✍️✍️✍️ Should Brain Rehabilitate

Tuesday, December 14, 2021 6:49:06 PM

Should Brain Rehabilitate



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Rehabilitation After Stroke: Speech Therapy

Every week, I wait for the cold steel bars to close behind me, for count to be called, and for men who have years — maybe the rest of their lives — to spend in this prison to come talk with me. I am a clinical psychologist who studies chronic antisocial behavior. My staff and I converted an office in a Connecticut state prison into research space that allows us to measure neural and behavioral responses. Recently, Joe, a man serving a life sentence, came into our prison lab. In that moment, I realized that he, like many other inmates and people in the general public, holds unfounded expectations about the wonders of neuroscience. They believe that researchers like me now can so clearly trace connections between brain and behavior that we can use our knowledge to determine guilt or innocence, decide criminal sentences or definitively assess risk and needs.

These expectations place a great burden on a science still in its infancy. There are many concerns about the appropriate use of neuroscience in a criminal justice setting. But there are plenty of well-supported neuroscientific findings that could make a real difference in our correctional system right now — both for those who are incarcerated and everyone else. And neuroscience is no better at providing mitigating evidence during sentencing than other more reliable and less expensive tools, like a history of exposure to violence.

Unfortunately, when neuroscientific assessments are presented to the court, they can sway juries, regardless of their relevance. Rather than helping untangle legal responsibility, neuroscience here causes an even deeper divide between the rich and the poor, based on pseudoscience. While I remain skeptical about the use of neuroscience in the judicial process, there are a number of places where its findings could help corrections systems develop policies and practices based on evidence. Take, for instance, the use within prisons of solitary confinement as a punishment for disciplinary infractions. In , the Bureau of Justice reported that nearly 20 percent of federal and state prisoners and 18 percent of local jail inmates spent time in solitary.

Research consistently demonstrates that time spent in solitary increases the chances of persistent emotional trauma and distress. Solitary can lead to hallucinations, fantasies and paranoia; it can increase anxiety, depression and apathy as well as difficulties in thinking, concentrating, remembering, paying attention and controlling impulses. In conditions such as gaze instability, motion sensitivity, impaired postural control, and cervicogenic dizziness, improvement is more gradual and requires longer follow-up with a physical therapist and a home exercise program.

In all of the above-stated conditions, it is essential to consider that a patient with protracted symptoms of mTBI or postconcussion syndrome will recover more slowly than others and should be monitored for symptoms throughout the intervention. Abstract Rehabilitation for individuals after mild traumatic brain injury mTBI or concussion requires emphasis on both cognitive and physical rest, with a gradual return to activity including sports.

Of the two techniques, restorative techniques are more permanent and functional solutions. Therefore, occupational therapists prefer to focus on restorative techniques whenever possible. A speech therapist can walk you through the various TBI speech therapy activities available, and show you exactly what you need to do to retrain your brain and regain swallowing skills. They can also help you with cognitive or communication skills that sometimes are impaired after brain stem damage, such as the ability to listen, pay attention, and respond appropriately.

To ensure the best recovery from brain stem damage, you should practice your home exercises every day after therapy. If you struggle with memory problems, have your therapist write you a home exercise sheet to help you remember exactly how to do them. There are also home therapy devices, such as FitMi , which walk you through exercises in a fun and engaging manner. These devices can help you stay motivated in a way that hand-out sheets do not. Practicing your exercises every day will keep your brain stimulated and can help you recover from brain stem damage that much quicker. Without a doubt, brain stem injuries are more debilitating than other brain injuries. However, even with brain stem damage, it is possible to improve skills such as swallowing or breathing.

As several severe brain injury recovery stories show, the brain is a remarkably adaptable organ, and with the right treatment and enough perseverance, you might just surprise yourself by how much you can recover. Get instant access to our TBI recovery exercise ebook with 25 pages of exercises by signing up below! Each exercise features pictures of a licensed therapist to help guide you. Like What You Learned? The lockdown in June was a great challenge for him as his caregivers stopped coming, no gym workouts and no outings for a coffee.

Being his mother and primary carer I feared that this was a hotbed for depression. I scoured the net and chanced upon FlintRehab. As there was a trial period it was safe for us to risk getting it across to Auckland. He enjoys working on it and now after three months can do it on his own. His left hand helps his right hand. The FitMi video explains and shows him what to do, it gives him marks and applauds him too!! He has to use both sides of his brain. The caregivers are OT students who returned enjoy working on it with him. In three months there motivation built up in him with a drive to use his right hand. There is definitely a slight improvement in his right hand.

This encourages him as well as the caregivers to try harder. His overall mood is upbeat. Neurological Recovery Blog. Support Group on Facebook. FitMi Full-Body Therapy. MusicGlove Hand Therapy. Sign up to receive a free PDF ebook with recovery exercises for stroke, traumatic brain injury, or spinal cord injury below:. Skip to content No products in the cart. Last updated on December 18, Use the following links to jump ahead to certain sections: What Is the Brain Stem?

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