Commonly Used Assessment and Treatment for TBI Among Speech and Language Pathologist

Authors

  • Anika javaid Kids Care Clinic- DHA Lahore
  • Tayyba khalid THQ hospital Sharaqpur- Sheikhupura
  • Aneela Irshad Riphah International University- Lahore
  • Tayyaba Usman Zia Hospital and Maternity Complex- Lahore

DOI:

https://doi.org/10.61919/jhrr.v3i2.125

Keywords:

Traumatic Brain Injury, Speech and Language Pathologists, Assessment Practices, Rehabilitation, Standardized Tools, Punjab, Pakistan

Abstract

Background: Traumatic Brain Injury (TBI) represents a critical public health issue, with injuries ranging from mild concussions to severe brain damage. Effective assessment and management by healthcare professionals, including speech and language pathologists (SLPs), are crucial for addressing the complex needs of TBI patients.

Objective: This study aimed to investigate the assessment and treatment practices of SLPs for TBI patients in Lahore, Pakistan, focusing on identifying gaps in knowledge and application of standardized assessment tools.

Methods: A cross-sectional study was conducted among 210 SLPs working in various healthcare settings in Punjab, Pakistan. Participants were selected using purposive sampling, including those with over three years of clinical experience in both government and private hospitals and clinics. SLPs working in schools, those with less than 18 years of education, and professionals not trained in TBI rehabilitation were excluded. A self-designed, non-standardized questionnaire was distributed to assess common practices in TBI management. Data were collected and analyzed using SPSS version 25.0, employing descriptive statistics to evaluate demographic characteristics, assessment preferences, and usage of specific assessment tools. Cross-tabulations were also used to explore relationships between demographics and assessment practices.

Results: The majority of SLPs had 1-2 years of experience with TBI patients (28%), with a significant portion also having 6 months to 1 year of experience (22%). Female SLPs dominated the sample (88%). In terms of assessment preferences, a balanced inclination towards formal (53%) and informal (47%) methods was observed. However, there was a notable inconsistency in the use of standardized tools. Specific tools such as RBANS and BDAE were used by only 12% and 47% of therapists, respectively. Advanced imaging techniques like MRI and CT scans were seldom used (15%).

Conclusion: The study underscores the need for enhanced training and resources for SLPs in Punjab for effective TBI assessment and treatment. The findings reveal a reliance on certain assessment tools and a gap in the use of standardized methods, suggesting the necessity for improved training, awareness, and access to diverse assessment tools.

Downloads

Download data is not yet available.

References

VanItallie TB. Traumatic brain injury (TBI) in collision sports: Possible mechanisms of transformation into chronic traumatic encephalopathy (CTE). Metabolism. 2019;100:153943.

Gardner A, Zafonte R. Neuroepidemiology of traumatic brain injury. Handbook of clinical neurology. 2016;138:207-23.

Ng SY, Lee AYW. Traumatic brain injuries: pathophysiology and potential therapeutic targets. Frontiers in cellular neuroscience. 2019;13:528.

Martin J, Campbell EH. Early complications following penetrating wounds of the skull. Journal of Neurosurgery. 1946;3(1):58-73.

De Jesus O, Fernández-de Thomas RJ. Bone Fragment Granuloma Mimicking a Brain Tumor Following Placement of an Intracranial Pressure Monitoring System. Cureus. 2021;13(6).

Venanzi MS, Piatelli G, Pavanello M. From Henry Shrapnel (1761–1842) to today’s neurosurgery: how antipersonnel weapons have laid the foundation of clinical and surgical management of head injury fractures and penetrating brain injuries. Neurosurgical focus. 2022;53(3):E5.

Franzini A, Rossini Z, Tropeano MP, Picozzi P, Servadei F, Pessina F. Neurosurgery during the Greco-Italian War (World War II): the management of war-related head injuries at the Italian field hospital of Sinanaj in Albania. Neurosurgical focus. 2022;53(3):E10.

Adatia K, Newcombe VF, Menon DK. Contusion progression following traumatic brain injury: a review of clinical and radiological predictors, and influence on outcome. Neurocritical care. 2021;34:312-24.

Ma X, Cheng Y, Garcia R, Haorah J. Hemorrhage associated mechanisms of neuroinflammation in experimental traumatic brain injury. Journal of Neuroimmune Pharmacology. 2020;15:181-95.

Monson KL, Converse MI, Manley GT. Cerebral blood vessel damage in traumatic brain injury. Clinical biomechanics. 2019;64:98-113.

Bertozzi G, Maglietta F, Sessa F, Scoto E, Cipolloni L, Di Mizio G, et al. Traumatic brain injury: a forensic approach: a literature review. Current neuropharmacology. 2020;18(6):538-50.

Balzi APdCC, Otsuki DA, Andrade L, Paiva W, Souza FL, Aureliano LGC, et al. Can a therapeutic strategy for hypotension improve cerebral perfusion and oxygenation in an experimental model of hemorrhagic shock and severe traumatic brain injury? Neurocritical Care. 2023;39(2):320-30.

Thomas JM, Louca I, Bolan F, Sava OR, Allan SM, Lawrence CB, et al. Regenerative potential of hydrogels for intracerebral hemorrhage: lessons from ischemic stroke and traumatic brain injury research. Advanced Healthcare Materials. 2021;10(16):2100455.

Tverdal CB. Acute management of traumatic brain injury at Oslo University Hospital. Oslo TBI Registry–Neurosurgery: Patient characteristics, injury description, emergency neurosurgery, and pathway to rehabilitation. 2022.

Buh FC, Hutchinson PJ, Anwar F. Early neuro-rehabilitation in traumatic brain injury: the need for an African perspective. BMC medicine. 2023;21(1):290.

Gerber LH, Deshpande R, Moosvi A, Zafonte R, Bushnik T, Garfinkel S, et al. Narrative review of clinical practice guidelines for treating people with moderate or severe traumatic brain injury. NeuroRehabilitation. 2021;48(4):451-67.

Jacob L, Cogné M, Tenovuo O, Røe C, Andelic N, Majdan M, et al. Predictors of access to rehabilitation in the year following traumatic brain injury: a European prospective and multicenter study. Neurorehabilitation and neural repair. 2020;34(9):814-30.

del Rosario Ayon M. Effectiveness of Postacute Rehabilitation for Brain Injury: Alliant International University; 2019.

Hardin KY, Black C, Caldbick K, Kelly M, Malhotra A, Tidd C, et al. Current practices among speech-language pathologists for mild traumatic brain injury: A mixed-methods modified Delphi approach. American Journal of Speech-Language Pathology. 2021;30(4):1625-55.

Ackley K, Brown J. Speech-language pathologists' practices for addressing cognitive deficits in college students with traumatic brain injury. American Journal of Speech-Language Pathology. 2020;29(4):2226-41.

Meulenbroek P, O'Neil-Pirozzi TM, Sohlberg MM, Lemoncello R, Byom L, Ness B, et al. Tutorial: The speech-language pathologist's role in return to work for adults with traumatic brain injury. American Journal of Speech-Language Pathology. 2022;31(1):188-202.

Hardin KY, Kelly JP, editors. The role of speech-language pathology in an interdisciplinary care model for persistent symptomatology of mild traumatic brain injury. Seminars in Speech and Language; 2019: Thieme Medical Publishers.

Pundlik J, Perna R, Arenivas A. Mild TBI in interdisciplinary neurorehabilitation: Treatment challenges and insights. NeuroRehabilitation. 2020;46(2):227-41.

Roth C, Hardin K. Cognitive communication disorders of mild traumatic brain injury. M Kimbarow (3rd Eds), Cognitive communication disorders San Diego (CA): Plural Publishing. 2019:273-341.

Hardin KY, Wiseman-Hakes C. Cognitive Communication Disorders Associated With Mild Traumatic Brain Injury (Concussion). Cognitive Communication Disorders. 2023:359.

Zhou Z, Sodha V, Rahman Siddiquee MM, Feng R, Tajbakhsh N, Gotway MB, et al., editors. Models genesis: Generic autodidactic models for 3d medical image analysis. Medical Image Computing and Computer Assisted Intervention–MICCAI 2019: 22nd International Conference, Shenzhen, China, October 13–17, 2019, Proceedings, Part IV 22; 2019: Springer.

Edlow BL, Sanz LR, Polizzotto L, Pouratian N, Rolston JD, Snider SB, et al. Therapies to restore consciousness in patients with severe brain injuries: a gap analysis and future directions. Neurocritical care. 2021;35:68-85.

Ali A, Morfin J, Mills J, Pasipanodya EC, Maas YJ, Huang E, et al. Fatigue after traumatic brain injury: a systematic review. Journal of head trauma rehabilitation. 2022;37(4):E249-E57.

Downloads

Published

2023-12-03

How to Cite

javaid, A., khalid, T., Irshad, A., & Usman, T. (2023). Commonly Used Assessment and Treatment for TBI Among Speech and Language Pathologist. Journal of Health and Rehabilitation Research, 3(2), 280–285. https://doi.org/10.61919/jhrr.v3i2.125

Most read articles by the same author(s)