Aging Issues Following Brain Injury

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National Rehabilitation Hospital

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OBJECTIVES ,[object Object],[object Object],[object Object]

Successful Aging Requires Maintenance of: ,[object Object],[object Object],[object Object]

Age at Injury Affects Plasticity & Recovery Issues ,[object Object],[object Object],[object Object],[object Object]

TBI As Risk Factor for AD ,[object Object],[object Object],[object Object]

TBI and Age: Newer Review of the Literature ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Aging: Over More than Three Decades (Sendroy-Terrill, M et.al 2010) ,[object Object],[object Object],[object Object],[object Object],[object Object]

Aging: Over More than Three Decades (Sendroy-Terrill, M et.al 2010 ) ,[object Object],[object Object],[object Object]

Reported Health Issues (n=58) Abnormal Blood Pressure 67% Balance 60% Muscle/Joint stiffness 55% Urinary control difficulty 53% Weight gain greater than 10 lbs. 48% Sleep disorder 41% Spasticity 41% Chronic headache 34% Hospitalizations/ER visits in the last year 28% Thyroid condition 21% Skin-vascular changes 17% Symptomatic Epilepsy 17% Diabetes Mellitus 1%

Acute and Worsening Neurologic and Physical Changes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cognitive & Functional Changes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Impact on Daily Life ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Recommendations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Traumatic Brain Injury occurs every 15 seconds with 500,000 requiring hospitalization. It is the leading killer and cause of disability in children and young adults. Motor vehicle crashes are a leading cause of death in the U.S. More than 2.5 million drivers and passengers were treated in emergency departments as the result of being injured in motor vehicle crashes in 2012. The economic impact is also notable: in a one-year period, the cost of medical care and productivity losses associated with injuries from motor vehicle crashes exceeded $80 billion. http://www.cdc.gov/injury/wisqars, 2010 An estimated 2.4 million children and adults in the U.S. sustain a traumatic brain injury (TBI) and another 795,000 individuals sustain an acquired brain injury (ABI) from non-traumatic causes each year. Currently more than 5.3 million children and adults in the U.S. live with a lifelong disability as a result of TBI and an estimated 1.1 million have a disability due to stroke. (Statistics courtesy of the Centers for Disease Control and the Stroke Fact Sheet

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