响因子：
4.3
通讯作者：
Hammond, Flora M.
中科院分区：
文献类型：
--
作者：
Corrigan, John D.;Hammond, Flora M.
越来越多的证据表明，包括创伤性脑损伤在内的多种类型的脑损伤是动态的，在发病多年后会继续变化。对于遭受这些伤害的一部分人来说，随着时间的推移，衰退发生，可能是由于进行性神经退行性过程，共病状况，衰老，行为选择和/或心理社会因素。恶化，无论是直接或间接与原始脑损伤，需要临床方法作为一种慢性健康状况，包括识别风险和保护因素，早期识别，循证预防和改善治疗方案，自我管理的培训。我们建议承认慢性脑损伤将促进必要的研究，以提供一种疾病的管理方法。(C)2013年美国康复医学大会（American Congress of Rehabilitation Medicine）
Growing evidence indicates that multiple types of brain injury, including traumatic brain injury, are dynamic conditions that continue to change years after onset. For a subset of individuals who incur these injuries, decline occurs over time and is likely due to progressive neurodegenerative processes, comorbid conditions, aging, behavioral choices, and/or psychosocial factors. Deterioration, whether directly or indirectly associated with the original brain injury, necessitates a clinical approach as a chronic health condition, including identification of risk and protective factors, protocols for early identification, evidence-based preventive and ameliorative treatment, and training in self-management. We propose that the acknowledgment of chronic brain injury will facilitate the research necessary to provide a disease management approach. (C) 2013 by the American Congress of Rehabilitation Medicine