Why Physical Therapy After a Brain Injury is Important

By: Lindsey McCants, PT, DPT, NCS, CBIS

View all conditions and services

After a brain injury, your brain must heal in order to return to your prior level of function and maximize mobility. That is the goal of physical therapy, which combines intensity, repetition, and desired goals. It enhances your ability to produce neuroplastic change. In other words, you must rebuild connections among nerve cells and “re-wire” your brain.

However, not all injuries are the same, and thus, the approach to physical therapy for a brain injury should be:

  • Tailored to the individual
  • Based on the type of brain injury
  • Based on the severity of the brain injury

Types of Brain Injuries

There are various types of brain injuries. Each requires different treatments. They include:

  • Stroke
  • ​Aneurysm
  • Infection to the brain
  • Anoxia (lack of oxygen to the brain)
  • Tumor
  • Traumatic brain injury (TBI)
    • Closed Head Injury: A closed head injury (CHI) is when your head receives impact or injury, but the skull is not penetrated. A very common outcome of a CHI is a concussion.
    • Penetrating Head Injury: A penetrating head injury is when impact or injury to the head allows penetration through the skull and directly to the brain.

Types of Impairments Treated Through Physical Therapy

Physical therapy can help treat several impairments that are common after a brain injury, including:

  • Spasticity
  • Pain
  • Muscle weakness
  • Impaired coordination
  • Loss of balance, dizziness, and/or vertigo
  • Cognition and mobility integration

Physical therapy and mobility can also help prevent secondary complications such as:

  • Blood clot formation
  • Contractures
  • Skin breakdown and pressure injuries
  • Cardiovascular and respiratory dysfunction

Types of Treatment Through Physical Therapy

Depending on the location of the injury, a brain injury presents differently. It is important for you to have a thorough physical therapy assessment to identify all impairments. Based on the assessment, your physical therapist will create a plan of care. It might include:

  • Gait training
  • Intensity and endurance training  
  • Balance training
  • Therapeutic activities such as transfers and bed mobility training
  • Neuromuscular re-education
  • Strength training and stretching
  • Manual therapy

Types of Facilities

There are a variety of rehabilitation settings where physical therapy for brain injuries is offered, including:

  • Acute inpatient rehabilitation: An intensive rehabilitation center where patients receive three or more hours of therapy per day, including physical, occupational, and speech therapy. Patients stay at the facility and are under the medical supervision of a physician who specializes in rehabilitation and physical medicine. Patients also are provided 24-hour nursing care.
  • Home health therapy: This is for patients who are well enough to return home, but are unable to be physically transported to an outpatient facility due to physical or medical needs. A therapist comes to the home, performs an evaluation, and assess the need for skilled physical therapy services.
  • Outpatient therapy: A facility for patients who are well enough to be discharged home and can be safely transported to an outpatient rehabilitation facility via caregiver support or medical transport. Therapists perform an examination and evaluation to determine the most appropriate physical therapy services to address present impairments.

To seek help from a qualified brain injury rehabilitation professional, click here.

References:

Brain Injury Association of America. 2023, Brain Injury Association of America | BIAA (biausa.org). Accessed 22 May 2023.

MSKTC. Model Systems Knowledge Translation Center. 2023, Understanding Traumatic Brain Injury | MSKTC. Accessed 22 May 2023.

Sheltering Arms Institute. (2019). Moderate to Severe Traumatic Brain Injury Clinical Practice Guideline. Traumatic Brain Injury CPG.docx

Share This Post:

Facebook
Twitter
LinkedIn
RehaBlog

More Posts

Try Before You Buy: Exploring Assistive Technology

From a simple magnifying glass to voice-activated smart devices, technology is everywhere, and the right tools can support daily routines, connectivity with family, and safety within the home. However, with all the options available, how do you know what technology is right for you? And, once you find a device, what type of model and features should you choose? See how Sheltering Arms Institute’s Assistive Technology Lab can help.

Caring for the Caregiver

November is National Family Caregivers Month, a time to recognize and honor the dedication, compassion, and resilience of caregivers. Whether caring for a loved one recovering from trauma, illness, or injury, caregivers play an essential role in the healing process. However, caregiving can be overwhelming and emotionally demanding. Fortunately, there are many resources available to help caregivers take care of themselves so they may care for others.

Diet Tips to Lower Blood Pressure

High blood pressure can increase the risk of stroke, heart disease, and other health complications. A healthy lifestyle of exercise, maintaining a healthy weight, and diet can help reduce your risk of developing high blood pressure. When it comes to your diet, the best one to follow is a dietary approaches to stop hypertension (DASH) diet, or similarly, the Mediterranean diet. Learn specific dietary changes you can implement to help lower blood pressure.

Heat vs. Ice – Which is Better for Your Pain?

Are you experiencing pain or swelling, but are unsure if you should reach for an ice pack or a heating pad to find relief? Choosing the right therapy can help relieve discomfort and promote healing. Learn when to apply cold or heat to get the best results.

Coping with Anxiety After A Stroke

It’s common for stroke survivors and their family members to feel anxious after a stroke. So much changes so suddenly. As a stroke survivor myself, I certainly experienced anxiety: in the hospital, at the rehab center, and after I returned home. Not only were my physical and mental abilities different, but my family had to adjust as well. From coping with uncertainty to rebuilding daily routines, learn how to manage post-stroke anxiety and regain a sense of control.

View All Posts

Start your Journey

Learn more about Sheltering Arms Institute

Contact a specialist at Sheltering Arms Institute to learn more about how you can gain more freedom in your everyday life.