By GORDON MUIR GILES AND JO CLARK-WILSON
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Additional info for Brain Injury Rehabilitation: A neurofunctional approach
0 years), 51% had no complaints and 22% had more than three new complaints. Most obvious parameters such as level of consciousness on admission, duration of post-traumatic amnesia and days in the hospital were poor predictors of later complications. Sex, repeated brain injury and skull fracture (hearing loss, tinnitus, balance problems) were strongly predictive. Age was a risk factor for multiple complaints. , 1986; see Binder, 1986, for a review). , 1987). , 1987). Moderate injury McMillan and Gluckman (1987) examined the ability of 24 moderately brain-injured adults to process information rapidly when compared with a matched orthopaedic control group.
1968) and is thought to be the result of damage to fibres descending from the cerebral cortex to the cerebellum. Damage at one site in the brain could have remote effects in many other areas though so far only crossed-cerebellar diaschisis has been convincingly demonstrated. Whether or not diaschisis has a significant role in recovery of function after brain injury remains a matter of debate (Finger and Stein, 1982). It has been argued that diaschisis should not be considered a form of plasticity since it was envisaged by Monakow as a depression of function which gradually resolves and which does not involve any 'rewiring' of the system (Teuber, 1975) or re-routing of neuronal transmission.
Other individuals may make a rapid recovery in most areas but remain severely functionally compromised by inadequate behavioural control. , 1977). The lack of outcome variability was interpreted as supporting the view that there is a rigid and unmodifiable natural history of recovery. Bond (1975) examined the recovery of patients with severe brain injury by serial administration of the Wechsler Adult Intelligence Scale (WAIS). He found that return of function was rapid in the first six months following injury and slowed considerably after that time.