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Published: 2025-07-28
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DOI: https://doi.org/10.52852/tcncyh.v192i7.3685
Issue
Vol. 192 No. 7 (2025)
Section
Các bài báo
How to Cite
Tiên, L. T. M., Hùng, N. M., Tuấn, P. M., Minh, T. L. B., Hoàng, P. M., Thái, P. Q., & Liên, N. T. K. (2025). 40. Optimizing motor recovery in patients with severe traumatic brain injury following decompressive craniectomy. Journal of Medical Research, 192(7), 374-386. https://doi.org/10.52852/tcncyh.v192i7.3685

40. Optimizing motor recovery in patients with severe traumatic brain injury following decompressive craniectomy

Le Thi My Tien, Ngo Manh Hung, Phan Minh Tuan, Truong Le Buu Minh, Phan Minh Hoang, Phung Quoc Thai, Nguyen Thi Kim Lien

Main Article Content

Abstract

The study described motor function in patients with severe traumatic brain injury undergoing decompressive craniectomy, assessing outcomes at 1 month and 3 months after a neuroplasticity-based intervention program. Among 93 participants, 57 % achieved good motor recovery (ERBI > 30) by month 3. Patients with poor recovery (ERBI ≤ 30) experienced higher complication rates-such as pneumonia, autonomic dysfunction, and secondary brain injury-and had a longer average hospital stay (55 days versus 35 days in the ERBI > 30 group). Independent sitting increased only modestly, from 0% to 12%, while standing and higher-level skills (walking, stair climbing) remained below 1%. These findings provide preliminary evidence that an early, high-intensity, multidisciplinary rehabilitation program can effectively improve motor function in severe TBI patients following decompressive craniectomy.

Article Details

Keywords

Severe traumatic brain injury, decompressive craniectomy, motor recovery, early rehabilitation, neuroplasticity-based intervention

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