Neurorehabilitation in traumatic brain injury: does it make a difference?

Each year, 1.4 million people in the United States are seen in a hospital for a traumatic brain injury. Those with moderate‐to‐severe traumatic brain injury frequently go through a course of inpatient neurorehabilitation prior to discharge back into the community. A broad overview of neurorehabilitation is presented, including the standards for admission to inpatient rehabilitation and the members and roles of the neurorehabilitation team. Common medical complications that are managed after moderate‐to‐severe traumatic brain injury are reviewed. The spectrum of arousal issues is summarized. The evidence regarding neurorehabilitation is then reviewed. Future studies that are underway to better understand the utility of neurorehabilitation are then discussed. Mt Sinai J Med 76:182–189, 2009. © 2009 Mount Sinai School of Medicine