Abstract
In traumatic brain injury (TBI), neuropsychological and personality disorder are accompanied by high frequency as well as physical impairment. GCS and PTA are useful for evaluation of severity, and methods for evaluation of participation applying them have been developed. There may be an obstacle of various kinds after returning to social life even in the mild TBI, and it is important to avoid overlooking symptoms and to educate a patient early. Rehabilitation system to provide continual care to include from acute period to community service on the basis of comprehensive evaluation by the many kinds of specialist is effective, and family support tends to become necessary. As a factor affecting working rate after TBI, age, CT-findings, severity of impairment at the time of hospitalization, acceptance of disability are reported. 128 cases of TBI were trained in training center of the National Rehabilitation Center for the Disabled during the past 20 years, and their employment rate was 52.3% at discharge from the center, and a follow-up survey after mean duration of 4 years revealed almost similar rate to it.
