Rehabilitation Considerations in Women with Traumatic Brain Injury

Christine Greiss1, Arielle Berkowitz1, Jessie P Chan1

  • 1Department of Physical Medicine and Rehabilitation, JFK Johnson Rehabilitation Institute, Hackensack Meridian Health, 65 James Street, Edison, NJ 08820, USA.

This review highlights the physiological, hormonal, and hematological changes following traumatic brain injury (TBI) in women. Younger women may experience worse outcomes due to higher cerebral pressures, while hormonal changes during menstruation, pregnancy, and menopause further influence TBI recovery. Postmenopausal women face higher risks of osteoporosis and fall-related TBIs. Psychological impacts include higher rates of depression, anxiety, and posttraumatic stress disorder. Social challenges and sexual dysfunction are prevalent, impacting community and vocational reintegration. Tailored rehabilitation addressing these gender-specific factors is crucial for improving outcomes for female patients with TBI across their lifespan.