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Brain Injury, Spinal Cord Injury, and Neuropsychology Brain Injury Services | Brain Injury Clinic | Spinal Injury Services | Spinal Injury Clinic | Neuropsychology

Brain Injury Services

Overview

Acquired Brain Injury or ABI, refers to all non-congenital/non-developmental/non-degenerative injuries to the brain that result in sensory, physical, cognitive or behavioral problems. The most common types of ABI addressed at WWRC are traumatic brain injury, stroke, anoxic injury, brain tumor/cancer, and a smaller number of clients with histories of infectious disease or other etiologies. WWRC provides comprehensive medical rehabilitation services for individuals referred through any of the state-wide offices of the Department of Rehabilitative Services who have sustained acquired brain injury who demonstrate rehabilitative and vocational potential. Individualized service plans are developed that reflect findings and recommendations of initial neuropsychological and physical medicine evaluations. The Brain Injury Clinic is a one-day outpatient service consisting of neuropsychological and physical medicine evaluations.

Services Provided

WWRC provides medical rehabilitation services (e.g., neuropsychological and physical medicine evaluation, as well as physical therapy, occupational therapy, speech/cognitive therapy, and psychological support for clients with ABI across the time spectrum of recovery), to promote functional independence and enhanced opportunities for employment.

WWRC Medical Rehabilitation Division staff work collaboratively to evaluate and treat clients with ABI. This group forms a client’s “brain injury team” to develop an individualized program of services (available services listed below). Each client’s rehabilitation program is customized to the status and needs of the client at the specific point along the recovery continuum when the client is seen for services. This program may include participation in vocational feasibility interviews or full vocational evaluations to begin planning the path toward employment goals.


Contact Information

Email: Brain Injury Services (BrainInjuryInfo@wwrc.virginia.gov) | Phone: 800-345-9972, Ext. 5403327044 or 540-332-7044 | TTY 800-811-7893

Brain Injury Clinic

Acquired Brain Injury or ABI, refers to all non-congenital/non-developmental/non-degenerative injuries to the brain that result in sensory, physical, cognitive or behavioral problems. The most common types of ABI addressed at WWRC are traumatic brain injury, stroke, anoxic injury, brain tumor/cancer, and a smaller number of clients with histories of infectious disease or other etiologies. WWRC provides comprehensive medical rehabilitation services for individuals with acquired brain injury who demonstrate rehabilitative and vocational potential. Individualized service plans are developed that reflect findings and recommendations of initial neuropsychological and physical medicine evaluations.  The Brain Injury Clinic is a one-day outpatient service consisting of neuropsychological and physical medicine evaluations.

Brain Injury Clinic Services

  • Pre-Referral Consultative Services - Assistance is provided to potential clients or referral sources in order to plan for and provide appropriate evaluation and rehabilitation services.  After review of available information, clients with histories of acquired brain injury may be scheduled for an outpatient clinic evaluation or for a stand-alone neuropsychological evaluation.
  • Outpatient Clinic Evaluation Services - A one-day outpatient evaluation for clients with acquired brain injury consists of a neuropsychological evaluation paired with a physical medicine evaluation and medical case management coordination with the referral source. The evaluation findings are summarized in a report documenting the client’s neurobehavioral functioning and recommendations for rehabilitation services at WWRC or within the client’s home community.

Outcomes

Clients and their families who participate in a Brain Injury Clinic evaluation can expect to receive a series of recommendations designed to promote the following:

  • increased knowledge, abilities and use of compensatory strategies,
  • enhanced social, family and community participation,
  • improved independent living skills, and/or
  • enhanced opportunities for employment.

Contact Information

Email: Brain Injury Clinic (BrainInjuryClinicInfo@wwrc.virginia.gov)

Phone: 800-345-9972, Ext. 5403327044 or 540-332-7044 | TTY 800-811-7893

Spinal Cord Injury Services

Persons with spinal cord injuries often require comprehensive services provided by staff experienced in spinal cord injury from the time of their injury throughout their life.  WWRC provides state of the art, individualized, comprehensive evaluations and rehabilitation programs to persons with spinal cord injury.  Services emphasize therapies that aim to promote functional recovery, self-sufficiency, responsibility for managing personal and physical needs, and vocational preparation.  We offer a highly experienced and dedicated staff, up-to-date equipment, and an encouraging environment on a fully accessible campus. Spinal cord injury services are provided by an interdisciplinary team of experienced clinicians, including a physiatrist; nurses; personal care assistants; physical, occupational, and speech therapists; psychologists; vocational evaluators; vocational educators; and case managers.

WWRC offers comprehensive Occupational Therapy, Physical Therapy, speech evaluations and rehabilitation services with specialty services available to provide the greatest opportunity for neurological and functional recovery.

Services

Spinal Cord Injury Clinic

WWRC offers a Spinal Cord Injury (SCI) Follow-up Clinic on a monthly basis. The clinic is staffed by a team of rehabilitation professionals (physiatrist, nurse, occupational therapist and physical therapist) who possess significant SCI clinical experience. The SCI Rehabilitation Team provides a multi-disciplinary evaluation and assessment of a client’s needs and potential in the following areas:

  • bowel and bladder care
  • skin integrity and pressure sores
  • posture
  • range of motion
  • strength
  • functional mobility skills such as transfers
  • bed mobility
  • wheelchair mobility
  • walking
  • in some cases; activities of daily living such as:
    • bathing
    • dressing
    • home management
    • community involvement
    • aging issues
    • assistive technology

Who May Benefit from the Spinal Cord Injury Follow-up Clinic?

  • For clients who have been injured for several years or more and have experienced additional gains in function since they received rehabilitation, the SCI Rehabilitation Team can make suggestions as to what they could do to continue to improve.
  • For clients who are able to do less for themselves than when they first returned home from rehabilitation, the SCI Rehabilitation Team can evaluate and make recommendations for "getting back on track". These clients may also benefit from information regarding the latest equipment and techniques being used in cutting edge spinal cord injury rehabilitation.

Admission Criteria

Persons with SCI who have received WWRC services within the past five (5) years may contact the Admissions Department to be scheduled for this clinic. Otherwise, individuals will be scheduled to be seen by the WWRC Physiatrist who will determine if additional therapy referrals are indicated.

Contact Information

Email: Spinal Cord Injury Follow-up Clinic (AdmissionsInfo@wwrc.virginia.gov)

Phone: 800-345-9922, Ext, 7118 or 540-332-7118 | TTY 800-811-7893

Neuropsychology Services

Overview

Clients with histories of acquired brain injury are eligible for neuropsychological evaluation services at the WWRC.  Case consultation is readily available and referrals may be made by contacting us.

The neuropsychological evaluation involves testing that is sensitive to problems in brain functioning. Unlike CT or MRI scans, which show what the structure of the brain looks like, neuropsychological testing examines how well the brain is working when it performs certain functions (for example, remembering information).

Results of a neuropsychological evaluation may be of help in the following ways:

  • finding possible problems in brain functioning,
  • forming a diagnosis,
  • defining a person’s cognitive and behavioral strengths and weaknesses,
  • guiding treatment and rehabilitation for personal, educational or vocational needs,
  • making relevant recommendations to other health care provider(s), and/or
  • documenting possible changes in cognitive or behavioral functioning over time.

Who May Benefit from Neuropsychology Evaluation?

  • Clients who have experienced a traumatic brain injury, stroke, brain tumor or other injury to the brain, for whom a neuropsychological evaluation has never previously been conducted.
  • Clients with a documented history of acquired brain injury for whom a neuropsychological evaluation might have been conducted within the first year following their injury, but for whom no subsequent evaluation was performed.  These clients would be candidates for a neuropsychological re-evaluation
    • if at least one year has passed since the first evaluation occurred and
    • problems in thinking or behavior brought about by the injury have persisted.
  • Clients with developmental disabilities tied to neurological dysfunction, such as perinatal stroke or cerebral palsy,
    • who are presently into adulthood and are continuing to show cognitive or behavioral difficulties, and
    • for whom prior neuropsychological evaluations, if done, were completed prior to 17 years of age. 


Contact Information

Email: Neuropsychology Services (NeuropsychologyInfo@wwrc.virginia.gov) | Phone: 800-345-9972, Ext. 5403327044 or 540-332-7044 | TTY 800-811-7893


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