NewRo model for Brain Injury Rehabilitation


From Dependence to Independence; A Journey of Hope and Possibility

A cognition-based model

A brain injury of any nature or cause is like the hard disc of your computer crashing. You will have to reload all the softwares and then try and restore all the saved files and folders so that your computer is back to where it was before the crash! But the biggest challenges are… who has these softwares? How do we reload it, and in what sequence? How do we restore the saved files? How do we even know what all files were saved? What do we do if the original programs don’t take off or run well?

Brain Injury Rehabilitation (BIR) has remained an enigma for most people, including the Neuroscience professionals and experts. The physical healing of brain injuries never really translates to an automatic and complete functional recovery of brain functions to the premorbid levels of functioning. The complexity and uniqueness of every individual’s’ brain functions (it is like each of us having our own customised operating systems!) and the fact that most of it cannot be measured easily and in a standardised way made this task onerous and near impossible! This lack of clarity at all levels resulted in the creation of a large number of neurologically disabled individuals who are now a ‘liability’ to the family, community and country. Unlike age-related degenerative disorders or cancer, many of these individuals who are in this situation following devastating TBI (Traumatic Brain Injuries) due to road traffic accidents, strokes and other diseases like neuro infections, were ‘normal’ ‘productive’ ‘breadwinners’ of the family and community, and such a problem devastates the family, many times destroying their present and future!

With the rapid growth of the population, industrialisation, a fast-paced life but with poor and unhealthy lifestyles, the number of TBIs, strokes, dementia and the like are increasing exponentially. Also, in countries like India and others in the developing world, a dramatic improvement in the quality and delivery of acute care services (albeit unequally across the country) and it’s access and affordability, has resulted in a large increase in the number of such individuals who are surviving the acute care, but with significant disabilities. Thus, the need and access to a well-structured, early and comprehensive rehabilitation is being felt very acutely. However, the struggle to deliver these complex acute care services and ‘saving lives’ is consuming most of the healthcare industry’s time that they just don’t have the additional time, inclination, energy or bandwidth to set up and deliver these rehabilitation services to those who survived but remained disabled. The obscene amounts of money that is being spent (by the government, public and family members) on just maintaining such disabled patients is actually unfathomable. 

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