Article

The evaluation and management of mild traumatic brain injury (mTBI) in the
occupational setting may pose significant challenges for even the most-seasoned
practitioner. Providers must simultaneously address the clinical management of
mTBI and be familiar with the systematic and administrative requirements related
to the management of injured workers with mTBI who are covered by workers'
compensation insurance, including causation, return to work, and the potential of
permanent impairment. Given the primarily subjective nature of many mTBI
symptoms, an injured worker with a delayed recovery may raise the question, if
not suspicion, of symptom magnification and secondary gain. This review discusses
the evaluation and treatment of the injured worker with mTBI, and focuses on the
medicolegal issues that are present in the workers' compensation system,
especially the role of neuropsychological evaluations. Although significant
differences exist regarding classification schema, for the purposes of this
discussion, mTBI is used to encompass the terms concussion, postconcussive
syndrome, and persistent postconcussive syndrome.
CI - Copyright (c) 2011 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS