Patient Care

Mild Traumatic Brain Injury (MTBI): A change in mental status due to trauma that may or may not involve loss of consciousness. Symptoms of MTBI include:

• Confusion and amnesia (difficulty remembering)

• Loss of consciousness for not more than 30 minutes

• Post-traumatic amnesia for not more than 24 hours

• Initial Glascow coma score of 13 to 15

Post-concussion Syndrome: A concussion is a condition of impaired functioning of the brain as a result of violent impact. Although typically individuals recover in the matter of a few days to a few weeks, some children or adults can experience longer term difficulties including:

• Poor concentration

• Memory difficulty

• Intellectual impairment

• Irritability

• Fatigue

• Headache

• Depression

• Anxiety

• Dizziness

• Blurred vision

• Sensitivity to light or sound

Madonna offers a Mild Traumatic Brain Injury Comprehensive Assessment and Treatment approach for outpatients. This service focuses on the medical, physical, cognitive (thinking) and emotional after-effects of mild brain injury in children and adults. Patients seen for this comprehensive assessment receive same-day recommendations and comprehensive, multidisciplinary, and coordinated programming to monitor and address injury-related thinking, emotional and pain-related issues, patient and family education, and other special needs, such as support for return to work. The medical team involved in the assessment and treatment include the following experts:

• Physiatrist or Nurse Practitioner

• Neuropsychologist

• Physical Therapist

• Occupational Therapist

• Speech Therapist

• Social Worker/Case Manager

Children and adolescents with mild traumatic brain injury are assigned to a separate team made up of the same disciplines with added experience in pediatrics.

Referrals: Referrals are accepted from physicians, case managers, attorneys, school personnel, or others. Madonna's outpatient case manager will coordinate referral with the patient's primary physician.
TherapyPlus Patient Information

Research: Program Manager Dr. Lori Terryberry-Spohr has been involved in research for concussion and mild traumatic brain injury. Many members of the brain injury team have also collaborated on clinical research projects related to a variety of rehabilitation topics.

Education: Madonna offers free presentations for educational and medical professionals as well as the general public regarding MTBI and Sports Concussion. If you would like to arrange a presentation for your group, email Dr. Terryberry-Spohr at lspohr@madonna.org