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Impact of Early Mobilization and Rehabilitation on Functional Outcomes Following Craniocerebral Gunshot Injuries
Md Abdul Alim1, Kazi Md Azman Hossain2, Sabrina Tina3
1Department of Physiotherapy Centre for the Rehabilitation of the Paralysed (CRP) Dhaka Bangladesh.
Insights
Structured neurorehabilitation significantly improved outcomes for a teen with severe craniocerebral gunshot injury (CGI). The 12-week program enhanced functional independence, cognition, and quality of life after traumatic brain injury.
Area of Science:
- Neurosurgery
- Rehabilitation Medicine
- Traumatic Brain Injury Research
Background:
- Craniocerebral gunshot injury (CGI) is a severe traumatic brain injury (TBI) causing significant neurological deficits and functional impairment.
- Patients often require extensive rehabilitation to regain independence in daily activities.
Purpose of the Study:
- To report the functional outcomes of a structured, multidisciplinary neurorehabilitation program in a patient with severe penetrating CGI.
- To evaluate the effectiveness of targeted interventions for improving recovery after TBI.
Main Methods:
- A 17-year-old male with a penetrating CGI underwent 12 weeks (48 sessions) of multidisciplinary neurorehabilitation.
- Interventions included pain and spasticity management, postural control, balance and gait training, cognitive stimulation, and functional practice.
Main Results:
- Post-rehabilitation, the patient showed resolved pain, reduced spasticity, and improved functional independence.
- Significant gains included assisted ambulation, enhanced cognitive function, and better health-related quality of life.
Conclusions:
- Structured, multidisciplinary neurorehabilitation may be a key component in improving functional recovery following craniocerebral gunshot injury.
- This case highlights the potential for intensive rehabilitation to mitigate the long-term effects of severe TBI.
Abstract:
Craniocerebral gunshot injury (CGI) is a severe form of traumatic brain injury associated with profound neurological, cognitive, and functional impairment, often requiring prolonged rehabilitation. We report the case of a 17-year-old boy with a penetrating CGI who presented with a Glasgow Coma Scale score of 3/15, intracranial hemorrhage, a depressed frontal skull fracture, retained bullet fragments, and complete dependence in activities of daily living. Following neurosurgical stabilization, the patient underwent a structured, multidisciplinary neurorehabilitation program over 12 weeks (48 sessions). The intervention focused on pain management, spasticity control, postural and trunk stabilization, balance and gait training, cognitive stimulation, and task-oriented functional practice. Post-intervention assessments indicated resolution of pain, reduction in muscle tone abnormalities, improved functional independence, progression to assisted ambulation, enhanced cognitive function, and improved health-related quality of life. These findings suggest that structured multidisciplinary neurorehabilitation may be associated with functional improvements after CGI.
