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Logo for the Journal of Rehab R&D
Volume 42 Number 4, July/August 2005
Pages 403 — 412


Abstract - Utility of mechanism-of-injury-based assessment and treatment: Blast Injury Program case illustration

Heather G. Belanger, PhD;1-4* Steven G. Scott, DO;1,4-5 Joel Scholten, MD;1,4-5 Glenn Curtiss, PhD;1-2,4,6 Rodney D. Vanderploeg, PhD1-2,4,6

1Department of Veterans Affairs (VA), James A. Haley Veterans Hospital, Tampa, FL; 2Department of Psychology, University of South Florida, Tampa, FL; 3Henry M. Jackson Foundation for the Advancement of Military Medicine, Rockville, MD; 4Defense and Veterans Brain Injury Center (formerly Defense and Veterans Head Injury Program), Washington, DC; Departments of 5Internal Medicine and 6Psychiatry, University of South Florida, Tampa, FL
Abstract — While medicine typically proceeds in a sequential fashion based on primary symptoms, sometimes relying on a parallel, mechanism-of-injury-based approach is advantageous, particularly when the mechanism of injury is associated with a variety of known sequelae. A mechanism-of-injury-based approach relies on knowledge of the typical sequelae associated with that mechanism of injury to guide assessment and treatment. Thus, it represents an active, rather than passive, case-finding approach. This article describes an example of a mechanism-of-injury-based program, namely, a Blast Injury Program at the James A. Haley Veterans Hospital in Tampa, Florida. Case examples illustrate the utility of this approach with regard to more comprehensive assessment and treatment, as well as the possibility for secondary prevention.
Key words: blast injury, case-finding, diagnosis, mechanism, parallel, prevention, rehabilitation, sequential, traumatic brain injury, veteran.

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