Mild Brain Injury

MILD BRAIN INJURY PROGRAM 2013 Annual Report

View the Mild Brain Injury Program
2013 Annual Report

Mild brain injury (MBI) is a disease that is commonly caused by a significant blow to the head from a sports-related injury, motor vehicle accident, an accidental fall, or an assault. Although the vast majority of concussive injuries improve through natural recovery, some require medical, psychological and rehabilitative efforts to manage lingering symptoms. Other causes of MBI, such as a loss of oxygen to the brain, intracranial bleeding, or surgical procedures for an aneurysm or brain tumor, also require specialized interventions. In either case, the moderate changes that people experience in their thinking, emotional or physical abilities may create feelings of worry and demoralization.

The Mild Brain Injury Program is designed to rehabilitate individuals who have sustained a recent brain injury or to work with those whose longstanding MBI-related symptoms have not resolved. Best outcomes occur when MBI is treated immediately, clear information is provided and consistent follow-up services are offered. However, for those who have not received such care and have lingering symptoms, much can be done to improve their daily functioning.

Our comprehensive, coordinated treatment approach utilizes a team of rehabilitation experts, ensuring the best in MBI treatment. We encourage those who have experienced brain injury to contact us with any questions about these programs and to use us as a resource in making medical decision making. Please call 410-601-1199 to speak with one of our MBI Case Managers.


Symptoms of Mild Brain Injury [+/-]


  • The following are problems that people may experience after a mild brain injury:
    • Poor concentration
    • Memory problems
    • Dizziness
    • Depression
    • Irritability
    • Headaches
    • Blurry vision
    • Anxiety
    • Constant tiredness
    • Confused thinking
    • Sensitivity to bright light
    • Sleep disturbance

    Those who have sustained an MBI may experience some or many of these changes, depending on the type and location of the brain injury. In most cases, these symptoms resolve naturally over time with rest and relaxation. However, not everyone recovers at the same rate or has the same outcome. One’s age and health status may affect recuperation. In addition, having sustained previous concussions complicates the healing process. Doctors who treat brain injuries agree that the most important factor in patients' recuperation is that they receive MBI education that improves their understanding of the recovery process and how to manage symptoms. The benefit of early detection and management of MBI symptoms cannot be overstated.

Treatment Approach [+/-]


  • The Mild Brain Injury Program at Sinai Rehabilitation Center is designed to thoroughly diagnose and treat symptoms of MBI. Early in recovery, medical care focuses on promoting proper rest and sleep, reducing pain from headaches or other sources, managing visual changes, and treating balance issues for safety purposes. When this approach is followed, most people with MBI show significant improvement in concussion-related symptoms in the first month after injury.

    For those individuals whose MBI symptoms do not improve after the first 4–6 weeks post-injury, much can still be done to promote recovery and restore function. Diagnostic clarity is critical in treating lingering symptoms of MBI. A slow recovery may be caused by the nature of the injury itself or the indirect effects of consistently poor sleep, visual changes or headaches. Psychological reactions to the trauma may also play a negative role in recovery from MBI.

    Using a comprehensive diagnostic approach, the Mild Brain Injury Program assists patients in understanding the root causes of symptoms and provides a full complement of therapeutic options necessary for recovery. Our interdisciplinary treatment team works together to decide on a collaborative clinical approach and regularly reviews progress during team conferences. This information is also shared with patients to promote a clear understanding. The goal in MBI treatment is to improve an individual’s everyday life and allow them greater satisfaction in their pursuits.

Rehabilitation Experts and Programs [+/-]


  • Our comprehensive, coordinated rehabilitation team works together to provide the advanced care, expertise and resources necessary to treat persons with MBI. We believe that everyone deserves compassionate, personalized attention throughout the continuum of care, from evaluation and diagnosis to rehabilitation and recovery. Specialist teams are personalized for each patient and may include any or all of the following:

    Physiatrist

    A medical doctor who is board certified in physical medicine and rehabilitation. This physician oversees rehabilitation and manages physical, cognitive and emotional symptoms that influence recovery and well-being. The physiatrist often prescribes evaluations, therapies and medications to thoroughly treat MBI.


    Neurologist

    A physician who specializes in neurology and is trained to diagnose and treat neurologic disorders such as brain injury and stroke.


    Neuropsychologist

    A specially trained psychologist who evaluates brain functioning after an injury, particularly a person’s thinking and perceptual skills. Neuropsychologists can pinpoint areas of decline and make treatment recommendations to improve functional abilities. They also provide a psychological perspective in the treatment process that aids in understanding the impact of psychological factors on recovery.


    Case Manager

    The case manager works with the interdisciplinary team to assess, plan and coordinate care and provides patients with education and resources to ensure positive outcomes. At the first contact with patients, the case manager gathers information about the particulars of the brain injury and the ways in which it affects daily activities. This information is shared with the physician in charge of the patient's care and with other clinicians to whom the patient is referred. The case manager ensures good communication among care team members throughout the entire treatment period and serves as the primary contact for the patient. Patient recovery is greatly enhanced by timely communication and case management oversight.


    Speech Language Pathology (SLP)

    The speech language pathologist assesses and treats deficits in cognitive-communicative impairments, including attention/concentration, memory, abstract reasoning and problem-solving. The primary goal in speech language pathology care is to improve information processing, thought organization, initiation and decision-making skills. A major focus in this treatment is teaching patients compensatory strategies that promote a successful return to school or work. Assistive technologies may also be employed to maximize daily functioning.


    Occupational Therapy (OT)

    An occupational therapist works to improve an individual’s ability to participate in activities of everyday life. After an MBI, fine motor skills, eye-hand coordination and other ocular-motor functioning may be diminished. The occupational therapist will develop a treatment plan that improves brain function in these areas.


    Physical Therapy (PT)

    The role of the physical therapist is to evaluate physical abilities such as balance, endurance, strength, range of motion, and mobility. A frequent but overlooked problem after a concussion involves an individual’s vestibular system, which regulates the body’s ability to balance and know its position in space. Our physical therapists have received specialty training in vestibular rehabilitation and can develop a treatment plan to improve MBI-related dizziness and balance deficits.


    Rehabilitation Psychology/Counseling

    The psychologist helps people with depression, anxiety, post-traumatic stress disorder (PTSD), relationship stressors and other reactions to life changes brought about by brain injury/stroke. Treatment includes education for the patient and family and counseling regarding adjustment to disability.


    Driving Training and Evaluation

    An occupational therapist provides clinical and on-the-road assessments of vision, reaction time, thinking skills, memory, and physical function to determine one’s ability to safely drive in the community following MBI. Behind-the-wheel training and recommendations for adaptive equipment are also available.


    Sleep Disorder Center

    The Sinai Sleep Center provides an overnight evaluation through which sleep disorders can be diagnosed, and recommendations for treatment can be offered by sleep medicine specialists. This evaluation requires a prescription from a referring physician.


    Neuro-Ophthalmology

    Neuro-ophthalmologists of Sinai’s Kreiger Eye Institute evaluate patients from a neurologic, ophthalmologic and medical viewpoint. They specialize in treating a wide variety of visual problems that result from MBI.


    Pain Management

    Physiatrists who specializes in pain disorders are available to manage MBI-related pain. They incorporate patient medical history in identifying the cause of the pain and develop a holistic treatment plan. A wide range of treatment options may be utilized that focus on providing primary pain relief and improved function and quality of life.


    Additional Resources:

    RETURN! Community Reentry Program
    RETURN! To Work Vocational Reentry

Admission Process [+/-]


  • Persons seeking treatment for Mild Brain Injury (MBI are encouraged to call our case manager at 410-601-1199. An initial interview with the case manager will be arranged for the purpose of gathering information and determining if the program appropriately meets your needs. After this initial screening, patients are scheduled with either a physiatrist or neurologist for a thorough medical examination.

    Contact Us:

    Sinai Rehabilitation Center
    Schoeneman Building
    2401 West Belvedere Ave.
    Baltimore, Md 21215
    410-601-8823

Resources [+/-]