Traumatic Brain Injury Rehabilitation, Treatment, and Case Management, Fourth Edition http://taylorandfrancis.com Traumatic Brain Injury Rehabilitation, Treatment, and Case Management, Fourth Edition Edited by Mark J. Ashley David A. Hovda CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2018 by Taylor & Francis Group, LLC CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Printed on acid-free paper International Standard Book Number-13: 978-1-4987-1029-9 (Pack - Hardback and eBook) This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts have been made to publish reliable data and information, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. 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For permission to photocopy or use material electronically from this work, please access www.copyright.com (http://www.copyright.com/) or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organization that provides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.crcpress.com Contents Preface vii Acknowledgments ix Editors xi Contributors xiii PArt 1 NEUrOSCIENCE 1 1 Bioscience indications for chronic disease management and neuromedical interventions following traumatic brain injury 3 Mark J. Ashley, Grace S. Griesbach, David L. Ripley, and Matthew J. Ashley 2 The neurobiology of traumatic brain injury 31 Thomas C. Glenn, Richard L. Sutton, and David A. Hovda 3 Repeat traumatic brain injury models 43 Mayumi Prins 4 Neuroplasticity and rehabilitation therapy 57 Robert P. Lehr, Jr. 5 Environmental enrichment: A preclinical model of neurorehabilitation for traumatic brain injury 67 Corina O. Bondi and Anthony E. Kline 6 Neuroanatomy of basic cognitive function 77 Mark J. Ashley, Jessica G. Ashley, and Matthew J. Ashley 7 TBI rehabilitation: Lessons learned from animal studies about mechanisms, timing, and combinatorial approaches 107 Dorothy A. Kozlowski 8 Diet and exercise interventions to promote metabolic homeostasis in TBI pathology 117 Fernando Gómez-Pinilla 9 Disruptions in physical substrates of vision following traumatic brain injury 135 Richard E. Helvie 10 Potential utility of resting state fMRI–determined functional connectivity to guide neurorehabilitation 157 Neil G. Harris and Jessica G. Ashley 11 TBI and sensory sensitivity: Translational opportunities 163 Timothy W. Ellis, Jr. and Jonathan Lifshitz 12 The neuroimaging challenges in hemispherectomy patients 169 Zachary Jacokes, Avnish Bhattrai, Carinna Torgerson, Andrew Zywiec, Sumiko Abe, Andrei Irimia, Meng Law, Saman Hazany, and John Darrell Van Horn PArt 2 MEDICAL 179 13 Clinical management of the minimally conscious state 181 Yelena G. Bodien, Sabrina R. Taylor, and Joseph T. Giacino 14 Neuropharmacologic considerations in the treatment of vegetative state and minimally conscious state following brain injury 193 Deborah L. Doherty v vi Contents 15 Clinical management of pituitary dysfunction after traumatic brain injury 213 Adam H. Maghrabi, Brent E. Masel, Randall J. Urban, and David L. Ripley 16 Neurotransmitters and pharmacology 223 Ronald A. Browning and Richard W. Clough 17 Pituitary dysfunction after traumatic brain injury 277 Tiffany Greco 18 Increasing physiologic readiness to improve functional independence following neurotrauma 295 Gregory J. O’Shanick and Ryan McQueen 19 Assessment and management of mild traumatic brain injury 303 Mark J. Ashley and Matthew J. Ashley 20 Chronic traumatic encephalopathy 317 Ann C. McKee 21 Posttraumatic epilepsy and neurorehabilitation 333 Theresa D. Hernández, Sudha S. Tallavajhula, Kristina T. Legget, and Paul M. Levisohn PArt 3 tHErAPY 355 22 Evaluation of traumatic brain injury following acute rehabilitation 357 Mark J. Ashley 23 Neuropsychology following brain injury: A pragmatic approach to outcomes, treatment, and applications 381 James J. Mahoney, III, Stephanie D. Bajo, Anthony P. De Marco, and Donna K. Broshek 24 Neuropsychological interventions following traumatic brain injury 393 Jason W. Krellman, Theodore Tsaousides, and Wayne A. Gordon 25 The use of applied behavior analysis in traumatic brain injury rehabilitation 411 Craig S. Persel and Chris H. Persel 26 Rehabilitation and management of visual dysfunction following traumatic brain injury 451 Penelope S. Suter 27 Remediative approaches for cognitive disorders after TBI 487 Mark J. Ashley, Rose Leal, Zenobia Mehta, Jessica G. Ashley, and Matthew J. Ashley 28 Principles of cognitive rehabilitation in TBI: An integrative neuroscience approach 513 Fofi Constantinidou and Robin D. Thomas 29 Management of residual physical deficits 541 Velda L. Bryan, David W. Harrington, and Michael G. Elliott 30 Undertaking vocational rehabilitation in TBI rehabilitation 577 Mark J. Ashley, Amy Berryman, Karen Rasavage, and Joe Ninomiya, Jr. PArt 4 CASE MANAGEMENt 603 31 Contribution of the neuropsychological evaluation to traumatic brain injury rehabilitation 605 Jay M. Uomoto 32 Neurobehavioral consequences of mild traumatic brain injury in military service members and veterans 631 Jay M. Uomoto, Sarah M. Wilson, Rhonda M. Williams, and Leigh A. Randa 33 Issues in aging following traumatic brain injury 653 Grace S. Griesbach, Mark J. Ashley, and Alan Weintraub 34 Children and adolescents: Practical strategies for school participation and transition 675 Roberta DePompei and Janet Siantz Tyler 35 Long-term discharge planning in traumatic brain injury rehabilitation 695 Mark J. Ashley and Susan M. Ashley 36 Patients’ rights and responsibilities, health care reform, and telehealth: Ethical considerations 725 Thomas R. Kerkhoff and Stephanie L. Hanson Index 737 Preface In the late 1970s, the notion that an individual with an to a disease entity of a chronic nature is changing the dis- acquired brain injury could expect further recovery of func- cussion of diagnosis, management, treatment, and outcome tion beyond 6 months postinjury was foreign. Treatment assessment. Disease specification that differentiates TBIs was predominantly rendered for long periods in inpatient by the mechanism of injury, the exact nature of the injury, rehabilitation facilities (IRFs) with long-term dispositions the extent of the injury, the presence of comorbidities and consisting of skilled nursing facilities, psychiatric hospi- their exact nature, gender, age, race, and genome is emerg- tals, jail, the street, or home. Lengths of stay in IRFs could ing as crucial. There was a time when cancer was an undif- be protracted, ranging up to 6 months or longer. Hospital ferentiated disease. Disease differentiation has consequently complications were common, and treatment often included impacted diagnosis, treatment, and outcome. strong psychotropic mediation, premature surgeries for The intended legacy of this text has always been to pro- oculomotor dysfunction and heterotopic ossification, grim vide comprehensive diagnostic and treatment guidance prognostication, and minimalistic allied health involve- for professionals at all levels of practice and experience. ment culminating in significant long-term disability. Earlier editions focused on the role of medical and allied As neuroscientists began to incorporate more inten- health professionals, case managers, legal professionals, and sive therapeutic interventions, recognition burgeoned that caregivers. This edition adds the role of the neuroscientist improvement was possible. Treatment techniques were as an important provocateur of innovation in treatment borrowed from cerebral palsy, development disability, and and chronic disease management. It is no longer sufficient stroke, and the treatment setting design became viewed to simply treat a person to be able to eat, walk, and talk. as an ecologically important contributor to treatment out- We must push our field and all stakeholders to maximize comes. The brain was essentially a “black box” conundrum recovery, minimize disability, and prevent or mitigate neu- with the best information about its function arising from rodegenerative processes that contribute to the pathogen- lesional observation and physiological studies that inferred esis and/or acceleration of neurological diseases. This text function. is intended to serve as a ready reference tool, contribute to Now, neuroscience has matured at a remarkable pace, professional growth of its reader, stimulate innovation and shedding far more exacting light on mechanisms of neuro- research, and promote continuing refinement of manage- physiology, pathophysiology of injury, neuroendocrinology, ment of the diseases of acquired brain injury. neuroimmunology, neuroplasticity, neuropharmacology, There is no other disease that so completely and suddenly and neurodegenerative processes. Individuals with acquired renders competent people of all ages and walks of life vul- brain injury are treated earlier and achieve far better recov- nerable and unable to advocate for themselves. Of impor- ery when financial support is available and uninterrupted. tance here is the recovery of the mind as well as the body. Sadly, we recognize that a chief determinant of whether an The disease destroys families, careers, and life aspirations. individual will receive rehabilitation services remains tied No other disease is referred to as “living death.” No other to socioeconomic status rather than a proscribed clinical disease requires the remarkable multitude of neuroscience, pathway for treatment as is found in nearly all other aspects medical, allied health, case management, insurance, legal, of medicine. religious, and social service professionals’ involvement and The fourth edition of this text constitutes a continuation coordination. The unprotected and neglected nature of life of 20 years of coverage of traumatic brain injury and broad- for injured individuals and their families after acquired ens the discussion of acquired brain injury. Within TBI, the brain injury commands our empathy, compassion, atten- paradigm shift from an injury occurring at a point in time tion, and advocacy. vii http://taylorandfrancis.com Acknowledgments This text has been in continuous print for more than two It is with great appreciation that I acknowledge all the authors decades, and the fourth edition promises to extend its run that submitted chapters for our book, Traumatic Brain considerably. This endeavor has required the support of Injury, Fourth Edition. I especially wish to thank the number many. of basic scientists who made critical contributions and have First, I am tremendously grateful to Dr. David Hovda given the reader a current status of plasticity and recovery for coediting this edition with me. Dr. Hovda’s vision for as well as a glance at the future for potential recovery from translating bench neuroscience lessons into potential clini- this devastating injury. cal applications enabled the participation of many of this I have had the pleasure of coauthoring and editing sev- edition’s contributors. It has been a highlight in my career eral texts over my career, and I must say I have thoroughly to work with this fine scholar and remarkable gentleman. enjoyed my association with Dr. Mark Ashley, who truly Next, I am indebted to the many contributors contained was the mastermind behind this text. Had it not been for herein and in previous editions. Their contributions have his dedication and enthusiasm for the topic, this fourth edi- been timely and have served to educate many professionals. tion would not have come to the light of day. Consequently, This edition could not have come about without the favors of on behalf of all of our students, faculty, researchers, clini- both these authors and colleagues with whom I work. Their cians, and current and future patients, I would like to thank competence and willingness have provided all the time and each author who contributed chapters as well as Dr. Mark resources necessary to both compile their contributions and Ashley for making this remarkable text come to the fore- make my own chapter preparations. Additionally, many of front as it truly is a seminal contribution to the field. the illustrations were created by Craig and Betsy Persel for earlier editions and remain relevant today. David A. Hovda, PhD Of course, works like these invade family time. My wife, Professor Sue, and my children, Matt, Jessica, Nick, Lindsay, and Neurosurgery Molecular and Medical Pharmacology Ben, have been sure to keep me grounded and engaged in Director of the UCLA Brain Injury Research Center our wonderful family life and enjoying our seven beauti- David Geffen School of Medicine at UCLA ful grandchildren. They have been patient, supportive, and accommodating, sacrificing vacation time and accepting my distracted nature. Mark J. Ashley, Sc.D., CCC-SLP, CCM, CBIST President/CEO Centre for Neuro Skills ix
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