Neuro-rehabilitation

What does neuro-rehabilitation do?
‘Rehabilitation aims to reduce the impact of (brain) injury by restoration of damaged function, or compensation for lost function, within the limitations of underlying disease, to optimise physical, cognitive, psychological and social function.’ (Seeley & Hutchinson, 2006)

What do we know?
From adult studies of traumatic brain injury:
Better access to neuro-rehabilitation associated with better outcomes means people:

are more likely to be discharged home
have a shorter hospital stay
have better functional outcome which was maintained after period of rehabilitation has ended *
decreases levels of distress of carers *

* This is is the main focus of our charitable work and where we add value to existing NHS provision.

Additionally, the outcome of a paediatric acquired brain injury is related to family function, economic factors and social support. Neuro-rehabilitation is therefore not just about physiotherapy, occupational therapy ,speech and language therapy etc. Children, young people and their families need lots of ongoing support during the neuro-rehabilitation journey; and for long after the usual therapy interventions have ended.

Neuro-rehabilitation is most effective if:

It is delivered by a coordinated multi-disciplinary team with an interdisciplinary approach

There is goal setting and assessment

There is a key worker to communicate and provide advocacy for the child and the family

It is individually tailored to need

Is seamless

It is meaningful and delivered in relevant context

An appropriate level of therapy and support is provided

Access to suitable educational provision is available

Psychological needs are addressed

It involves and supports the family

Post discharge is where these very vulnerable children are most at risk of not receiving the help and support they need, due to a lack of understanding of their hidden disabilities. Working in partnership with parents and professionals, we coordinate the ongoing needs of brain injured children and young people across a range of community organisations; ensuring their ongoing and often changing needs continue to be met. Without us, this does not happen and the needs of this vulnerable cohort often go unrecognised and unsupported.

"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"

Recolo; United Kingdom

"There are problems with getting people into neuro-rehab centres. Those most in need are often those most excluded due to a lack of socio-economic resources."

Vicki Anderson; Australia

"Restoration of anatomical functions and relationships must be done within 2 months of brain injury"

Eyzyon Eisentein; Israel

"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"

Claire Willis; Australia

"Poor parenting styles affects children's behavior; increased their learning disability; and had a negative impact on emotions; anxiety; anger management post brain injury"

Andrea Palacio-Navarro; Spain

"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"

Professor Bryan Kolb; Canada

"New parenting support intervention showed how parenting style is related to executive dysfunction in children and young people post brain injury. With support parents cope better so the child has a better recovery"

Andrea Palacio-Navarro; Spain

"Positive and coordinated neuro-rehab interventions for children and young people is prove to bring health improvements; improve independence; a decline in the need for sheltered living; decreases vulnerability; decreases drop-out rates in schools; decreases youth offending"

Eric Hermans; Netherlands

"Rehabilitation interventions can lead to positive outcomes for children and their families if delivered in the familiar home environment and applied to everyday situations"

Cerebra; United Kingdom

"Children and young people have poor social competence post brain injury due to reduced cognition, executive functions, and emotional control. As a result they are twice as likely to have mental health issues in the future"

James Tonks; University of London

OUR MISSION: To work to remove (health) inequalities for children & young people affected by acquired brain injury; and provide effective support to their families that makes a real difference.