Treatment of painful syndromes in traumatic brain injury
DOI:
https://doi.org/10.11606/issn.2317-0190.v11i1a102473Keywords:
Brain Injuries, Traumatic, Pain, Quality of life, Acupuncture, RehabilitationAbstract
According to National Center for Medical Rehabilitation Research cronic disease model, there are 5 main axes to be on focus during treatment – pathophysiology, impairment, functional limitation, disability and societal limitations. Traumatic brain injury (TBI) is a condition in which patient faces all such problems. Due to great extension of life threaten, interdisciplinary approach is recommended approach. This case report aims to demonstrate the relevance of pain experienced by a TBI survivor and its level of interference during her rehabilitation. She has been treated by Division of Physical Medicine at the Institute of Orthopedics and Traumatology at the University of São Paulo during 2002 who has been submitted to several analgesic procedures. Her follow-up was demonstrated by means of quality of life and functional surveys, with significant improvement of measures. Although recent studies have been focused on pain characteristics in TBI, pain has been neglected among clinical practitioners. Critic analysis is necessary during scales interpretation because a global improvement may be due to psychossocial enhancement which is sometimes directly related to chronic pain.
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