Inpatient Brain Injury Recovery Program

Patient in wheelchair throwing a ballNortheast Rehab’s Brain Injury Recovery program is structured to provide comprehensive acute inpatient rehabilitation services and medical management to meet the needs of individuals who have had a brain injury and their families. The therapy team follows clinical practices that are well supported by the most current evidence.

We Specialize in Brain Injury Rehab

We strongly believe that our patients deserve high quality, compassionate care. In addition to our overall hospital accreditation by the Joint Commission and The Commission on Accreditation of Rehabilitation Facilities, our Brain Injury and Stroke specialty certifications represent our commitment to provide the highest quality care to our patients with the use of only evidence- based therapies.

In order to meet the unique needs of patients recovering from a brain injury, we have Certified Brain Injury Specialists (CBIS) on staff. These therapists are preeminent brain injury clinicians having passed a rigorous set of courses, a written examination and nationally-recognized credentials. Additionally, our therapists are continuously trained in the latest advances in brain injury rehabilitation.

Our staff members pay close attention to the hospital environment and the way we communicate with each patient.

Dr. SizerDr. Caroline Sizer is the Program Medical Director for the Brain Injury Recovery Program at Northeast Rehab Hospital.

We also have on staff Certified Rehabilitation Registered Nurses (CCRN). This certification means that patients and families can feel confident in their rehabilitation nurse’s level of expertise.

Technology and Specialty Services:

In addition to the highest quality physician’s, therapists and nurses, we provide the latest technologies to support recovery. For those patients recovering from a brain injury we integrate the following as necessary:

  • LiteGait – a therapy device which helps patients walk before they are able to support their own body weight
  • Bioness H200 and L300 – devices to aid in recovery of arm and leg function
  • Digital modified barium swallow testing – a procedure designed to determine whether food or liquid is entering a person’s lungs
  • Vision clinic and low vision services includes an optometrist who specializes in vision problems caused by neurological conditions

Patient and Family Support

Recovering from a brain injury is a journey for both patients and their caregivers. We are here to provide support during their stay with us and once they return home.

  • Peer visits by others who have recovered from a brain injury
  • Connections to on-site and community support groups for individuals who have had a brain injury and their family members
  • Neuro Recovery Clinic – Recovery after a stroke is a lifelong process. Our Neuro Recovery Clinic offers survivors the chance to meet with a Neuro Recovery Team to discuss their current progress, challenges, achievements and concerns.
  • We work closely with our community resources including the Krempels Center, MA/NH/ME Brain injury Associations, Northeast Independent Living, Granite State Independent Living.
  • Patient and Family Education Program – An onsite class for families and other caregivers on various topics related to brain injury

Areas of the BrainBrain Injury Information

Traumatic Brain Injury

NRH strives to meet the complex needs of patients looking for rehab following their injuries.

Traumatic brain injury is an insult to the brain, not of a degenerative or congenital nature but caused by an external physical force, that may produce a diminished or altered state of consciousness, which is an impairment of cognitive abilities or physical functioning. It can also result in the disturbance of behavioral or emotional functioning. These impairment may be either temporary or permanent and cause partial or total functional disability or psychosocial maladjustment.

Causes of Traumatic Brain Injury

  • A traumatic brain injury occurs when an outside force impacts the head hard enough to cause the brain to move within the skull or if the force causes the skull to break and directly hurt the brain.
  • A direct blow to the head can be great enough to injure the brain inside the skull. A direct force to the head can also break the skull and directly hurt the brain. This type of injury can occur from motor vehicle crashes, firearms, falls, sports, and physical violence, such as hitting or striking with and object.
  • A rapid acceleration and deceleration of the head can force the brain to move back and forth across the inside of the skull. The stress from the rapid movements pulls apart nerve fibers and causes damage to brain tissue. This type of injury often occurs as a result of motor vehicle crashes and physical violence such as Shaken Baby Syndrome.

Acquired Brain Injury

An acquired brain injury commonly results in a change in neuronal activity, which effects the physical integrity, the metabolic activity, or the functional activity of the cell. An acquired brain injury may result in mild, moderate, or severe impairments in one or more areas, including cognition, speech-language communication, memory, attention and concentration, reasoning, abstract thinking, physical functions, psychosocial behavior, and information processing.

Causes of Acquired Brain Injury

Acquired brain injury takes place at the cellular level within the brain. Therefore, injury from acquired brain injury can effect cells throughout the entire brain, instead of just in specific areas as with traumatic brain injury.

An acquired brain injury is an injury to the brain, which is not heredity, congenital, degenerative, or induced by birth trauma. An acquired brain injury is an injury to the brain that has occurred after birth.

Causes of acquired brain injury can include but are not limited to:

  • Airway obstruction
  • Near-drowning, throat swelling, choking, strangulation, crush injuries to the chest
  • Electrical shock or lightning strike
  • Trauma to the head and/or neck
  • Traumatic brain injury with or without skull fracture, blood loss from open wounds, artery impingement from forceful impact, shock
  • Vascular Disruption
  • Heart attack, stroke, arteriovenous malformation (AVM), aneurysm, intracranial surgery
  • Infectious disease, intracranial tumors, metabolic disorders
  • Meningitis, certain venereal diseases, AIDS, insect-carried diseases, brain tumors, hypo/hyperglycemia, hepatic encephalopathy, uremic encephalopy, seizure disorders
  • Toxic exposure – poisonous chemicals and gases, such as carbon monoxide poisoning

Brain Injury Resources

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