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Critical Reviews™ in Physical and Rehabilitation Medicine

Published 4 issues per year

ISSN Print: 0896-2960

ISSN Online: 2162-6553

SJR: 0.141 SNIP: 0.129 CiteScore™:: 0.6 H-Index: 18

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Management of Traumatic Brain Injury-Related Agitation

Volume 21, Issue 3-4, 2009, pp. 215-229
DOI: 10.1615/CritRevPhysRehabilMed.v21.i3-4.20
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ABSTRACT

Agitation following traumatic brain injury (TBI) is a common problem that significantly interferes with the rehabilitation process and frequently prevents injured persons from successfully returning to their desired societal roles and communities. There are no standards of care regarding the management of TBI-related agitation due to the lack of a widely accepted definition of the problem, as well as to the paucity of well-designed and adequately powered trials examining treatment interventions. Given the lack of a standard of care, clinicians are advised to address agitation using an interdisciplinary approach involving health care professionals and family members that consists of environmental and behavioral modifications and, when necessary, the judicious use of medications. Medication choice is challenging because of the unique TBI-related problems of poor arousal and cognitive impairments that are often exacerbated by commonly used psychotropic drugs. Physicians must choose medications that promote participation in rehabilitation and reduce maladaptive behavior without sedating or cognitively impairing effects that adversely impact recovery.

CITED BY
  1. McNett Molly, Sarver Wendy, Wilczewski Patricia, The prevalence, treatment and outcomes of agitation among patients with brain injury admitted to acute care units, Brain Injury, 26, 9, 2012. Crossref

  2. Trevena-Peters Jessica, Ponsford Jennie, McKay Adam, Agitated Behavior and Activities of Daily Living Retraining During Posttraumatic Amnesia, Journal of Head Trauma Rehabilitation, 33, 5, 2018. Crossref

  3. McKay Adam, Love Jasmine, Trevena-Peters Jessica, Gracey Jacinta, Ponsford Jennie, The relationship between agitation and impairments of orientation and memory during the PTA period after traumatic brain injury, Neuropsychological Rehabilitation, 30, 4, 2020. Crossref

  4. Spiteri Courtney J., Ponsford Jennie L., Roberts Caroline M., McKay Adam, Aspects of Cognitive Impairment Associated with Agitated Behaviour during Post-traumatic Amnesia, Journal of the International Neuropsychological Society, 28, 4, 2022. Crossref

  5. Carrier Sarah L., Ponsford Jennie, Phyland Ruby K., Hicks Amelia J., McKay Adam, Effectiveness of Non-Pharmacological Interventions for Agitation during Post-Traumatic Amnesia following Traumatic Brain Injury: A Systematic Review, Neuropsychology Review, 2022. Crossref

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