Treatment and Rehabilitation Team

People that have had a traumatic brain injury are likely to receive hospital, medical and rehabilitative care from multi-disciplinary professionals.  Below is a summary of the possible roles a medical professional might play in treating a person who has a traumatic brain injury:

  • Physiatrist is a physician trained with an emphasis both in physical medicine and rehabilitative medicine. Directed at renewing function, these doctors are trained both in neurology and orthopedics.  Many physiatrists will seek specific training for the treatment of persons who have suffered either a traumatic brain injury, spinal cord injury or orthopedic injuries.
  • Neurosurgeon is a physician trained in the surgical intervention of the nervous system, including the brain, spinal cord, nerves and muscle often times the trauma team coordinator in cases of “moderate” to “severe” traumatic brain injury.
  • Neurologist is a physician trained in medical treatment of nervous system, including brain, spinal cord, nerves and muscles.  A neurologist may be called upon to diagnose injury and consult on immediate medical care.  A neurologist may seek a neuropsychologist consultation for a person who suffered a “mild” traumatic brain injury.
  • Neuropsychologist is a psychologist trained to assess brain function through test batteries designed to measure cognitive deficits.  Many times a neuropsychologist will be relied upon by the Law Offices of Ian Mattoch to work closely with the nurse/case manager in creating a life care plan for the moderate to severe traumatic brain injury survivor.
  • Neuroradiologist is a radiologist specializing in the identification of abnormalities of the central and peripheral nervous system, spine, head and neck.  The Law Offices of Ian Mattoch has retained neuroradiologists from UC Berkeley and UC San Francisco when clients’ diagnoses from general hospital radiologists do not match the clinical symptoms.
  • Physical Therapist is a therapist whose trained and educated on motor function, coordination, balance, and endurance. Physical therapists actually work with the patient exercising and strengthening muscles under the direction and monitoring of a physiatrist or attending physician.
  • Occupational Therapist is a therapist that teaches rehabilitation skills to the person who has suffered a traumatic brain injury.  Usually, the occupational therapy of a TBI survivor focuses on both gross and fine motor skill within the context of daily living. Areas of training may include bathing, toileting, feeding, and dressing.
  • Speech Pathologist is a therapist whose sole focus is on speech and communication deficits. Depending on severity of deficit, oral communication, written communication and computer training may be utilized and/or analyzed.
  • Vocational Rehabilitation Counselors are trained to identify, generally through comprehensive testing, those skills which will help restore the patient to the work force.  Vocational rehabilitation counselors are key to their re-entry to the work force.
  • Rehabilitation/Nurse Case Manager. Generally a rehabilitation case specialists” job is to coordinate the goals of the patient and patient’s family. The case manager coordinates rehabilitative staff and serves as an advocate for the patient. Case managers” work directly with the family and often times deal with the intricacies of insurance and funding for treatment.
  • Life Care Planner is usually a registered nurse or case manager that has been certified to work with attending physicians to create a life care plans for a TBI survivor.  The life care plan is then costed out by an economist to project future medical, rehabilitation and care costs for the TBI survivor’s attorney.  Finally, the life care plan is critical for the nurse case manager who then coordinates rehabilitation and future medical and supervised care during and after settlement of a personal injury claims.
  • Respiratory/Pulmonary Therapist is a trained therapist that assists with the pulmonary needs of a patient, including maintenance of ventilators employed, especially on comatose patients or patients that have a tracheostomy.


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If you or someone you know has been injured or suffered
Traumatic Brain Injury or TBI as a result of someone else’s negligence,

you need the assistance of the Law Offices of Ian Mattoch.
Call 808-523-2451 today
to speak with Hawaii’s Personal Injury Attorney.