Abstract
Cognitive impairment post TBI is an important factor in rehabilitation outcomes. Pharmacological and therapeutic services do not directly address damage to the cortical infrastructure. Hyperbaric Oxygen Therapy is known to improve brain function and healing.
Highlights
Traumatic brain injury (TBI) is a significant cause of morbidity
After the intervention there was a significant change in MoCA favoring the Hyperbaric Oxygen therapy (HBOT) group
Inclusion criteria were: Severe Traumatic Brain Injury admitted in the Acute Inpatient Rehabilitation service, Exclusion criteria were: Depression or other psychiatric conditions, Duration of Acute inpatient care >4 months, Post-traumatic amnesia > 4 months, Concomitant neurological conditions, recovering from LRTI, with albumin less than 3.0., MRI with no focal lesion or evidence of Diffuse Axonal Injury
Summary
Traumatic brain injury (TBI) is a significant cause of morbidity. In the USA the average lifetime cost of care for a severe TBI patient ranges from $600,000 to $1,875,000 [1]. Participation is a strong predictor of life satisfaction in the differently-abled. Psychological intervention is: Attention process training and tasks for attention deficits, compensatory strategies and errorless learning training for memory deficits, pragmatic language skills and social behavior guidance for cognitive-communication disorder, meta-cognitive strategy, and problem-solving training for executive disorder are the mainstay of therapy for cognitive deficits in persons with TBI [7]. None of these directly address the cortical infrastructure damage. Hyperbaric Oxygen Therapy is known to improve brain function and healing
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