TBI (Traumatic Brain Injury) is an injury to brain tissue caused by an external physical force or by internal damage such as anoxia (lack of oxygen), bleeding inside the skull or tumor.

TBI may produce a diminished or altered state of consciousness, which results in impairment of cognitive (thinking) abilities and physical functioning. These impairments may be either temporary or permanent. The injury may cause partial or total functional disability or psychosocial maladjustment.


Disabilities following a TBI can be temporary or permanent and may include:

  • Difficulty with thinking or comprehending concepts
  • Changes in behavior or in self care
  • Paralysis or loss of movement
  • Difficulty talking or understanding others
  • Difficulty swallowing, eating, sucking
  • Memory loss
  • Pain


Depending on the deficits experienced, your evaluation may include:

  • Speech and language evaluation: to assess deficits in word finding and communication, eating and swallowing, and thinking.
  • Physical therapy evaluation: to assess movement deficits of the large muscles
  • Occupational therapy evaluation: to assess movement disorders of the small muscles of the hand and arms, delayed development and problems with activities of daily living such as, eating, getting dressed, brushing teeth, toileting, feeding and/or eating.


  • Language treatment
  • Speech treatment
  • Cognitive skills development
  • Fine motor training
  • Gross motor training
  • Vocational skills training
  • Feeding therapy
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