Mild Traumatic Brain Injuries May Lead To PTSD and Depression, According To A New Study

Two months ago, you were pumping gas when your stomach started to rumble. You decided to run into the convenience store for a convenient meal. You were craving sushi and there was a tuna roll that looked good. Chopsticks in hand, you dove right in. But after eating only a few pieces, you instantly experienced the worst stomach ache imaginable and ran straight for the bathroom.

That food poisoning incident now lives inside your head and even the sight of sushi kind makes you want to vomit! Sure, never eating sushi again for the rest of your life might seem like a tragedy but imagine if this horrible experience that scarred you for life was a bad car crash instead. Let’s say you were driving down Woodward when suddenly, you got t-boned by another car and found yourself waking up in a hospital room surrounded by nurses and doctors examining your broken leg, herniated discs, and a mild traumatic brain injury (mTBI). You were disoriented and didn’t know where you were, and the pain from the injuries and the pain from remembering what happened hit you all at once. The ER did what they could to patch you up and discharged you with a long list of doctors to follow up with. Now you’re getting wheeled out to wait for the car to pull around to take you home when anxiety hits you. You’re about to get into a car after being injured in a car accident. You panic! What if it happens again?! You suck it up and get in, but the accident replays in your head the entire way home.

Then a few weeks pass. You’re on the road to physical recovery, but you’re frustrated. You couldn’t remember the capital of Canada on Jeopardy even though you took a trip to Toronto last year, you keep forgetting to take your medication and skipped a dose of a painkiller which then caused you agony for a few hours, and you’re cranky from the loss of sleep because you’re replaying the car accident in your dreams every night and jerking awake when the car t-bones you. On top of all that, your social life is suffering because you can’t build up the courage to leave the house and get into a car to meet your friends, not that you feel up to hanging out or that you can drive with a broken leg anyway. So, you are tired, in constant, severe pain, frustrated at your memory loss, and lonely.

What you’re experiencing here may be PTSD and depression possibly caused by a traumatic brain injury.

The American Psychological Association (APA) defines post traumatic stress disorder (PTSD) as, “an anxiety problem that develops in some people after extremely traumatic events, such as combat, crime, an accident or natural disaster.” An example of such a traumatic event can also be a car accident. Also, according to the APA, “people with depression may experience a lack of interest and pleasure in daily activities, significant weight loss or gain, insomnia or excessive sleeping, lack of energy, inability to concentrate, feelings of worthlessness or excessive guilt and recurrent thoughts of death or suicide.”

A new study published in the medical journal JAMA Psychiatry, found that, “among hospital patients, 21.2% of those with mild traumatic brain injuries experienced PTSD or depression up to six months after injury, compared with 12.1% of those with non-head injuries.” According to the Center For Disease Control and Prevention (CDC), a traumatic brain injury is, “a disruption in the normal function of the brain that can be caused by a bump, blow, or jolt to the head, or penetrating head injury.” The JAMA study, which was published January 30, 2019, measured 1,155 patients with mild traumatic brain injuries and 230 with non-head injuries from 11 hospitals with trauma centers across the United States, between 2014 and 2016. CNN analyzed the JAMA study and reported that, “researchers found that patients with mild traumatic brain injury (mTBI) were more likely to report PTSD or major depressive symptoms at three and six months after injury. At three months. The researchers also found that having a mental health problem before a traumatic brain injury was "an exceptionally strong risk factor" for having PTSD or major depressive disorder afterward.” The study also discovered that, “61.8% of the mild traumatic brain injuries were caused by motor vehicle collision!” “29.2% were the result of a fall or other unintentional injury, 6.1% were caused by violence or assault, and 3% were from an unspecified cause.”

Broken bones can heal but the brain may never recover from a traumatic injury. According to The Model Systems Knowledge Translation Center (MSKTC), recovering from a TBI varies for different people and, “improvements slow down substantially after two years but may still occur many years after injury.” Therefore, it’s important to take precautions and try to avoid head injuries. Since the JAMA Psychiatry study found that 61.8% of the mTBI’s in their study were caused by motor vehicle accidents, it’s been proven that car accidents are one of the most common ways to incur a head injury.

The symptoms of a traumatic brain injury may not manifest right away. Therefore, it’s important to understand TBIs and to know to seek treatment right away if a head injury occurs. March is Brain Injury Awareness Month and The Michigan Law Firm, PC, as a member of the Brain Injury Association of Michigan, encourages readers to join the #ChangeYourMind campaign to spread awareness on brain injuries.

Gross, gas station sushi can cause psychological trauma, but a car crash may lead to a traumatic brain injury which may then cause depression and PTSD. The Michigan Law Firm, PC handles the legal obstacles that arise out of car accident cases for TBI victims so that they can focus on the difficult journey to recovery. Call us at 844.4MI.FIRM for a free legal consultation.

#ChangeYourMind This March

March is brain injury awareness month! It’s time to #ChangeYourMind and spread awareness on brain injuries!

#ChangeYourMind is a public awareness campaign presented by The Brain Injury Association of America (BIAA), an organization which, “provides a platform for educating the general public about the incidence of brain injury and the needs of people with brain injuries and their families.”

The Brain Injury Association of Michigan (BIAMI) defines a brain injury, such as a traumatic brain injury (TBI) as, “a disruption in the normal function of the brain that can be caused by a bump, blow, or jolt to the head, rotational force, sudden acceleration and deceleration, shock from an explosive blast, or a penetrating head injury.”

A traumatic brain injury is a very serious injury that affects many people. The human brain is the most complex and remarkable organ in the human body and is responsible for all of an individual's actions and drives their senses. A brain injury can affect who an individual is, the way they think, act, and feel. In Michigan alone, 58,500 people will sustain a traumatic brain injury each year, according to BIAMI. In the United States, 153 people die from injuries that include an injury to the brain every day, according to The Center for Disease Control and Prevention (CDC). Brain injuries can be very mild and even go undiagnosed, which can lead to permanent damage or possibly even death.

Most people aren’t aware of brain injuries and their common causes. BIAMI mentions that some of the most common causes of TBIs are:

Common Causes of Traumatic Brain Injuries

  • Falls

  • Athletic and recreational activity

  • Assaults, including domestic abuse and shaken baby syndrome

  • Motor vehicle and bicycle accidents

  • Military blast injuries

It’s very well known that car accidents may lead to TBIs, but most people don’t consider bicycle accident TBIs. Bicycle accidents are very common and just as life-threatening as motor vehicle accidents. According to CDC, “in 2010 in the U.S., 800 bicyclists were killed and an estimated 515,000 sustained bicycle-related injuries that required emergency department care.” 26,000 of these bicycle-related injuries resulted in TBIs. The CDC urges bicyclists that practicing helmet safety can play a major role in preventing bicycle related injuries, saying, “any bicyclist who does not wear a bicycle helmet is at increased risk of head injury...a bike helmet can help protect your child or teen from a serious brain or head injury.”

While our hearts can be replaced, there is no such thing as a brain transplant, yet. Coping with and trying to heal from a traumatic brain injury can be one of the most grueling challenges an individual can go through. Since March is brain injury awareness month, people should discuss the seriousness of brain injuries so that everyone can be educated on TBIs and how to prevent them and treat them.

Brain injuries are very common and can be caused in many ways including motor vehicle accidents, falls, and even bicycle accidents. As BIAMI members, the attorneys at The Michigan Law Firm, PC are armed with up-to-date traumatic brain injury knowledge so they can better help car accident TBI victims. If you or someone you know has suffered a TBI due to a car accident, call 844.4MI.FIRM for a free legal consultation.

Hövding Bicycle Helmet: An Airbag for Your Head

Helmets may not be the most stylish look when riding a bicycle but they are necessary to help prevent bicycle accident injuries. In cities like Detroit where bicycle transportation, like MoGo, is popular, no one wants to walk into a trendy Detroit restaurant like Takoi, carrying around a bulky, heavy helmet that requires you to give up arm real estate. However, there is now a very cool alternative to the traditional bucket helmet - Hövding, that you can start conversations about over your chickpea tofu!

According to the Centers for Disease Control and Prevention (CDC), in a survey done in 2001-2003, only 48% of children between the ages of 5-14 wore helmets while cycling, and older children were less likely to wear helmets than younger children. Similar statistics are likely one of the reasons Sweden passed a law in 2005 that required children under the age of 15 to wear helmets while biking. However, head injuries sustained while cycling are not a problem just for children. In 2010, over 800 bicyclists were killed and approximately 515,000 were injured in a bicycle-related accident, with about 26,000 of them receiving traumatic brain injuries (TBI). Because of how dangerous and frequent bicycle car accidents are, this much safer helmet may help prevent car accident head injuries from occurring.

According to their website, Hövding, also known as the airbag for your head, was created in 2005, the same year the law for children under the age of 15 being required to wear helmets in Sweden passed. The new bicycle safety law for children made people wonder if adults should also have to wear helmets. And so Anna Haupt and Terese Alstin, two students of Industrial Design, decided that they wanted to make a helmet that made people want to wear it, whether they needed it or not. Soon after, in 2006, Hövding won the Venture Cup competition, in which young business people get to turn their ideas into an actual business plan. Hövding Sweden AB was founded later that same year, and after another seven years, the airbag helmet idea became an approved and certified product. To date, over 60,000 Hövdings have been sold!

How The Hövding Helmet Works

Hövding has a built in airbag system, sensors and algorithms, activation, charging, and a collar and cover. The airbag is designed like a hood and is made from an ultra-strong fiber that won’t rip. It protects your head while still allowing you to see, and covers more than a typical helmet would. The bicycle helmet also has soft shock absorption components and can absorb multiple blows in the event of a bicycle accident. After the airbag is deployed from a blow to the head, it will deflate. As for the sensors and algorithms, thousands of tests were performed in order to get accurate data on the movements of someone in a bicycle accident, by both crash-test dummies and test riders of Hövding, in order to develop an algorithm that can distinguish between regular bike riding and bike accident conditions. 

Hövding requires a charge in order to work. The charge lasts for 9 hours of active cycling and can be done through an USB charger included in the purchase of a Hövding. There are LEDs at the front that show the wearer how full the battery is. The helmet is also waterproof and has an enclosing collar that wearers can change to fit their outfit or mood. The weight is distributed carefully to make sure it doesn’t disrupt cycling, with weight slightly heavier on the front so that the helmet is resting on the wearer’s back while cycling. In order to activate the Hövding, bicyclists must place it around their necks and zip it up all the way, or it won’t work. Then attach the button on the zip tag onto the right side of the collar. To deactivate Hövding, unclip the button. The helmet should only be activated while cycling.

If you want to see Hövding in action during a bicycle car crash or in the event of a bicycle accident head injury, check out this video.

Helmets aren’t very popular to wear for a lot of cyclists and can be bulky and uncomfortable. Perhaps Hövding is the answer to this. Not only is Hövding more fashionable, compact, and comfortable, it is also safer than a conventional helmet and may prevent injuries typical helmets wouldn’t. If you or a loved one have been injured in a bicycle car accident, call The Michigan Law Firm, PC at 844.4MI.FIRM for a free legal consultation, with an experienced accident attorney.

Life With A TBI

Brain injury Awareness Month is recognized every March by The Brain Injury Association of America (BIAA) to raise awareness for brain injuries, the severity of brain injuries, and also the toll brain injuries take on the entire family of a person with a traumatic brain injury (TBI). The BIAA leads the country in spreading awareness on how TBIs affect a person's life and how completing even the smallest tasks can be a struggle. The BIAA’s mission is very important, since according to their research, every 9 seconds, someone in the United States sustains a brain injury. Thanks to the efforts of organizations like the BIAA, in part with TBIs becoming part of everyday conversation due to press like the NFL head injury scandal, knowledge on TBIs is increasing and TBIs are being discussed more often. One example of TBIs gaining national attention is their use as plot points in TV shows.

Source: Giphy, ABC's The Fosters

One show that is incorporating TBIs is The Fosters, a popular show that airs on FreeForm. During the show's latest season, one of the characters, 16-year-old Jesus, was involved in an accident and was knocked unconscious. He was rushed to the hospital and ended up in a medically induced coma. It was later revealed that he suffered from a (TBI). The show documented Jesus’ fight with his TBI through multiple rehab centers and through the transition of returning home. The Fosters gives a perfect example of the struggles someone who has sustained a TBI faces. This depiction, though fictional, is in line with the same awareness that the BIAA is trying to raise on the difficulties of TBIs. Giving a character a TBI on the show was not only a major plot twist, but it also educated the show’s demographic of people aged 12-34, who might not have previously known what traumatic brain injuries are.

Although The Fosters is a fictional show, accidents like Jesus’ happen all the time in real life. One real life person living with a TBI is 13-year-old Paul. BrainLine, a national multimedia project that offers information and resources to help people prevent, treat, and live with a TBI, discuss Paul’s story on their blog. Paul was once just like any other kid his age who enjoyed spending time with his family and playing sports outside with his friends. Paul’s whole world was turned upside down after an afternoon of bike riding turned into a car accident. Paul was immediately taken to the hospital following the car crash but was left with life changing injuries. While his TBI wasn’t diagnosed at the ER, TBI symptoms manifested while he was still admitted to the hospital due to car accident injuries. Paul was soon diagnosed with a TBI that left him immobile and in a vegetative state. His recovery was very slow and he fought hard to accomplish things that most people do without even realizing it, like lifting his eyelids, moving a finger, or saying a word. After spending many months in the ICU, Paul was transferred into a TBI rehabilitation hospital. While in the rehabilitation hospital, Paul had to learn how to walk, talk, and do simple everyday tasks all over again.

After a long journey in the rehabilitation hospital, Paul was finally able to return home with his family. However, the problems stemming from the car crash TBI weren’t over yet, and Paul’s journey was nowhere near finished. Even after leaving the rehabilitation hospital Paul was still dependent on a wheelchair and walker. His parents still had to assist him with everyday tasks including self care, such as dressing and bathing. The stress level in the house was extremely high, according to Paul’s mom. Paul’s siblings struggled to get used to what they referred to as their “new” brother. Other than the stress of dealing with the TBI itself, Paul’s parents felt very guilty that all of their time was put toward taking care of Paul, and felt like they were neglecting their other children. Eventually, Paul’s parents knew they needed help balancing everyday life and taking care of Paul, so they asked for help whenever they needed it. Paul’s mom said regarding taking care of Paul and his TBI,

“The care giving was both never ending and exhausting. We had to recognize our own limitations, shed any guilt, and ask for help from our community, friends, and family.”

As years passed Paul continued to improve and was eventually able to return to school, but couldn’t do it on his own. BrainLine says that according to his parents, “Paul needed an Individual Educational Plan (IEP) geared toward his specific needs. He underwent a neurophysiology examination, which is concerned with the relationships between brain function and behavior and considers how injury may affect learning, communication, planning, organization, and relationships with others.” A personal aid was offered to Paul by his school to help him keep up with all the other students. He was also given a personal laptop to do assignments on. Graduating high school was a huge accomplishment for Paul, but was only the beginning to many other hard challenges.

Getting a job and figuring out what he wanted to do after high school was another difficult decision Paul and his parents had to make. Even though Paul had made tremendous improvements, he was still not the same person he was before the car crash. He walks off-balance, his voice is slow and monotone, and he is slightly slower to process information, to form a thought, or to respond to a question. Paul eventually got a job after high school and worked at a local retail store where he started as a greeter, moved up to sales clerk, and then cashier. Ten years after his accident, at the age of 23, Paul is now attending Lesley University where he is studying the Threshold Program in Boston and is living independently. He also volunteers at the hospital that took care of him and speaks about TBIs and the importance of bike and car safety.

Stories like Paul's show that traumatic brain injuries don’t just affect the live of the person suffering from brain trauma, but that a TBI leaves everyone in the family changed for the rest of their lives as well. Paul’s mom shared,

“Despite all the miraculous gains my son has made over the years, my heart often remains heavy. When I look into my husband’s or my children’s eyes, I can still see the lingering fear, the permanent scars.”

Hospitals and the sounds of ambulances have permanently scarred Paul’s parents and siblings. Paul’s mother continued,

“the sound of an ambulance or the sight of a hospital can evoke tears as we relive and experience flashbacks to that unthinkable day of the accident.”

To help people cope with the ways TBIs can disrupt a family’s life, the BIAA offers webinars that people can watch online to educate themselves on all topics related to traumatic brain injuries. Some such topics include up-to-date TBI research, possible TBI treatment options, TBI rehabilitation, and how families can learn to manage living with someone has a TBI.

Whether you are riding a bike or driving a car, you may be at risk of sustaining a TBI. Being knowledgeable about what traumatic brain injuries are and how they affect individuals and families may result in people taking more caution while engaging in physical activities or even driving, in order to prevent traumatic brain injuries from occurring. Traumatic brain injuries like many other car accident injuries not only harm the victim’s health but oftentimes bring up legal burdens for the injured person and their family as well. Our lawyers are experienced in helping families who are struggling with brain trauma handle their legal problems while they focus on their recovery. Call The Michigan Law Firm, PC at 844.4MI.FIRM to meet with a car accident TBI attorney for a free consultation.

The Leading Factors For Brain Injuries In Children And Teens

Source: Flickr

With the weather getting warmer, children will be spending more time outside, enjoying some of their favorite sports like football, soccer, and basketball. Kids love sports! It teaches them teamwork and planning strategies, and helps build friendships. And as much as kids like sports, teenagers love learning to drive and aim to receive independence from their parents via a driver’s license. This summer teens will be putting their pedals to the metal and test driving their new skills. So, since the spring and summer are so much fun for children of all ages, everyone should also be wary of the dangers that blows to the head in tackle sports and car crashes can have on children. Children from the ages of 0 to 19 have a greater risk for brain injuries than any other age, according to The Brain Injury Association of America (BIAA).

According to Forbes, “[Of the}More than 55,000 teenage drivers and their passengers who were seriously injured in auto accidents during 2009 and 2010, 30 percent suffered acute head injuries, including concussions, skull fractures and traumatic brain injuries.”

Since playing sports and getting into car accidents are leading factors for traumatic brain injuries (TBI) in children, parents should keep an eye on their children's behavior in case of head injury. The BIAA gives the following brain injury symptoms that parents should look out for that could impair a child’s physical, cognitive, and emotional being.

Symptoms of Child Brain Injuries

PHYSICAL IMPAIRMENTS COGNITIVE IMPAIRMENTS EMOTIONAL IMPAIRMENTS
speech short term memory deficits mood swings
vision impaired concentration denial
hearing slowness of thinking self-centeredness
headaches limited attention span anxiety
motor coordination impairments of perception depression
spasticity of muscles communication skills lowered self-esteem
paresis or paralysis planning sexual dysfunction
seizure disorders writing restlessness
balance reading lack of motivation
fatigue judgment difficulty controlling emotions

Brain injuries can affect a child in multiple ways, as shown in the above brain injury symptoms chart. Collectively, these TBI symptoms can affect a child’s school work, social life, and general way of life. And since the recent news about the NFL concussion scandals, TBIs have become household dinner table talk. All of the negative TBI press has caused parents to become more involved in their children’s physical activities and become reluctant to let their children play sports or learn how to drive. While it’s disheartening to kids to have their parents deny their enrollment in football camp, these parents may be making the right choice. After all, “Each year an average of 62,000 children sustain brain injuries requiring hospitalization as a result of motor vehicle crashes, falls, sports injuries, physical abuse and other causes. A staggering 564,000 children are seen in hospital emergency departments for brain injury and released,” the BIAA reports. And according to the American Association of Neurological Surgeons (AANS), “Sports and recreational activities contribute to about 21 percent of all traumatic brain injuries among American children and adolescents.”

Brain injuries happen, and they are an injury that nobody expects could happen to them. But for children with brain injuries, it’s even worse. The BIAA reports that, “The brain of a child is continuing to develop. The assumption used to be a child with a brain injury would recover better than an adult because there was more “plasticity” in a younger brain, but recent research has shown that this is not the case. A brain injury actually has a more devastating impact on a child than an injury of the same severity on a mature adult.”  This is why brain trauma is a topic that needs to be discussed more often and more openly by the public. The BIAA leads the charge in continuing the conversation on brain trauma during the month of March, which is Brain Injury Awareness month. While brain injury experts are studying how to heal traumatic brain injuries, it may be a while until a surefire treatment is created. Until then, since we can't bubble wrap children and forbid them to leave the house, the Centers for Disease Control and Prevention (CDC)  provides the following tips to help prevent brain injury accidents from occurring. 

How to Prevent Brain Injuries In Children

1. Buckling your child in the car using a child safety seat, booster seat, or seat belt (according to the child's height, weight, and age).

2. Wearing a seat belt every time you drive or ride in a motor vehicle.

3. Never driving while under the influence of alcohol or drugs.

4. Wearing a helmet and making sure your children wear helmets when:

  • Riding a bike, motorcycle, snowmobile, scooter, or all-terrain vehicle;

  • Playing a contact sport, such as football, ice hockey, or boxing;

  • Using in-line skates or riding a skateboard;

  • Batting and running bases in baseball or softball;

  • Riding a horse; or

  • Skiing or snowboarding.

5. Making living areas safer for seniors, by:

  • Removing tripping hazards such as throw rugs and clutter in walkways;

  • Using nonslip mats in the bathtub and on shower floors; Installing grab bars next to the toilet and in the tub or shower;

  • Installing handrails on both sides of stairways;

  • Improving lighting throughout the home; and

  • Maintaining a regular physical activity program, if your doctor agrees, to improve lower body strength and balance.

6. Making living areas safer for children, by:

  • Installing window guards to keep young children from falling out of open windows; and

  • Using safety gates at the top and bottom of stairs when young children are around.

  • Making sure the surface on your child's playground is made of shock-absorbing material, such as hardwood mulch or sand.

While the CDC's 5th tip may be for senior citizens, some of this advice may also be applicable to children. Plenty of children have fallen while running up and down the stairs without using handrails and many have tripped over a rug and hit their head. Vigorous play with toys used to entice children to take baths have also led to slip and fall accidents in the bath tub. 

The fact of the matter is that children always face the risk of traumatic brain injuries because most children are physically active. By monitoring a child or teenager's physical, cognitive, and emotional behaviors following a head injury, parents can help their children immediately receive any medical attention they may need.

Summer fun like playing sports or taking road trips may lead to brain injury accidents. After all, sports and motor vehicle accidents are some of the leading factors for brain injuries in children and teens. If you or anyone you is suffering from a traumatic brain injury or any car accident injury, contact The Michigan Law Firm, PC by calling 844.4MI.FIRM today. Our brain injury lawyers are available for a free legal consultation. 

March Is Brain Injury Awareness Month

FACT - At least 5.3 million Americans live with a Traumatic Brain Injury (TBI)-related disability.

FACT - Everyday, about 137 people die in the U.S. from a TBI-related injury.

FACT - In Michigan, 58,500 will sustain a TBI every year.

These numbers are staggering. And yet, much of the public is undereducated on the topic of brain injuries.

Well, those who want to learn more about brain injuries are in luck since March is Brain Injury Awareness Month. The Brain Injury Association of America (BIAA), which is an organization created specifically to speak about and spread awareness of brain injuries, annually leads the nation in commemorating Brain Injury Awareness Month by creating brain injury awareness campaigns. Thethe theme for 2018 - 2020 is "Change Your Mind."

#ChangeYourMind informs the public about what brain injuries are, the prevalence of brain injuries, and of the needs of people with brain injuries as well as their families’ needs. The BIAA also works with the brain injury community to “de-stigmatize the injury, empower those who have survived, and promote the many types of support that are available.” The BIAA’s campaign and general brain injury advocacy are necessary to the advancement of science and the human understanding of the most mysterious organ, the brain. The more awareness there is around a subject, the more the public’s thirst for knowledge increases, and subsequently more research is performed to find answers and solutions to the problem millions are facing.

Source: BIAA

In the past, the lack of general knowledge on the seriousness of brain injuries and brain injury treatments caused confusion to those who suffered from TBIs. Brain injuries affect day to day living, various social interactions, and short term and long term health. One man who was involved in a head-on car collision shared his TBI story on the BIAA’s website. He suffered a Diffuse Axonal TBI from his car accident and was in a 32 day coma. A Diffuse Axonal TBI occurs when the brain’s long connecting nerve fibers tear when the brain rotates inside the skull. In his own words, “This all took place at a time when very few would survive something like this. Of the 3 people involved, I am the only one who survived. I feel that I was spared for a reason at a time when computers were just a great fantasy, and I was expected to go on in life as if nothing was wrong. By about the 4th termination from employment I began to realize that I wasn’t as ‘fine’ as I was told, BUT, I signed off on the claim in the judge’s chambers in 1977 so there was no way to prove anything until 35 years later I showed a job history which reads like a phone book.”

While not everyone is affected by brain injuries, anyone is susceptible to enduring one, since humans are a very active bunch. From taking a blow to the head in football, to slipping and knocking the noggin on an icy sidewalk, to loss of blood flow to the brain following a brain hemorrhage, there are many ways to fall prey to TBIs. And roughly 14.3% of TBIs are actually sustained in motor vehicle accidents. The Michigan Law Firm, PC helps victims of motor vehicle accidents who have suffered from a TBI. This is why our TBI lawyers are always studying up on the latest brain injury recovery breakthroughs and are keeping informed on the topic of neurocognitive deficits. Our law firm seeks to stay as knowledgeable on brain trauma as possible, so we can better advocate for our car accident clients, which is why we are proud members of the Brain Injury Association of Michigan (BIAMI), a BIAA affiliate.

As active members of BIAMI, The Michigan Law Firm, PC, regularly takes part in BIAMI events. Most notably, we attended the 2017 BIAMI Legal Conference in order to keep updated on and participate in discussions on the legal implications of brain injuries and other closed head injuries as a result of a car crash. In an effort to better support those who have sustained brain injuries, support the research into brain injury therapies, and to learn about new brain injury therapy protocols and diagnostic tests for TBI patients, the firm continues to be an active member of BIAMI. Our brain injury accident attorneys want to be involved in the conversation regarding the rights of treating providers including, but not limited to, neurologists, neuropsychiatrists, therapists, and other brain injury rehabilitation professionals. Most importantly, The Michigan Law Firm, PC wants to help BIAMI and BIAA increase awareness of brain injuries and help advance the world’s understanding of and immediate treatment of brain injuries.

Too keep up-to-date with Change Your Mind, follow #ChangeYourMind on Twitter, or visit the BIAA or BIAMI websites.

 If you or someone you know has suffered a brain injury or other serious injury as a result of an auto accident, call The Michigan Law Firm, PC at 844.4MI.FIRM for a free legal consultation.

Virtual Reality Treadmill Rehabilitates Neurological Patients

A new treadmill developed by Motek Medical uses virtual reality (VR) to safely challenge patients with neurological impairments. Called CAREN (Computer Assisted Rehabilitation Environment), the platform has been tested by the Cleveland Clinic to help evaluate and train individuals with Parkinson's disease, multiple sclerosis, and other neurological conditions. The Cleveland Clinic is the first nonmilitary site in North and South America to install the interactive virtual reality treadmill. 

Specifically, CAREN analyzes balance, locomotion, and coordination in affected patients by placing them in an immersive and interactive environment. While a patient walks on the treadmill, surrounding visual projection, the floor, and the sound system react to the patient's behavior in response to real-time motion-capture capabilities. 

Another characteristic of CAREN is labeled '6-Degrees-of-Freedom,' and refers to the treadmill's ability to move up, down, left, and right and gives the platform simulator-like qualities. Real-time feedback merges data from CAREN's hardware to constantly perform quantifiable evaluation.

Physical Applications Of Virtual Reality Rehabilitation  

  • Identifying balance compensation anomalies.
  • Measuring and correcting gait problems from inefficient muscle use.
  • Identifying neural substrates of task difficulty and cognitive effort.

In less scientific terms, this means that the virtual reality treadmill has the capability to help zero in on physical and mental effects of neourological diseases, which will hopefully lead to improvements for people with brain conditions. By catering to a patient's customized needs and preferences, CAREN offers researchers future opportunities to make medical advancements for people suffering from degenerative brain diseases or traumatic brain injuries. 

Since brain injuries may occur anytime and anyplace, from playing professional football, getting into a car crash or motorcycle collision, or even due to the circumstances of being homeless, technological developments are all the more necessary to help improve the lives of people suffering from neurological impairments. A virtual reality treadmill is just the latest in modern advancements for the brain, and hopefully there are many more creative treatments to come.

CAREN could be the future for people suffering from neurological conditions or traumatic brain injuries. If you or someone you know has experienced a brain injury from a motor vehicle accident, contact The Michigan Law Firm, PLLC at 844.4MI.FIRM for a free consultation. 

CTE Found In Brains Of Former NFL Players

A study published on July 25, 2015 in the Journal of the American Medical Association, JAMA has found that CTE, or chronic traumatic encephalopathy, in 99% of deceased NFL players' brains that were donated to scientific research. CTE is an effect of experiencing numerous traumatic brain injuries (TBI), and although the average person is more like to suffer a TBI from an auto accident, TBI's can occur while engaging in sports. In fact, all of the brains in the study were required to have football as their primary exposure to head trauma. The research subjects must have had to experience repetitive head trauma in their lifetimes, but may or may not have exhibited CTE symptoms during their lives. 

What Is Chronic Traumatic Encephalopathy?

To explain it more clearly, CTE is pathologically characterized by a buildup of abnormal tau protein in the brain that can disable neuropathways and may lead to a variety of clinical symptoms, such as memory loss, confusion, impaired judgment, aggression, depression, anxiety, impulse control issues, and sometimes even suicidal behavior. CTE is found in individuals that have experienced repeated head trauma, and most cases were diagnosed in veterans and people who played contact sports like American football. The only formal diagnosis of this degenerative brain disease is through an autopsy, meaning that we can't knows if someone has CTE, for sure, until after they die. 

The study acknowledges potential bias because relatives of the players may have submitted their brains after noticing clinical symptoms while they were living. It also points out the lack of a comparison group to represent all individuals exposed to college-level or professional football. Without that, the study is unable to provide an overall estimate on the risk of playing football and its effects on the brain. 

CNN reports, "Out of 202 deceased former football players total--a combination of high school, college, and professional players--CTE was neuropathologically diagnosed in 177. The disease was identified in 110 out of 111 former NFL players. It was also found in three of the 14 high school players and 48 of the 53 college players."

The NFL told CNN, "The medical and scientific communities will benefit from this publication, and the NFL will continue to work with a wide range of experts to improve the health of current and former NFL athletes...there are still many unanswered questions relating to the cause, incidence, and prevalence of long-term effects of head trauma such as CTE." 

The study looked at both the brain pathology, which is the behavior of the disease in the brain, and the clinical history of each participant. It identified four stages of pathological CTE severity among the brains, based on amounts of tau buildup and distribution. Stages one and two are classified as mild and stages three and four are severe. 

CNN summarized, "Individuals who were reported to have experienced more behavioral mood symptoms during their lifetime were more likely to have findings indicative of mild disease as opposed to severe. These symptoms occurred in 96% of mild cases and 89% of severe cases. People with a mild buildup and distribution of tau were also more likely to have died by suicide. Those with a severe buildup, on the other hand, were more likely to have experienced cognitive symptoms, such as memory loss." 

One of the biggest problems is a lack of encouragement for players to seek treatment. Stereotypes about mental health treatment and studies that emphasize problems stemming from brain trauma, without fully explaining the science behind it, may give athletes the idea that they can't do anything to help themselves. Although CTE can currently only be diagnosed after death, many symptoms of the disease that occur in someone's lifetime, like depression and anxiety, are treatable. It is important for someone experiencing symptoms from a traumatic brain injury to receive an evaluation from a neurologist and work with them to create a treatment plan. 

Dr. Jeffrey Kutcher, national director of the Sports Neurology Clinic at the Core Institute, who was not involved in the study, said, "My rule as a physician, as a neurologist, is to protect and promote the brain health of my patients over the course of a lifetime, no question about that. You have to look at the total person though. You have to understand why people play sports. It's an individual decision, everybody gets different things out of it. You also have to understand what the arc of their life is going to be, what their health is going to be at the end of their career." 

Kutcher mentions that most of the brains in the study came from players that were on the field decades ago, from the 1950s to the 1990s, with the rest having played more recently. There were not the same brain injury awareness, medical protocols, or equipment back then as there is today. 

Dr. Ann McKee, director of Boston University's CTE center, and a coauthor of the study, are currently conducting more research on CTE and its effects. They are examining lengths of exposure to head trauma, the age of first exposure, the lengths of playing careers, and how these relate to the risk of CTE and its pathological severity. They are also using the 177 donated brains with CTE to discover if there are any genetic risk factors of the disease.

"It certainly can be prevented," McKee said, "'That's why we really need to understand how much exposure to head trauma and what type of head trauma the body can sustain before it gets into this irreversible cascade of events." 

Additionally, in a statement commenting on the study, the league said, "The NFL is committed to supporting scientific research into CTE and advancing progress in the prevention and treatment of head injuries. In 2016, the NFL pledged $100 million in support for independent medical research and engineering advancements in neuroscience related topics. This is in addition to the $100 million that the NFL and its partners are already spending on medical and neuroscience research."

The Michigan Law Firm, PLLC Blog previously discussed that the NFL settled a class action with ex-football players who had suffered from brain injuries, potentially paying out $4 million, to those who suffered from CTE.

The start of fall means that football season is here, and football season means cleats on turf and helmets against helmets. As spirited at American become during this time of year, it's important to remember that repetitive head trauma caused by playing football may lead to CTE or other brain injuries. It should also be noted that traumatic brain injuries can be caused by experiencing a blow to the head in a motor vehicle accident. If you or someone you know has experienced a traumatic brain injury from a car crash, contact The Michigan Law Firm, PLLC at 844.4MI.FIRM for a free legal consultation. Let us take care of your legal trouble while you focus on improving your health.

NFL Settled A Concussion Class Action Lawsuit

Research has drawn links between football players receiving multiple blows to the head and numerous degenerative brain diseases. Due to this research, a class action lawsuit was filed in by thousands of retired professional football players against the NFL, for hiding the risk of brain injuries that comes with playing in the league. An increasing number of NFL players are affected by the league's choice to not disclose the health risks of concussions and repeated blows to the head that come with playing on the professional level. CNN Money stated that the Supreme Court sided with the players, deciding in December, 2016 to not hear an appeal of the case. Any of the men who are found to be eligible for the settlement payments must have retired before July 7, 2014, and may be awarded up to $5 million each. Settlement amounts are based on the number of years played in the NFL, the severity of the player's brain disease, and age. Over 11,000 retired football players expect to receive their portion of the lawsuit settlement this year.

The New York Times reported that two of these claims were recently settled on June 16, 2017 for a combined total of $9 million. Although the two claimants have gone unnamed, one NFL player's wife, Marlene Breasley, spoke of her husband, Terry Breasley, 66, who played for three years under the San Francisco 49ers. Marlene told CNN Money how beneficial the settlement money would be for her family if they are found to be eligible. Due to his years of playing football, Beasley continues to experience the effects of more than 40 concussions from his playing years, and is currently on more than 10 medications. His illness keeps him confined to his bed as he suffers from chronic headaches and short seizures all day. 

"He has trouble speaking. Terry gets injections for the pain, but it never goes away. He sleeps for a couple hours when he can until the pain gets so bad that it wakes him up," Marlene said.  "It's [the settlement money] going to help us buy the medicines he needs, get the physical help he needs from remodeling our house to make it handicap accessible to having someone with him 24 hours a day." 

It’s unfortunate that Beasley and so many other men are suffering from brain injuries caused by playing the sport they love, because according to the Brain Injury Society (BIS), sports are a relatively uncommon source of traumatic brain injury (TBI) among the general population. In fact, the Center for Disease Control and Prevention (CDC) reports that falls are the number one source of TBIs for the non-professional football playing population of America. The second most common cause for TBIs is unintentional blunt trauma followed by motor vehicle accidents. Still, TBIs are a major cause of death and disability in the US and contribute to 30% of all injury deaths. 

People who are diagnosed with a TBI can suffer from a lifetime of effects, such as impaired memory, thinking, movement, sensation, and/or emotional function. Men and people ages 65 and up are more likely to suffer from TBIs than other members of the population, possibly explaining why NFL players are increasingly discovering the consequences of getting paid to hit their bodies against each other. According to CNN Money, there are a few types of degenerative brain diseases that also may be caused by a traumatic brain injury, that also affect how much money each ex-NFL player may be entitled to.

Degenerative Brain Diseases Caused By Traumatic Brain Injury

Chronic Traumatic Encephalopathy (CTE)

 According to the Concussion Legacy Foundation, CTE is a degenerative brain disease in which "a protein called Tau forms clumps that slowly spread throughout the brain, killing brain cells." The unfortunate thing about this disease is that it can only be detected by autopsy, after a person's death. However, "early symptoms of CTE usually appear in a patient's late 20s or 30s, and affect a patient's mood and behavior. Some common changes seen include impulse control problems, aggression, depression, and paranoia." Relatives of NFL players who lost their loved ones to CTE may receive $4 million dollars from the NFL brain injury class action lawsuit settlement.

Alzheimer's and Dementia

According to the Alzheimer's Association, Alzheimer's leads to nerve cell death and tissue loss within the brain. This causes the brain to shrink dramatically and affects all of its functions. NFL players who have been diagnosed with Alzheimer's may be awarded $3.5 million.

The Alzheimer's Association explains dementia as a general term used to describe a severe decline in mental ability that can effect everyday life. Doctors have a hard time determining the extent of a patient's dementia because it affects every person's brain differently. Players diagnosed with moderate dementia might be awarded $3 million in this settlement while players with early dementia may be awarded around $1.5 million.

Lou Gehrig's Disease/Amyotrophic Lateral Sclerosis (ALS)

The ALS Association explains that ALS is "a progressive neurodegenerative disease that affects nerve cells in the brain and the spinal cord. A-myo-trophic comes from the Greek language. "A" means no. "Myo" refers to muscle, and "Trophic" means nourishment – "No muscle nourishment." When a muscle has no nourishment, it "atrophies" or wastes away. "Lateral" identifies the areas in a person's spinal cord where portions of the nerve cells that signal and control the muscles are located. As this area degenerates, it leads to scarring or hardening ("sclerosis") in the region."

Though people know about ALS because it was the disease that caused Lou Gehrig to leave his successful baseball career, the degenerative brain disease was still unknown to many in our current generation. However, many people recently became educated on the disease due to very popular, social media "Ice Bucket Challenge," which raised millions of dollars for treatment. 

Due to the severity of ALS and the fact that it doesn't have a cure, players who have been diagnosed with Lou Gehrig's disease may receive up to $5 million dollars in compensation from the NFL.  

Parkinson’s Disease (PD)

Parkinson's Disease, according to the Parkinson's Disease Foundation, is "a chronic and progressive movement disorder, meaning that its symptoms continue and worsen over time." "Parkinson’s involves the malfunction and death of vital nerve cells in the brain, called neurons. Parkinson's primarily affects neurons in an area of the brain called the substantia nigra. Some of these dying neurons produce dopamine, a chemical that sends messages to the part of the brain that controls movement and coordination. As PD progresses, the amount of dopamine produced in the brain decreases, leaving a person unable to control movement normally." The cause of Parkinson's is currently unknown and there is no cure as of yet. Retired NFL players diagnosed with Parkinson's may receive $3.5 million from the settlement.

Traumatic Brain Injury Symptoms

The CDC lists the following as symptoms for TBIs that people who have sustained a head injury should keep an eye out for. The symptoms typically fall into four categories.

Emotional/Mood

  • Irritability

  • Sadness

  • More emotional

  • Nervousness or anxiety 

Sleep

  • Sleeping more than usual

  • Sleep less than usual

  • Trouble falling asleep

 

Thinking/Remembering

  • Difficulty thinking clearly

  • Feeling slowed down

  • Difficulty concentrating

  • Difficulty remembering new information

Physical

  • Headache

  • Fuzzy or blurry vision

  • Nausea or vomiting (early on)

  • Dizziness

  • Sensitivity to noise or light

  • Balance problems

  • Feeling tired, having no energy

While the families of these brain damaged football players might feel relieved that the compensation from the lawsuit might help them cover some medical bills, it is clear that they are more upset with the larger problem. That problem is that brain damage and brain diseases alter a person, sometimes indefinitely, and that these families aren't able to spend the same quality time with their loved ones that they used to. Some ex-NFL players are tied up in dealing with the stresses of medical appointments and medical bills instead of enjoying retirement.

While it's every child's (and some adults') dream to become a sports legend, most professional sports careers don't work out. People are more likely to sustain a head injury in a motor vehicle accident than in a Detroit Lions game! As such, anytime a person is involved in a car accident, or any time someone takes a blow to the head, it is important that they should immediately seek medical attention to rule out a traumatic brain injury.

Traumatic Brain Injuries are serious health issues that should not be ignored or taken lightly. Whether the brain injury was acquired through playing sports, a car accident, or by slip and fall, it is a good idea to err on the side of caution and seek immediate medical attention after taking a hit to the head. As the article shows, experiencing a TBI could cause long-term if not life-altering afflictions and problems for victims. If you or someone you know has been diagnosed with a TBI after an auto accident, call The Michigan Law Firm, PLLC at 844.4MI.FIRM for a free consultation with a personal injury lawyer today.

Traumatic Brain Injuries Can Cause Epilepsy

No one can predict the outcome of a motor vehicle accident. In fatal vehicle collisions, it takes just seconds for a shiny new car to become a pile of metal, rubber, and plastic. Not only are automobiles ruined in traffic crashes, but the passengers inside may be seriously injured, if not dead. That's why safety precautions must be taken to help protect passengers in the instance that they are involved in motor vehicle collisions. One such precaution is always wearing a seat belt. According to the National Highway Traffic Safety Administration (NHTSA) seat restraints have saved 344,448 lives since 1975. Unfortunately, however, seat belts can't do it all, as they can't prevent head bumps and even cause whiplash injuries themselves. This is dangerous because what people may not know is that a momentary head bump or skull scrape in car crashes, may lead to a much more serious type of head injury and other brain related conditions, such as epilepsy. 

What is a Traumatic Brain Injury?

A traumatic brain injury (TBI), as defined by the Center for Disease Control and Prevention, is "a disruption in the normal function of the brain that can be caused by a bump, blow, or jolt to the head, or penetrating head injury." They can occur to anyone, from young children to older adults. TBIs can be mild, like " a brief change in mental status or consciousness, or severe, like, "an extended period of unconsciousness or amnesia after the injury." Symptoms of a TBI include problems with thinking and memory, balance and sensations, language like talking, and emotions, such as depression, anxiety, and aggression. While not every head injury results in a TBI, people who sustain head injuries in automobile crashes are more likely to sustain TBIs due to the heavy force with which a head gets struck in a car collision. 


The Link Between Traumatic Brain Injuries and Epilepsy

Epilepsy is a type of brain disease that causes re-occurring seizures. Epilepsy may have a variety of causes, all depending on conditions that affect a person's brain. Some examples are a stroke or a brain tumor. TBIs can also trigger epilepsy in people, either right after an injury happens or months and even years later. Researchers have found that the more severe a TBI is, the greater chance there is that the person may develop epilepsy. 

Post-traumatic epilepsy (PTE) and post-traumatic seizures (PTS) are two types of seizures caused by a TBI. PTS are seizures occurring in the first week after a TBI, while PTE is defined by the National Center for Biotechnology Information (NCBI) as one or more unprovoked seizures that occur at least one week after a TBI. In PTE cases, 86% of patients experiencing one seizure at least one week after a TBI, experienced a second seizure within two years. This means that most of the time, epilepsy takes a while to be discovered. Just when people think they are in the clear from a severe motor vehicle accident, their traumatic brain injury comes back as a different monster.

Epilepsy is difficult to pinpoint because seizures are different for different people. Some fall, cry out, or shake, while others become confused, twitch, or believe they see, taste, or smell something unusual. The lack of a definite, clear-cut diagnosis makes handling TBIs even more of a headache. Though it may seem difficult to comprehend until one witnesses it, people that learn to recognize the symptoms of a seizure may be able to offer assistance or contact a medical provider if needed. The sudden movement of body parts, unresponsiveness, lip-smacking or chewing, fumbling movements, and not being able to speak or understand others are all common symptoms of a seizure. Bystanders can assist someone having a seizure by making sure they don't fall and turning their head to the side so anything in the mouth, including saliva, does not block their throat. Check for a heartbeat and for regular breathing, starting CPR if there are no vital signs or calling 911 to alert medical professionals.

MRIs and other neuroimaging tests are recommended following the first post-traumatic seizure, as these tests can help look for brain abnormalities that might suggest a case of PTE. Preventative medicines may be prescribed by a doctor for seizures, and clinical observations by the Epilepsy Foundation further support using drugs early on after an injury, to help suppress the development of PTE. Though it is unlikely that current medicine will completely eliminate epilepsy, it can help control or stop seizures for a majority of people. 


How To Avoid Car Crash Brain Injuries

In 2013, the leading causes of TBI-related deaths were falls for people 65 and older, and motor-vehicle crashes for people age 5-24. In an effort to reduce the number of motor vehicle accident traumatic brain injuries, safety precautions can be taken that may minimize the risk for traumatic brain injuries. Driving and riding safely is the number one step people can take towards safety. This includes wearing seat belts, using helmets on motorcycles and bicycles, turning on airbags, and seating children in passenger seats designed for them. People may also want to be mindful of where they are walking, so they may be less likely to be involved in a pedestrian car crash.

No matter what people do to increase their safety while on the road and on streets, head injuries can still occur from during car collision. Medical research and technological advancements are working to ease the pain and suffering from traumatic brain injuries, but the reality is that some people may experience epilepsy or seizures years after what they once thought to be just a simple bump to the head. TBIs are yet another consequence of car accidents, and though they cannot be completely prevented, recognizing the symptoms and responding with proper care may help car accident victims' health in the long run.

Head injuries, like those that can be caused by motor vehicle collisions, have numerous negative side effects. It is important to learn to recognize the symptoms of a traumatic brain injury, so as to help protect yourself and others. If you or someone you know has sustained a head injury or any other injury in a car crash, call The Michigan Law Firm, PLLC at 844.4MI.FIRM for a free consultation.

The Michigan Law Firm, PLLC Joins The Brain Injury Association of Michigan

Birmingham, MI - The Michigan Law Firm, PLLC is proud to announce it has recently joined the Brain Injury Association of Michigan (BIAMI).  The BIAMI is a nonprofit organization that serves to create greater awareness of traumatic brain injury (TBI) across Michigan.

The organization connects individuals living with a brain injury to the largest statewide provider network of brain injury rehabilitation centers, medical treatment facilities, care providers, programs and top professionals.  The BIAMI works on multiple fronts, providing educational services to teach communities about brain injury, advocating to establish and preserve laws regarding brain injury, assisting brain injury research groups, and serving as a resource for accident victims who have suffered TBIs.

Our law firm was represented at the 2017 BIAMI Legal Conference to stay updated and participate in the discussions about the complex legal topics that confront car accident victims living with brain injuries.

The Michigan Law Firm, PLLC frequently handles motor vehicle lawsuits in which victims sustained a TBI. The Firm is excited to be an active member of the BIAMI so it can further its expertise of the topic, network with likeminded law firms and medical providers, and provide its clients with the resources they need to get their lives back on track.

Source: ModUp

For more information about the Brain Injury Association of Michigan, please visit http://www.biami.org/.  To learn more about The Michigan Law Firm, PLLC, please visit https://www.themichiganlawfirm.com/.

The Michigan Law Firm, PLLC is a civil litigation firm located in Birmingham, Michigan that handles a variety of personal injury lawsuits, including auto accidents, motorcycle accidents, medical provider cases, dog bites, and slip and falls.  Call us today for a free consultation at 844.4MI.FIRM (844.464.3476).

Sleep May Help Heal Traumatic Brain Injuries

It has been reported that one of the leading complaints people dealing with traumatic brain injuries (TBI) have is that they either cannot get enough sleep, or suffer from insomnia, or that they are constantly sleeping or feel sleepy. So, it comes as a bit of a surprise when a study conducted by the University of Montreal's psychology department found evidence that TBIs and patients' recoveries correlate with sleep patterns. Nadia Gosselin, the study's author, claims that the study shows that if hospitals took more time regulating a sleep routine for a patient diagnosed with a TBI, it could go a long way in their recovery process. Gosselin also adds that, "Making sure patients are exposed to sunlight or its equivalent during the day and at night rest in a dark, quiet environment," TBI patients may be able to maintain a sleep cycle.  

But First, What Is A Traumatic Brain Injury?

According to the Centers for Disease Control and Prevention (CDC), "A TBI is caused by a bump, blow, or jolt to the head that disrupts the normal function of the brain. Not all blows or jolts to the head result in a TBI. The severity of a TBI may range from “mild” (i.e., a brief change in mental status or consciousness) to “severe” (i.e., an extended period of unconsciousness or memory loss after the injury).  Most TBIs that occur each year are mild, commonly called concussions."

Effects TBIs Have On Sleep And Health

Research has proven that when sleep cycles are disrupted, it can have an affect on mood swings, weight, memory, and other consequences. Hence, if someone is losing sleep due to a TBI, other serious health problems can correspondingly occur. Some of the more common diseases include diabetes, heart disease, stroke, and high blood pressure. Additional problems linked to sleep deprivation are a lower libido, depression, and in extreme cases death. This doesn't include health problems that are usually a direct result of having a brain injury such as visual perception, motor function and problems with reading. spelling, and/or speaking. 

Sleep Routines May Help Heal TBIs

As Gosselin mentioned, setting up a sleep routine tied to the time of day is a good way to get started on resetting the bodies internal clock. Designating a time to wake up to every day and a time to go to bed every night are the simplest ways to set a routine. And by going to bed at least ten minutes ahead of the scheduled time gives the body time to relax to help get to sleep better. It should be noted that eating and drinking drinking alcohol and/or caffeine at least five hours ahead of bed time will also help a person suffering from sleep problems fall asleep easier. Visual stimulants such watching TV, checking email on the laptop, or playing smart phone games, should also be avoided because they can keep the brain busy and essentially signal it to 'stay awake.'

After about 30 minutes of trying to fall asleep and failing to do so, sleep experts recommend that people don't try to force themselves asleep as this can potentially lead to a restless night. Instead, researchers suggest getting out of bed and doing something boring until they feel sleepy. 

Night time isn't the only time a sleeping pattern should be enforced. There are also a few tips that TBI victims can use to stay on track during the day. Staying active through a workout routine during the day is an essential to good sleep. If the body works and tires out during the day, the brain and body are more likely to be susceptible to falling asleep at night. Again, by limit the amount of visual stimulants TBI survivors are exposed, such as smart phone apps, TV shows, and YouTube videos, is also important during the day. If a nap must be had during the day, they should be limited to no more than 20 to 30 minutes a day. Lastly, those dealing with TBIs should increase the amount of time they are outside, especially on days when the sun is out. 

A cure has yet to be found for some types of traumatic brain injuries, however, most TBIs can be managed through treatments and medications provided through a licensed medical provider. As for prevention of TBIs, the best way to avoid a traumatic brain injury is to take every precaution from getting a head injury. For example, one of the most common ways people suffer from TBIs is by being involved in a car accident. A study conducted by the CDC in 2013, revealed that "Among all age groups, motor vehicle crashes were the third overall leading cause of TBI-related ED visits, hospitalizations, and deaths (14%). When looking at just TBI-related deaths, motor vehicle crashes were the third leading cause (19%)."

For the most part, car accidents themselves are preventable since many of them occur due to human error. Though it's easier said than done, by following the rules of the road, by properly wearing seat belts, and by not engaging in distracted driving behaviors, the number of car accidents, and thereby the number of car crash traumatic brain injuries, may decrease. 

Traumatic brain injuries are serious conditions that require time and attention to heal, if they can be healed. If you or someone you know has been the victim of a traumatic brain injury due to a motor vehicle collision, call The Michigan Law Firm, PLLC at 844.4MI.FIRM. We offer free consultations to car accident survivors so that they are not left in the dark on the legal process under Michigan law.