2014年6月27日星期五

Traumatic Brain Injury Physical Therapy

1 Introduction
Traumatic brain injury of physical therapy has been paid much attention in research field, and it is directly related with the patient's condition, development and outcome. This year, domestic and foreign scholars spend much time on physical therapy of traumatic brain injury protection mechanism and effect of study.
Traumatic brain injury, including the direct injury and trauma after ischemia and abnormal calcium channel and lipid per oxidation mediated by pathological process such as secondary injury. Research has shown that after the occurrence of secondary traumatic brain injury for several days or months. So, the subsequent onset of damage is of great significance to prevent traumatic brain is also the goal of cerebral protective treatment.

2 Physical therapy
2.1 Hyperbaric oxygen therapy
Hyperbaric oxygen therapy has been treatment of patients with persistent vegetative state (PVS) for long term, it can increase the oxygen partial pressure, activate the mesh uplink system, recovery section in a reversible state of brain function, so as to enhance the recovery of PVS patients consciousness. Recently, someone with mild-to-moderate head injury patients early hyperbaric oxygen therapy, hyperbaric oxygen therapy have also made obvious curative effect, its mechanism may be related to reduce secondary traumatic brain injury caused by hypoxia.
2.2 Hypothermia
In the application of moderate hypothermia therapy is very popular with foreign scholars’ attention. To moderately hypothermia treatment in patients with severe brain injury, inhibit metabolic rate, reduce the production of oxygen free radicals and inflammatory factor, and thus reduce post-traumatic secondary injury. Hypothermia therapy has been affirmation foreign scholars like Shiozaki etc. Recently studies have shown that hypothermia therapy for general processing after the oxygen partial pressure between 20 to 40 mmHg to diffuse brain edema patients’ curative is the best.

3 Conclusion

Physical therapy of brain injury has been the domestic and foreign scholars’ research hotspot. However, there is no exact drugs treatment the brain injury at present. The physical therapy of traumatic brain injury is just a kind of auxiliary curative effect; it can't instead of handling of the primary disease. However, combined effect in a variety of ways of comprehensive treatment is better than that of any single method. The mechanism and efficacy of comprehensive treatment will be an important field and direction in the brain recovery research. 

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