The evaluation of behavioural changes in brain-injured patients: SOFMER recommendations for clinical practice

Annals of Physical and Rehabilitation Medicine
A ProuteauJ M Mazaux

Abstract

Behavioural changes are the main cause of difficulties in interpersonal relationships and social integration among traumatic brain injury (TBI) patients. The Société française de médecine physique et réadaptation (SOFMER) decided to develop recommendations for the treatment and care provision for these problem under the auspices of the French health authority, the Haute Autorité de la santé (HAS). Assessment of behaviour is essential to describe, understand and define situations, assess any change and suggest lines for intervention. The relationship of these behavioural changes with the brain lesion is likewise of crucial importance in legal and forensic expertise. Using a literature review and expert opinions, the aim was to define the optimal conditions for the collection of data on behavioural changes in individuals having sustained brain trauma, to identify the situations in which they arise, to review the instruments available, and to suggest lines of intervention. A literature search identified 981 articles, among which 122 on the target subject were selected and analysed in detail and confronted with the experience of professionals and user representatives. A first draft of the recommendations was produced by the working...Continue Reading

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Dec 1, 2018·The Journal of Head Trauma Rehabilitation·Tiphaine BourseauMickaël Dinomais

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brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.