Jacqueline S PurtzkiThe University of British Columbia, Canada
Title: The long-term effects of Pediatric brain injury and rehabilitation strategies
Introduction: Pediatric TBI remains the leading cause of death and disability in children and young adults from birth through 25 years of age in North America. It carries a staggering personal and societal cost as it creates lifelong disability. This presentation provides an overview of the patho-physiology of pediatric traumatic brain injury, (peds TBI) with focus on moderate to severe injuries as opposed to concussions, review epidemiology of causes, while focusing on the subacute and chronic clinical presentation and rehabilitation measures throughout childhood, adolescence and into adult life. The presentation will review evidence for the evolution of life-long sequelae, review concepts of brain plasticity, and provide a practical approach to the management of a child and family after a moderate to severe peds TBI. Areas covered will be physical, cognitive and social emotional presentation of impairment, functional disabilities and potential remediation strategies.
• Recognize common psycho-social, developmental and cognitive sequelae associated with moderate to severe TBI in children in the context of normal child development.
• Learn about the research evidence of the long-term consequences of pediatric moderate to severe TBI and management strategies.
• Utilize this knowledge in designing an interdisciplinary, long-term, and individualized rehabilitation plan for children after moderate to severe TBI.
At the end of this presentation the listener will have an understanding of the nature of pediatric severe TBI, will understand how it differs for adult TBI, appreciate the evolution of our scientific understanding of pediatric severe TBI, the changing clinical presentations and challenges as the child develops into an adult, and the need for anticipatory interventions.
Jacqueline S Purtzki graduated from the University of BC, Vancouver, Canada with an MD in 1991, practiced Family Medicine and became a Royal College certified Physical Medicine and Rehabilitation physician with sub-specialty training in paediatric rehabilitation, fellowship trained in Developmental Paediatrics in 2006. She has extensive clinical experience in pediatric and adult complex concussions and severe brain injuries, acquired and congenital spinal cord conditions, rehabilitation of neuromuscular conditions, developmental disorders, and cerebral palsy. She is involved in research pertaining to complex concussion rehabilitation, patient education, knowledge translation, such as website development for concussion self-management in teenagers, and clinical research in pediatric spinal cord injury activity-based rehabilitation. She has published peer reviewed journal articles on pediatric concussion management and serves on review boards for development of concussion guidelines. She involved in resident training for many years and supervised undergraduate and master’s students. She has presented on these topics at national and international conferences, and workshops.