Brain Rehabilitation known as Brain Injury Rehabilitation (BIR) has remained an enigma for most people including the Neuroscience professionals and experts. Physical healing of brain injuries/insults NEVER translates to an AUTOMATIC & COMPLETE functional recovery of brain functions to the premorbid levels of functioning.
The complexity and uniqueness of every individuals’ brain functions (it is like each of us having our own customized operating systems, apps & software’s) and the fact that most of it cannot be measured easily and in a standardized way made this task onerous and probably ‘impossible’!
This lack of clarity at all levels resulted in the creation of a large number of neurologically disabled individuals who are now a ‘liability’ to the family, community, and country. Unlike age-related degenerative disorders or cancer, many of these individuals who are in this situation following devastating TBI (Traumatic Brain Injuries) due to road traffic accidents, strokes and other diseases like neuro infections etc., were ‘normal’ ‘productive’ ‘breadwinners’ of the family & community and such a problem devastates the family and many times destroy their present & future!
With the rapid growth of the population, industrialization, a fast-paced life but with poor and unhealthy lifestyles, the number of TBIs, strokes, dementia and the like are increasing exponentially. Also, in countries like India and others in the developing world, a dramatic improvement in the quality and delivery of acute care services (albeit unequally across the country) and it’s access and affordability, has resulted in an large increase in the number of such individuals who are surviving the acute care, but with significant disabilities. Thus, the need and access to a well-structured, early and comprehensive rehabilitation is being felt very acutely. However, the struggle to deliver these complex acute care services and ‘saving lives’ is consuming most of the healthcare industry’s time that they just don’t have the additional time, inclination, energy or bandwidth to set up and deliver these rehabilitation services to those who survived but remained disabled. The obscene amounts of money being spent (by the government, public, and family members) on just maintaining such disabled patients are actually unfathomable.
- The conscious inclusion of ‘cognition*’ as the main thread that holds the entire model together (both for the patient and the families)
- The additional dimension that spirituality and EQ bring to the recovery process.
- Evidence-based, measurable progress.
- Making ‘biofeedback’ the mainstay in assessments, course corrections & therapy planning
- Adding Ashtanga Yoga into the mix—both for the patient and their family members/ caregivers.
- Paying adequate attention to the behavioral modifications so as to enhance the effectiveness of the rehabilitation process.