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Brain injury rehabilitation in adults 54 | Ms Andrea Duncan Physiotherapist, Raigmore Hospital, Inverness Dr Alasdair Fitzgerald Consultant in Neurorehabilitation, Astley Ainslie Hospital, Edinburgh Dr Simon Fleminger Consultant Neuropsychiatrist, Glenside Hospital, Salisbury Mr Douglas Gentleman Consultant/Clinical Director in Neurorehabilitation and Honorary Consultant in Neurosurgery, Royal Victoria Hospital, Dundee Dr Sarah Gillanders Clinical Neuropsychologist, Liberton Hospital, Edinburgh Dr Helen Gooday Consultant in Rehabilitation Medicine, Woodend Hospital, Aberdeen Dr joanna Gouick Head of Clinical Neuropsychology, Astley Ainslie Hospital, Edinburgh Dr Alan Harper Clinical Psychologist, Cameron Hospital, Fife Ms Alison Hawitt Lead Speech and Language Therapist, Scottish Neurobehavioural Rehabiliation Service, Royal Edinburgh Hospital Dr Carol Hawley Principal Research Fellow, University of Warwick, Coventry Dr Denyse kersel Consultant Neuropsychologist, The Community Treatment Centre for Brain Injury, Glasgow Ms Morag MacDonald Senior Occupational Therapist, Dumfries and Galloway Royal Infirmary Dr Phil Mackie Lead Consultant, Scottish Public Health Network, Edinburgh Dr William Mckinlay Director, Case Management Services Ltd, Edinburgh Professor Tom McMillan Professor of Clinical Neuropsychology, Gartnavel Royal Hospital, Glasgow Ms Sarah McNeish Physiotherapist, Raigmore Hospital, Inverness Dr Sharon Mulhern Consultant Clinical Lead Neuropsychology, Ayrshire Central Hospital, Irvine Ms Rosie Murray SMC Manager, Delta House, Glasgow Ms Morag Ogilvie Senior Dietitian, Forth Valley Royal Hospital, Larbet Dr Brian O’Neill Consultant in Neuropsychology and Rehabilitation, Graham Anderson House, Glasgow Dr Brian O’Suilleabhain Consultant in Public Health, NHS Lanarkshire, Bothwell Ms Ailsa Paterson Speech and Language Therapist, Ayrshire Central Hospital, Irvine Ms Linda Prevett Specialist Speech and Language Therapist, Dumfries and Galloway Royal Infirmary Dr Ann-Marie Pringle Head of Speech and Language Therapy, Astley Ainslie Hospital, Edinburgh Ms Rhona Petrie Lead Clinical Pharmacist, Southern General Hospital, Glasgow Dr Hugh Rickards Consultant in Neuropsychiatry, The Barberry National Centre for Mental Health, Birmingham Ms Anne Rowe Specialist Speech and Language Therapist, Western General Hospital, Edinburgh Ms Lesley Scobie Team Leader Physiotherapist, Royal Victoria Hospital, Dundee Ms Ethel Sinclair Senior Physiotherapist, Astley Ainslie Hospital, Edinburgh Dr Lance Sloan Consultant in Rehabilitation Medicine, Cameron Hospital, Fife Mr john Smith Specialist Orthotist, Stirling Community Hospital Mr Ben Sutherland Nurse Consultant (Rehabilitation Nursing), Cameron Hospital, Fife Ms Morag Tait Speech and Language Therapist, Raigmore Hospital, Inverness Dr Robert Taylor Consultant Clinical Neuropsychologist, Western General Hospital, Edinburgh Dr Lorna Torrens Head of Clinical Health Psychology, Astley Ainslie Hospital, Edinburgh
Dr killian Welch Consultant Neuropsychiatrist, Royal Edinburgh Hospital Ms Anne Williamson Senior Physiotherapist, Falkirk Community Hospital 14.4.3 SIGN EDITORIAL GROUP 14 • Development of the guideline As a final quality control check, the guideline is reviewed by an editorial group comprising the relevant specialty representatives on SIGN Council to ensure that the specialist reviewers’ comments have been addressed adequately and that any risk of bias in the guideline development process as a whole has been minimised. The editorial group for this guideline was as follows. All members of the SIGN Editorial group make yearly declarations of interest and further details of these are available on request from the SIGN Executive. Dr keith Brown Chair of SIGN; Co-Editor Ms Iris Clarke Professional Head of Service for Speech and Language Therapy NHS Highland, Raigmore Hospital, Inverness Dr Roberta james SIGN Programme Lead; Co-Editor Dr Sara Twaddle Director of SIGN; Co-Editor | 55
Page 1 and 2:
SIGN 130 • Brain injury rehabilit
Page 3 and 4:
Scottish Intercollegiate Guidelines
Page 5 and 6:
Contents 1 Introduction ...........
Page 7 and 8:
1 Introduction 1.1 THE NEED foR A G
Page 9 and 10: 1.3.3 BRAIN INjURy SEVERITy Long te
Page 11 and 12: Functional therapies tend to be saf
Page 13 and 14: Prior to any prescribing, the licen
Page 15 and 16: 3 Assessment and treatment of mild
Page 17 and 18: False positives on cognitive testin
Page 19 and 20: 3 • Assessment and treatment of m
Page 21 and 22: 4.1.3 TASk-SPECIFIC AND REPETITIVE
Page 23 and 24: One further RCT (n=35) compared two
Page 25 and 26: 4.4 CoNTINENCE PRoBlEMS 4 • Physi
Page 27 and 28: It has been argued that there are v
Page 29 and 30: 6 Rehabilitation of behavioural and
Page 31 and 32: elationship between specific compon
Page 33 and 34: 7 Communication and swallowing 7.1
Page 35 and 36: 7.1.6 TRAINING COMMUNICATION PARTNE
Page 37 and 38: No evidence was identified relating
Page 39 and 40: 8 • Vocational rehabilitation The
Page 41 and 42: 9.1.2 MINIMALLy CONSCIOUS STATE A p
Page 43 and 44: A Cochrane review of evidence for m
Page 45 and 46: 10.2 CoMMuNITy REHABIlITATIoN 10.2.
Page 47 and 48: of improvement. There were no signi
Page 49 and 50: Evidence has also suggested the pot
Page 51 and 52: 11 Provision of information This se
Page 53 and 54: or has mental health or addiction p
Page 55 and 56: 12 • Implementing the guideline y
Page 57 and 58: y therapies to improve disordered s
Page 59: Guideline development and literatur
Page 63 and 64: NMES neuromuscular electrical stimu
Page 65 and 66: 5. What is the evidence for the eff
Page 67 and 68: 15. Is there any evidence of improv
Page 69 and 70: 31. Bryant RA, Harvey AG. Relations
Page 71 and 72: 94. Goverover Y, Johnston MV, Togli
Page 73 and 74: 157. Practice parameters: assessmen
Page 75: ISBN 978 1 905813 98 8 www.sign.ac.
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