The Art and Science of Case Managing Rehabilitation after Brain Injury

building the rehabilitation team, balancing aspirations and goals with assessment of rehabilitation potential toward meaningful outcomes

​Brain injury rehabilitation is a broad church – part science, part art and certainly a very individual experience every time.
 
Many variables influence potential, progress and outcomes for each person engaging with rehabilitation. Factors such as; pre-injury abilities, age at injury, individuality, drive, motivation, general health, stamina, support, environment as well as the exact nature of the injury and time elapsed since injury alongside symptoms and impairments.
 
Then there is the science and current understanding of the brain, how it works, how it repairs and how it responds short, medium and long term after injury. This is set alongside ever-developing understanding of how exactly treatments and therapies impact (even where we ‘know’ that they do), what the dosage of therapy should be and how to maximise the benefits in each case. It is therefore impossible to pinpoint and prescribe an exact pathway or specific treatments based on a diagnosis, scan or symptomatic picture.
 

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