SOLUTIONS GUARANTEE A+
✔✔The Rehabilitation Act of 1973 - ✔✔Set the foundation for vocational rehab system.
a federal/state supported system of services that assists persons with disabilities who
are pursuing meaningful careers
✔✔Olmstead Decision (1999) - ✔✔Option for people to live in the community
Title II of ADA states that states have to administer their services, programs, and
activities in the most integrated setting appropriate to the needs of qualified individuals
with disabilities
✔✔TBI Act of 1996 - ✔✔Federal Legislation
"To expand efforts to identify methods of preventing TBI, to expand biomedical research
efforts or to minimize the severity of dysfunction as a result of such an injury, and to
improve the delivery & quality of services through the State Demonstration projects."
Single most important piece of legislature for peeps with BI.
✔✔life reduction expectancy in TBI - ✔✔7 years
✔✔Screening tools for TBI - ✔✔ACE, TBIQ, ImPACT
✔✔when should mTBI initial sxs resolve by? - ✔✔2-4 weeks
✔✔what percent of people will experience persistent post concussive symptoms? -
✔✔10-15%
✔✔% of people with sleep disturbance after TBI - ✔✔70%
✔✔Medulla - ✔✔Control center for involuntary reflexes such as breathing, HR, BP,
swallowing, vomiting, and sneezing
✔✔Pons - ✔✔Controls facial movements and sensation, hearing, and coordinating eye
movements
✔✔Midbrain - ✔✔Involved in elementary forms of vision + hearing
Plays pivotal role in alertness and arousal
✔✔Reticular Activating System - ✔✔Arousal, alertness, concentration + basic biological
rhythms
I.E. NOT AWARENESS
✔✔Amygdala - ✔✔Tied to emotional memories + reactions; "fight or flight structure"
, ✔✔Primary motor cortex - ✔✔voluntary movement
✔✔Frontal lobe - ✔✔Functions: planning, organizing, problem solving, judgement,
impulse control, decision making, working memory
✔✔Prefrontal cortex - ✔✔evaluated opinions, predicts outcomes and decides best
course of action and influences ability to learn from consequences
✔✔Temporal Lobe - ✔✔Functions: Memory, language, hearing
✔✔Occipital lobe - ✔✔Function: visual processing, interpret visual info, recognition of
site, color, light, motion, dimension, etc
✔✔Parietal Lobe - ✔✔Functions: sensation + perception, responds to touch, temp, and
pain, processes sensory information
✔✔Somatosensory cortex - ✔✔Functions: sensory input integration, spatial awareness
and perception of awareness (alien arm)
✔✔Anterior cord syndrome - ✔✔caused by flexion injuries
Loss of muscle control, pain and temp; NO loss of prop or touch sensation
✔✔Posterior cord syndrome - ✔✔Has strength but no sense of where limbs are in
space below level of damage
Spinal surgery or late stage syphilis
✔✔Neuroplasticity - ✔✔the ability of the NS to change itself, form new connections, and
create new neurons in order to compensate for injury to adapt to changes in the
environment
✔✔Explicit memory - ✔✔memory WITH conscious recall
✔✔Semantic - ✔✔words, ideas, concepts
✔✔Episodic - ✔✔personal experiences
✔✔Implicit memory - ✔✔memory WITHOUT conscious recall
✔✔Procedural - ✔✔skills + tasks
✔✔Pseudobulbar affect (PBA) - ✔✔emotional outbursts of uncontrolled or exaggerated
laughing or crying that are inconsistent with mood
✔✔Executive fxn - ✔✔cognitive directors