Status of integration of traditional and western medicine rehabilitation for traumatic brain injury_West China Medical Journal

Authors：

TENG Lili ¹ , ZHU Luwen ² ,  SHANG Xiaoying ³

1. Graduate School, Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang 150040, P. R. China;
2. Rehabilitation Center, Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang 150001,P. R. China;
3. Geriatric hospital, Heilongjiang Provincial Hospital Affiliated to Harbin Institute of Technology, Harbin, Heilongjiang 150036,P. R. China;

Corresponding author：

SHANG Xiaoying, Email: xysh1963@163.com

Keywords：

Traumatic brain injury; rehabilitation; integration of traditional and western medicine

DOI：

10.7507/1002-0179.202204121

Video：

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In recent years, although the mortality rate caused by traumatic brain injury has declined, the disability rate has remained high, which has a serious impact on patients and their families. Therefore, solving the complications and sequelae caused by traumatic brain injury is the focus and difficulty of current clinical research. Integration of traditional and western medicine rehabilitation is an effective method for the treatment of the central nervous system at home and abroad, and it also fully reflects its therapeutic advantages in the application of traumatic brain injury. Based on this, this paper will mainly introduce the clinical characteristics of patients with traumatic brain injury, and systematically expound the commonly used clinical rehabilitation treatment methods of integration of traditional and western medicine, aiming to provide a certain guidance for the rehabilitation treatment of traumatic brain injury.

Citation： TENG Lili, ZHU Luwen, SHANG Xiaoying. Status of integration of traditional and western medicine rehabilitation for traumatic brain injury. West China Medical Journal, 2022, 37(5): 662-667. doi: 10.7507/1002-0179.202204121 Copy

1.	Godoy DA, Lubillo S, Rabinstein AA. Pathophysiology and management of intracranial hypertension and tissular brain hypoxia after severe traumatic brain injury: an integrative approach. Neurosurg Clin N Am, 2018, 29(2): 195-212.
2.	Dang B, Chen W, He W, et al. Rehabilitation treatment and progress of traumatic brain injury dysfunction. Neural Plast, 2017, 2017: 1582182.
3.	Alsalamah NM. Rehabilitation and returning to activity after prolonged moderate traumatic brain injury. Chin Med J (Engl), 2021, 134(18): 2261-2262.
4.	Zhong Y, Luo J, Tang T, et al. Exploring pharmacological mechanisms of xuefu zhuyu decoction in the treatment of traumatic brain injury via a network pharmacology approach. Evid Based Complement Alternat Med, 2018, 2018: 8916938.
5.	Xia Z, Liu W, Zheng F, et al. VISSA-PLS-DA-based metabolomics reveals a multitargeted mechanism of traditional chinese medicine for traumatic brain injury. ASN Neuro, 2020, 12: 1759091420910957.
6.	Dixon KJ. Pathophysiology of traumatic brain injury. Phys Med Rehabil Clin N Am, 2017, 28(2): 215-225.
7.	Pavlovic D, Pekic S, Stojanovic M, et al. Traumatic brain injury: neuropathological, neurocognitive and neurobehavioral sequelae. Pituitary, 2019, 22(3): 270-282.
8.	Semple BD, Zamani A, Rayner G, et al. Affective, neurocognitive and psychosocial disorders associated with traumatic brain injury and post-traumatic epilepsy. Neurobiol Dis, 2019, 123: 27-41.
9.	Gandhi P, Tobin S, Vongphakdi M, et al. A scoping review of interventions for adults with dysarthria following traumatic brain injury. Brain Inj, 2020, 34(4): 466-479.
10.	Sun H, Luo C, Chen X, et al. Assessment of cognitive dysfunction in traumatic brain injury patients: a review. Forensic Sci Res, 2017, 2(4): 174-179.
11.	Daly S, Thorpe M, Rockswold S, et al. Hyperbaric oxygen therapy in the treatment of acute severe traumatic brain injury: a systematic review. J Neurotrauma, 2018, 35(4): 623-629.
12.	Zhong X, Shan A, Xu J, et al. Hyperbaric oxygen for severe traumatic brain injury: a randomized trial. J Int Med Res, 2020, 48(10): 300060520939824.
13.	Hu Q, Manaenko A, Xu T, et al. Hyperbaric oxygen therapy for traumatic brain injury: bench-to-bedside. Med Gas Res, 2016, 6(2): 102-110.
14.	Dhaliwal SK, Meek BP, Modirrousta MM. Non-invasive brain stimulation for the treatment of symptoms following traumatic brain injury. Front Psychiatry, 2015, 6: 119.
15.	Buhagiar F, Fitzgerald M, Bell J, et al. Neuromodulation for mild traumatic brain injury rehabilitation: a systematic review. Front Hum Neurosci, 2020, 14: 598208.
16.	Kim HJ, Han SJ. Anodal transcranial direct current stimulation provokes neuroplasticity in repetitive mild traumatic brain injury in rats. Neural Plast, 2017, 2017: 1372946.
17.	Kim WS, Lee K, Kim S, et al. Transcranial direct current stimulation for the treatment of motor impairment following traumatic brain injury. J Neuroeng Rehabil, 2019, 16(1): 14.
18.	Sheikh AM, Vissing J. Exercise therapy for muscle and lower motor neuron diseases. Acta Myol, 2019, 38(4): 215-232.
19.	Shimada A, Ishigaki S, Matsuka Y, et al. Effects of exercise therapy on painful temporomandibular disorders. J Oral Rehabil, 2019, 46(5): 475-481.
20.	Bliss ES, Wong RH, Howe PR, et al. Benefits of exercise training on cerebrovascular and cognitive function in ageing. J Cereb Blood Flow Metab, 2021, 41(3): 447-470.
21.	Zarshenas S, Colantonio A, Horn SD, et al. Cognitive and motor recovery and predictors of long-term outcome in patients with traumatic brain injury. Arch Phys Med Rehabil, 2019, 100(7): 1274-1282.
22.	Andelic N, Forslund MV, Perrin PB, et al. Long-term follow-up of use of therapy services for patients with moderate-to-severe traumatic brain injury. J Rehabil Med, 2020, 52(3): jrm00034.
23.	Mollica A, Thaut M, Burke MJ. Proposing music-based interventions for the treatment of traumatic brain injury symptoms: current evidence and future directions. Can J Psychiatry, 2021, 66(8): 707-709.
24.	Siponkoski ST, Koskinen S, Laitinen S, et al. Effects of neurological music therapy on behavioural and emotional recovery after traumatic brain injury: a randomized controlled cross-over trial. Neuropsychol Rehabil, 2021, 3: 1-33.
25.	Siponkoski ST, Martínez-Molina N, Kuusela L, et al. Music therapy enhances executive functions and prefrontal structural neuroplasticity after traumatic brain injury: evidence from a randomized controlled trial. J Neurotrauma, 2020, 37(4): 618-634.
26.	Li X, Chen C, Yang X, et al. Acupuncture improved neurological recovery after traumatic brain injury by activating BDNF/TrkB pathway. Evid Based Complement Alternat Med, 2017, 2017: 8460145.
27.	王雪玲, 资刘, 刘劼, 等. 人中(GV26)及内关(PC6)特效穴对颅脑外伤术后昏迷患者促醒疗效观察. 天津中医药大学学报, 2021, 40(3): 325-330.
28.	李树雄, 黎明辉, 吴晓萍, 等. 重复经颅磁刺激结合针灸对重度颅脑损伤伴昏迷患者促醒作用的疗效观察. 中医临床研究, 2021, 13(18): 40-41, 64.
29.	Yang B, Wang Z, Sheng C, et al. Evidence-based review of oral traditional Chinese medicine compound recipe administration for treating weight drop-induced experimental traumatic brain injury. BMC Complement Altern Med, 2016, 16: 95.
30.	刘玉凤, 林珑, 王龙, 等. 颅脑损伤后情绪障碍的中西医康复治疗现状. 云南中医中药杂志, 2021, 42(3): 88-91.
31.	Koren Y, Kalichman L. Deep tissue massage: what are we talking about?. J Bodyw Mov Ther, 2018, 22(2): 247-251.
32.	Zihl J, Almeida OF. Neuropsychology of neuroendocrine dysregulation after traumatic brain injury. J Clin Med, 2015, 4(5): 1051-1062.
33.	Rabinowitz AR, Watanabe TK. Pharmacotherapy for treatment of cognitive and neuropsychiatric symptoms after mTBI. J Head Trauma Rehabil, 2020, 35(1): 76-83.
34.	Rabinowitz AR, Levin HS. Cognitive sequelae of traumatic brain injury. Psychiatr Clin North Am, 2014, 37(1): 1-11.
35.	何金华, 袁丽平, 覃蓉, 等. 早期针刺促醒配合综合康复干预重度颅脑外伤患儿临床疗效观察. 中国中西医结合儿科学, 2019, 11(4): 343-347.
36.	雷志刚, 白如玉, 王江飞, 等. 神经节苷脂钠联合高压氧及针灸早期促醒颅脑损伤昏迷病人的临床研究. 内蒙古医科大学学报, 2019, 41(4): 432-434.
37.	Ozolins B, Aimers N, Parrington L, et al. Movement disorders and motor impairments following repeated head trauma: a systematic review of the literature 1990-2015. Brain Inj, 2016, 30(8): 937-947.
38.	Caeyenberghs K, Wenderoth N, Smits-Engelsman BC, et al. Neural correlates of motor dysfunction in children with traumatic brain injury: exploration of compensatory recruitment patterns. Brain, 2009, 132(Pt 3): 684-694.
39.	宋钰娟. 中医针灸联合康复训练治疗小儿脑损伤随机平行对照研究. 实用中医内科杂志, 2019, 33(10): 72-74.
40.	Drake DF, Hudak AM, Robbins W. Integrative medicine in traumatic brain injury. Phys Med Rehabil Clin N Am, 2017, 28(2): 363-378.
41.	田秀春. 针灸结合康复训练对颅脑损伤患者运动和认知功能的影响. 双足与保健, 2019(12): 17-18.
42.	赖文焘, 叶新运, 冯开明. 电针联合语言训练治疗重型颅脑损伤后失语症的效果. 实用临床医学, 2020, 21(4): 21-23, 59.
43.	Bobba U, Munivenkatappa A, Agrawal A. Speech and language dysfunctions in patients with cerebrocortical disorders admitted in a neurosurgical unit. Asian J Neurosurg, 2019, 14(1): 87-89.
44.	Lee SH, Kim M, Seo HG, et al. Assessment of dysarthria using one-word speech recognition with hidden markov models. J Korean Med Sci, 2019, 34(13): e108.
45.	Wu XL, Liu LX, Yang LY, et al. Comprehensive rehabilitation in a patient with corpus callosum syndrome after traumatic brain injury: case report. Medicine (Baltimore), 2020, 99(28): e21218.
46.	Juengst SB, Myrga JM, Fann JR, et al. Cross-lagged panel analysis of depression and behavioral dysfunction in the first year after moderate-to-severe traumatic brain injury. J Neuropsychiatry Clin Neurosci, 2017, 29(3): 260-266.
47.	吴波. 52 例高压氧配合中药治疗颅脑损伤后慢性精神障碍. 中国医药指南, 2017, 15(10): 72-73.
48.	Bosco FM, Parola A, Angeleri R, et al. Improvement of communication skills after traumatic brain injury: the efficacy of the cognitive pragmatic treatment program using the communicative activities of daily living. Arch Clin Neuropsychol, 2018, 33(7): 875-888.
49.	诸苏杭, 陆儒, 方育科. 针灸配合高压氧对颅脑损伤患者术后预后的影响. 全科医学临床与教育, 2018, 16(5): 546-548.
50.	Kim S, Mortera MH, Wen PS, et al. The impact of complementary and integrative medicine following traumatic brain injury: a scoping review. J Head Trauma Rehabil, 2022: 21.

1. Godoy DA, Lubillo S, Rabinstein AA. Pathophysiology and management of intracranial hypertension and tissular brain hypoxia after severe traumatic brain injury: an integrative approach. Neurosurg Clin N Am, 2018, 29(2): 195-212.
2. Dang B, Chen W, He W, et al. Rehabilitation treatment and progress of traumatic brain injury dysfunction. Neural Plast, 2017, 2017: 1582182.
3. Alsalamah NM. Rehabilitation and returning to activity after prolonged moderate traumatic brain injury. Chin Med J (Engl), 2021, 134(18): 2261-2262.
4. Zhong Y, Luo J, Tang T, et al. Exploring pharmacological mechanisms of xuefu zhuyu decoction in the treatment of traumatic brain injury via a network pharmacology approach. Evid Based Complement Alternat Med, 2018, 2018: 8916938.
5. Xia Z, Liu W, Zheng F, et al. VISSA-PLS-DA-based metabolomics reveals a multitargeted mechanism of traditional chinese medicine for traumatic brain injury. ASN Neuro, 2020, 12: 1759091420910957.
6. Dixon KJ. Pathophysiology of traumatic brain injury. Phys Med Rehabil Clin N Am, 2017, 28(2): 215-225.
7. Pavlovic D, Pekic S, Stojanovic M, et al. Traumatic brain injury: neuropathological, neurocognitive and neurobehavioral sequelae. Pituitary, 2019, 22(3): 270-282.
8. Semple BD, Zamani A, Rayner G, et al. Affective, neurocognitive and psychosocial disorders associated with traumatic brain injury and post-traumatic epilepsy. Neurobiol Dis, 2019, 123: 27-41.
9. Gandhi P, Tobin S, Vongphakdi M, et al. A scoping review of interventions for adults with dysarthria following traumatic brain injury. Brain Inj, 2020, 34(4): 466-479.
10. Sun H, Luo C, Chen X, et al. Assessment of cognitive dysfunction in traumatic brain injury patients: a review. Forensic Sci Res, 2017, 2(4): 174-179.
11. Daly S, Thorpe M, Rockswold S, et al. Hyperbaric oxygen therapy in the treatment of acute severe traumatic brain injury: a systematic review. J Neurotrauma, 2018, 35(4): 623-629.
12. Zhong X, Shan A, Xu J, et al. Hyperbaric oxygen for severe traumatic brain injury: a randomized trial. J Int Med Res, 2020, 48(10): 300060520939824.
13. Hu Q, Manaenko A, Xu T, et al. Hyperbaric oxygen therapy for traumatic brain injury: bench-to-bedside. Med Gas Res, 2016, 6(2): 102-110.
14. Dhaliwal SK, Meek BP, Modirrousta MM. Non-invasive brain stimulation for the treatment of symptoms following traumatic brain injury. Front Psychiatry, 2015, 6: 119.
15. Buhagiar F, Fitzgerald M, Bell J, et al. Neuromodulation for mild traumatic brain injury rehabilitation: a systematic review. Front Hum Neurosci, 2020, 14: 598208.
16. Kim HJ, Han SJ. Anodal transcranial direct current stimulation provokes neuroplasticity in repetitive mild traumatic brain injury in rats. Neural Plast, 2017, 2017: 1372946.
17. Kim WS, Lee K, Kim S, et al. Transcranial direct current stimulation for the treatment of motor impairment following traumatic brain injury. J Neuroeng Rehabil, 2019, 16(1): 14.
18. Sheikh AM, Vissing J. Exercise therapy for muscle and lower motor neuron diseases. Acta Myol, 2019, 38(4): 215-232.
19. Shimada A, Ishigaki S, Matsuka Y, et al. Effects of exercise therapy on painful temporomandibular disorders. J Oral Rehabil, 2019, 46(5): 475-481.
20. Bliss ES, Wong RH, Howe PR, et al. Benefits of exercise training on cerebrovascular and cognitive function in ageing. J Cereb Blood Flow Metab, 2021, 41(3): 447-470.
21. Zarshenas S, Colantonio A, Horn SD, et al. Cognitive and motor recovery and predictors of long-term outcome in patients with traumatic brain injury. Arch Phys Med Rehabil, 2019, 100(7): 1274-1282.
22. Andelic N, Forslund MV, Perrin PB, et al. Long-term follow-up of use of therapy services for patients with moderate-to-severe traumatic brain injury. J Rehabil Med, 2020, 52(3): jrm00034.
23. Mollica A, Thaut M, Burke MJ. Proposing music-based interventions for the treatment of traumatic brain injury symptoms: current evidence and future directions. Can J Psychiatry, 2021, 66(8): 707-709.
24. Siponkoski ST, Koskinen S, Laitinen S, et al. Effects of neurological music therapy on behavioural and emotional recovery after traumatic brain injury: a randomized controlled cross-over trial. Neuropsychol Rehabil, 2021, 3: 1-33.
25. Siponkoski ST, Martínez-Molina N, Kuusela L, et al. Music therapy enhances executive functions and prefrontal structural neuroplasticity after traumatic brain injury: evidence from a randomized controlled trial. J Neurotrauma, 2020, 37(4): 618-634.
26. Li X, Chen C, Yang X, et al. Acupuncture improved neurological recovery after traumatic brain injury by activating BDNF/TrkB pathway. Evid Based Complement Alternat Med, 2017, 2017: 8460145.
27. 王雪玲, 资刘, 刘劼, 等. 人中(GV26)及内关(PC6)特效穴对颅脑外伤术后昏迷患者促醒疗效观察. 天津中医药大学学报, 2021, 40(3): 325-330.
28. 李树雄, 黎明辉, 吴晓萍, 等. 重复经颅磁刺激结合针灸对重度颅脑损伤伴昏迷患者促醒作用的疗效观察. 中医临床研究, 2021, 13(18): 40-41, 64.
29. Yang B, Wang Z, Sheng C, et al. Evidence-based review of oral traditional Chinese medicine compound recipe administration for treating weight drop-induced experimental traumatic brain injury. BMC Complement Altern Med, 2016, 16: 95.
30. 刘玉凤, 林珑, 王龙, 等. 颅脑损伤后情绪障碍的中西医康复治疗现状. 云南中医中药杂志, 2021, 42(3): 88-91.
31. Koren Y, Kalichman L. Deep tissue massage: what are we talking about?. J Bodyw Mov Ther, 2018, 22(2): 247-251.
32. Zihl J, Almeida OF. Neuropsychology of neuroendocrine dysregulation after traumatic brain injury. J Clin Med, 2015, 4(5): 1051-1062.
33. Rabinowitz AR, Watanabe TK. Pharmacotherapy for treatment of cognitive and neuropsychiatric symptoms after mTBI. J Head Trauma Rehabil, 2020, 35(1): 76-83.
34. Rabinowitz AR, Levin HS. Cognitive sequelae of traumatic brain injury. Psychiatr Clin North Am, 2014, 37(1): 1-11.
35. 何金华, 袁丽平, 覃蓉, 等. 早期针刺促醒配合综合康复干预重度颅脑外伤患儿临床疗效观察. 中国中西医结合儿科学, 2019, 11(4): 343-347.
36. 雷志刚, 白如玉, 王江飞, 等. 神经节苷脂钠联合高压氧及针灸早期促醒颅脑损伤昏迷病人的临床研究. 内蒙古医科大学学报, 2019, 41(4): 432-434.
37. Ozolins B, Aimers N, Parrington L, et al. Movement disorders and motor impairments following repeated head trauma: a systematic review of the literature 1990-2015. Brain Inj, 2016, 30(8): 937-947.
38. Caeyenberghs K, Wenderoth N, Smits-Engelsman BC, et al. Neural correlates of motor dysfunction in children with traumatic brain injury: exploration of compensatory recruitment patterns. Brain, 2009, 132(Pt 3): 684-694.
39. 宋钰娟. 中医针灸联合康复训练治疗小儿脑损伤随机平行对照研究. 实用中医内科杂志, 2019, 33(10): 72-74.
40. Drake DF, Hudak AM, Robbins W. Integrative medicine in traumatic brain injury. Phys Med Rehabil Clin N Am, 2017, 28(2): 363-378.
41. 田秀春. 针灸结合康复训练对颅脑损伤患者运动和认知功能的影响. 双足与保健, 2019(12): 17-18.
42. 赖文焘, 叶新运, 冯开明. 电针联合语言训练治疗重型颅脑损伤后失语症的效果. 实用临床医学, 2020, 21(4): 21-23, 59.
43. Bobba U, Munivenkatappa A, Agrawal A. Speech and language dysfunctions in patients with cerebrocortical disorders admitted in a neurosurgical unit. Asian J Neurosurg, 2019, 14(1): 87-89.
44. Lee SH, Kim M, Seo HG, et al. Assessment of dysarthria using one-word speech recognition with hidden markov models. J Korean Med Sci, 2019, 34(13): e108.
45. Wu XL, Liu LX, Yang LY, et al. Comprehensive rehabilitation in a patient with corpus callosum syndrome after traumatic brain injury: case report. Medicine (Baltimore), 2020, 99(28): e21218.
46. Juengst SB, Myrga JM, Fann JR, et al. Cross-lagged panel analysis of depression and behavioral dysfunction in the first year after moderate-to-severe traumatic brain injury. J Neuropsychiatry Clin Neurosci, 2017, 29(3): 260-266.
47. 吴波. 52 例高压氧配合中药治疗颅脑损伤后慢性精神障碍. 中国医药指南, 2017, 15(10): 72-73.
48. Bosco FM, Parola A, Angeleri R, et al. Improvement of communication skills after traumatic brain injury: the efficacy of the cognitive pragmatic treatment program using the communicative activities of daily living. Arch Clin Neuropsychol, 2018, 33(7): 875-888.
49. 诸苏杭, 陆儒, 方育科. 针灸配合高压氧对颅脑损伤患者术后预后的影响. 全科医学临床与教育, 2018, 16(5): 546-548.
50. Kim S, Mortera MH, Wen PS, et al. The impact of complementary and integrative medicine following traumatic brain injury: a scoping review. J Head Trauma Rehabil, 2022: 21.

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