NIH Consensus Development Conference on Rehabilitation of Persons with Traumatic Brain Injury

Report of the
NIH Consensus Development Conference
on the

Rehabilitation of Persons with
Traumatic Brain Injury

National Institutes of Health
National Institute of Child Health and
Human Development

U.S. Department of Health and Human Services
Public Health Service
National Institute of Child Health and Human Development
September 1999

Report of the Consensus Development Conference on the REHABILITATION OF PERSONS WITH TRAUMATIC BRAIN INJURY

Sponsored by:
National Institute of Child Health and Human Development
Office of Medical Applications of Research, NIH

Co-sponsored by:
National Institute of Deafness and Other Communication Disorders
National Institute of Mental Health
National Institute of Neurological Disorders and Stroke
National Institute of Nursing Research
Office of Alternative Medicine
Office of Research on Women’s Health
Agency for Health Care Policy and Research
Centers for Disease Control and Prevention

October 26-28, 1998
Bethesda, Maryland

U.S. Department of Health and Human Services
Public Health Service
National Institutes of Health
National Institute of Child Health and Human Development

September 1999

Table of Contents

• Introduction to the NIH Consensus Development Conference on Rehabilitation of Persons With Traumatic Brain Injury
• NIH Consensus Statement
• Consensus Development Panel
• Speakers
• Planning Committee
• Acronyms/Abbreviations
• Abstracts
  
  

  Rehabilitation of Individuals With Traumatic Brain Injury: Status of the Art and Science
  John Whyte, M.D., Ph.D.

  Challenges in Determining the Epidemiology of Traumatic Brain Injury: Issues Affecting Incidence, Prevalence, and Risk Factor Identification or Measurement
  Jess F. Kraus, Ph.D.

  Trends in Traumatic Brain Injury-Related Hospitalizations—United States, 1980-1995
  David J. Thurman, M.D., M.P.H., and Janet Guerrero, M.S.

  Neurocognitive/Behavioral Outcomes in Children and Adults
  Harvey S. Levin, Ph.D.

  Functional Consequences and Outcome Measurements
  Mitchell Rosenthal, Ph.D.

  Consequences of Traumatic Brain Injury for the Family
  Jeffrey S. Kreutzer, Ph.D., ABPP

  Consequences of Traumatic Brain Injury for Functioning in the Community
  John D. Corrigan, Ph.D.

  Economics of Traumatic Brain Injury Rehabilitation: Observations on Progress and Recommended Directions
  Mark V. Johnston, Ph.D. and Kenneth Wood, Ph.D.

  Receptor-Based Mechanisms of Functional Recovery
  Tracy K. McIntosh, Ph.D.

  Cellular Mechanisms of Recovery
  John T. Povlishock, Ph.D.

  Neuroplasticity, Experience, and Mechanisms of Brain Information Storage
  William T. Greenough, Ph.D.

  The Cognitive and Behavioral Mechanisms Underlying Recovery From Traumatic Brain Injury at Different Stages After Injury
  Donald T. Stuss, Ph.D.

  Agency for Health Care Policy and Research Evidence-Based Practice Report
  Randall M. Chesnut, M.D., Nancy Carney, Ph.D.,  Hugo Maynard,
  Ph.D., Patricia Patterson, Ph.D., N. Clay Mann, Ph.D., and Mark
  Helfand, M.D.

  Cognitive Rehabilitation: An Impairment-Oriented Approach Embedded in a Holistic Perspective
  George P. Prigatano, Ph.D.

  A Contextualized and Routine-Based Approach to Cognitive and Behavioral Rehabilitation: A Historical Perspective
  Mark Ylvisaker, Ph.D.

  Cognitive Rehabilitation: Research Approaches
  Ronald M. Ruff, Ph.D.

  Institute of Medicine Model of Disability
  Diana D. Cardenas, M.D.

  Models of Head Injury Care
  D. Nathan Cope, M.D.

  Access to Brain Injury Rehabilitation and Other Post-Acute Services
  Gerben DeJong, Ph.D.

  The Consumer Perspective on Existing Models of Rehabilitation: The Rehabilitation of Persons With Traumatic Brain Injuries
  Theresa M. Rankin

  Quality of Life and Life Satisfaction Studies
  Allen W. Heinemann, Ph.D., ABPP

  Ethical Considerations in Research Design Involving Persons With Traumatic Brain Injury
  John Banja, Ph.D.

  Approaches to Resolving the Dilemma
  Kenneth J. Ottenbacher, Ph.D.

• Report of the Consensus Panel
  
  

  Epidemiology of Traumatic Brain Injury

  Consequences of Traumatic Brain Injury

  Mechanisms Underlying Functional Recovery Following Traumatic Brain Injury

  Effectiveness of Rehabilitation Interventions to Address Cognitive, Behavioral, and Emotional Consequences of Brain Injury

  Models of Comprehensive Rehabilitation for Traumatic Brain Injury

• Appendix A
  
  

  The Consumer Perspective on Existing Models of Rehabilitation for Traumatic Brain Injury
  T.M. Rankin

• Appendix B
  
  

  The Epidemiology of Traumatic Brain Injury Among Children and Adolescents
  K.A. Dunn, M.D., M.S.P.H., D.J. Thurman, M.D., M.P.H., and C.J.
  Alverson, Jr., M.S.

• Appendix C
  
  

  Evidence Report/Technology Assessment: Rehabilitation for Traumatic Brain Injury
  R.M. Chesnut, M.D., N. Carney, Ph.D., H. Maynard, Ph.D.,
  P. Patterson, Ph.D., N.C. Mann, Ph.D., and M. Helfand, M.D.