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Recovery From Brain Damage Due To Lack Of Oxygen – Fatigue is part of the life lived by everyone. Whether it’s after a busy day at work, a demanding workout, or after paying attention to a long lecture, the term “I’m tired” is extremely common.
For individuals with brain injuries, fatigue (sometimes called cognitive fatigue, mental fatigue, or neurofatigue) is one of the most common and debilitating symptoms experienced during the recovery process. It can become a significant barrier to the ability to participate in the activities you want and need to do in daily life. It is reported that up to 98% of people who have suffered a traumatic brain injury experience some form of fatigue. Many report that fatigue is the most challenging symptom after a brain injury. The reasons for fatigue are not well understood, but may include endocrine abnormalities, the need for the brain to work harder to compensate for deficits from brain injuries (in other words, inefficiency), or changes in brain structures.
Recovery From Brain Damage Due To Lack Of Oxygen
Fatigue can be difficult to identify because it is not always reported by the patient or obvious to others. Doctors use several self-report assessment tools to gain more information about a patient’s fatigue levels and the impact it has on their overall daily functioning. Two of the scales designed specifically for individual patients with brain injuries include the Barrow Neurological Institute (BNI) Fatigue Scale and the Cause of Fatigue Questionnaire (COF). Doctors must also evaluate physical and mental changes, which can lead to depression and other psychiatric conditions after brain injury. The changes can often present themselves as overwhelming fatigue.
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Generally, those who have suffered brain injuries describe fatigue as a feeling of mental or physical tiredness, exhaustion, lack of energy and/or low vitality. Physical observations of fatigue include yawning, appearing confused or “brain fog,” or easily losing attention and concentration. In more serious cases, it may present as forgetfulness, irritability, slurred speech or dizziness. Emotions can become raw at this level of fatigue, affecting mood, motivation and social media interaction. To manage fatigue effectively, individuals must learn to identify the symptoms of fatigue and how to modify activities that can trigger fatigue. Managing fatigue effectively will help lower stress levels and improve overall performance in work and home activities. Some fatigue-inducing activities include:
In today’s multimedia society, we receive, absorb and process large amounts of information every day. It can be difficult for family members or colleagues to understand the limitations caused by fatigue after a brain injury. Unfortunately, it can be confused with laziness or an unwillingness to participate in therapies and daily activities. It is important to understand that a lack of mental energy needed to complete tasks does not mean a lack of desire to complete them. Many individuals who struggle with fatigue have motivation but lack the energy to keep up with daily demands.
When managing fatigue, it is important to identify and treat physical factors that may be contributing to fatigue. It is beneficial to recognize early signs of fatigue and work with the patient so they understand how to respond to them. By learning to recognize these triggers, one can learn coping strategies to successfully meet daily demands, ultimately increasing quality of life. These strategies include:
The Brain Injury Association of America offers many educational opportunities, events, and resources that are shared throughout the year. Stay in the loop by joining our email list. If you’re a sports fan, it may seem like news about popular professional athletes suffering concussions and brain injuries has become increasingly common in recent years. However, it’s important to remember that brain injuries don’t just affect players in the NFL, NHL and other professional sports leagues.
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“While playing a contact sport at a professional level certainly increases risk, there are many ways that people can sustain a brain injury while carrying out normal, everyday activities,” says Christine Greiss, D.O., a physical medicine and rehabilitation specialist and director of the Concussion Program at the JFK Johnson Rehabilitation Institute.
The good news is that whether a brain injury occurs during an NHL or NFL game or due to a slip, trip or fall, brain injury rehabilitation can help alleviate symptoms and promote recovery.
Brain injury rehabilitation begins with a complete evaluation by a doctor, who will evaluate your injury, symptoms, and physical, cognitive, and mental condition. If your doctor diagnoses a brain injury, he or she will recommend rehabilitation activities that follow a series of evidence-based steps.
According to Dr. Greiss, every patient – and every brain – is different, so there is no one-size-fits-all plan for brain injury rehabilitation. But although progression and speed of recovery may vary, rehabilitation typically follows these steps:
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“After a brain injury, a lot happens,” says Dr. Greiss. “Forces transmitted through brain tissue cause it to swell, and the shock decreases electrical currents, alters blood flow and alters brain chemistry.”
Greiss says that because the skull doesn’t stretch when the brain swells, physical rest is key to reducing the risk of second impact syndrome, a potentially disabling or fatal condition caused by repetitive head trauma.
As patients resume normal activities, they should watch for the return or worsening of symptoms and adjust their activities to keep symptoms under control.
“A patient might try reading, for example, and if symptoms return, they might take a 20-minute break to see if symptoms subside before trying again,” says Dr. “We want patients to do whatever their brain can handle without an increase or return of symptoms.”
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Greiss also says that during this phase, she works with patients to determine what temporary accommodations they need to return to work or school, such as:
“A patient can start by taking a short walk outdoors, and if symptoms do not recur, they can progress to walking at a faster pace or for a longer period of time,” says Dr. “Patients can then try lifting weights with light weights and gradually increase the weight, or try jogging or jogging as tolerated.”
Athletes can return to sports only when they are able to exercise at their baseline level without symptoms returning.
“At first, athletes should begin with non-contact exercises and successfully progress to contact exercises before returning to competition,” says Dr. Greiss.
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During all stages of recovery, Dr. Greiss advises her patients to follow a well-balanced diet that includes approximately 300 extra calories per day to support brain healing. She also recommends that patients avoid alcohol and drugs and get plenty of sleep.
“At JFK Rehabilitation Institute, we follow the latest protocols and guide patients through the brain injury recovery process so they can safely return to the activities they love,” says Dr.
The material provided by HealthU is intended to be used as general information only and should not replace your doctor’s advice. Always consult your doctor for individual care.
At age 25, Michael Segarra was hospitalized with a blood infection, expecting a short hospital stay. But his high blood pressure caused an arteriovenous malformation (AVM) to rupture.
Fatigue After Brain Injury
“The therapists were so amazing I was looking forward to going. They understood what I was going through on another level. They nudged me just enough to get back into my life. It was exactly what I needed.”
Head injuries can be scary, especially in children, so it’s important to know what to do if and when they happen. Even if you think it’s just a blow to the head, pay attention to your child’s cues.
According to the Centers for Disease Control and Prevention (CDC), more than 3.5 million children under the age of 14 receive some type of treatment for sports injuries every year.
Whether you’re a professional or recreational athlete, it can be difficult to watch from the sidelines as you recover from a concussion. Traumatic brain injury or TBI describes a sudden injury to the brain. The most common causes are falls, car accidents and assaults.
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Whenever the head is subjected to external forces, even strong shaking, the brain inside the skull also moves and there is potential for damage.
Traumatic brain injuries are classified as mild, moderate and severe. The more severe the brain injury, the more symptoms and deficits (decreased function) appear. Concussions, for example, are a type of mild brain injury or MTBI.
Immediately after a traumatic brain injury, medical staff will assess the extent of the trauma and assess its severity using Glascow Coma Scale (GCS) scores, either at the site of the injury or in the hospital.
Rescuers use ocular, motor, and verbal responses to categorize the patient’s condition, with 3 being profound unconsciousness and 15 being more or less a normal state of consciousness. Initial assessments indicate whether the injured person should be transported to a hospital for further evaluation.
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Head injuries should always be taken seriously. What appears to be a minor injury – a “blow to the head” – can be lethal if the brain is bleeding undetected, so it’s best to be on the safe side.
A person’s long-term future cannot be predicted at the site of an injury or
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