|Physical||Communication||Cognitive||Behavioural / Emotional|
Communication deficits are often characterized by difficulty in understanding or producing speech correctly (aphasia), slurred speech consequent to weak muscles (dysarthria), and/or difficulty in programming oral muscles for speech production (apraxia). It may be an effort for individuals with ABI to understand both written and spoken messages; they may behave as if they are trying to comprehend a foreign language. They may also have difficulty with spelling, writing, and reading. Some individuals may also have difficulty in social communication, such as difficulty taking turns in conversation and problems maintaining a topic of conversation. Individuals with TBI may have little or no awareness of just how inappropriate their behaviours are.
"NHS clinicians struggle with what intervention to priorities in pediatric neuro-rehabilitation due to limited clinical time and the complexity of needs. Children, clinicians, parents and schools all have different neuro-rehabilitation priorities"
"Thousands of children and young people living in the UK today without the help and support that can make a huge difference to their lives"
"Participation in teen sports and normal activities leads to improved quality of life for children and young people post brain injury and helps to maximise outcomes"
"Often families don't have the financial capability to access services. We need to rethink how we delivery neuro-rehab services to children and young people"
"Our 10 year study proves that family-led home-based neuro-rehab interventions deliver the best outcomes for children and young people"
"We are medical practitioners. The real experts are the parents. Over the last 35 years they have taught me everything I know"
"We need to harness the power of brain plasticity for treating children and young people with brain injury. Stressful experiences alter brain development of a child, especially at the key ages of 0-3 and at ages 10-16"
"Restoration of anatomical functions and relationships must be done within 2 months of brain injury"
"Taking brain injured children home causes high stress for families. Disjointed services exacerbate family stress levels."
"Case management for children and young people post acquired brain injury is 'pivotal' to successful outcomes and must be local"