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persistent mild TBI symptoms"],"main_risks":["Fatigue and temporary symptom worsening with overexertion","Falls during mobility training","Spasticity-related pain or contractures","Frustration, depression or anxiety","Limited recovery despite therapy in severe injury"],"pain":"Generally not painful; muscle soreness, fatigue or stretching discomfort may occur, and headaches may be triggered by cognitive load.","preparation":["Medical stabilisation and neurological and functional assessment","Baseline multidisciplinary evaluation (physiotherapy, occupational, speech, neuropsychology)","Setting individualised goals with patient and family","Review of imaging and medical records","Seizure, swallowing and fall-risk screening"],"recovery_timeline":[{"phase":"Acute/early rehabilitation (weeks 0-4)","description":"Early mobilisation, positioning, swallowing and communication work, and orientation training once stable.","restrictions":["Supervised activity only","Fall precautions"]},{"phase":"Intensive inpatient rehabilitation (weeks 2-8)","description":"Daily multidisciplinary therapy for mobility, self-care, cognition and speech.","restrictions":["No driving","Gradual increase in activity load"]},{"phase":"Outpatient/community rehabilitation (months 2-6)","description":"Continued therapy with return to home activities, and work or school reintegration where possible.","restrictions":["Driving and work only after clinical assessment"]},{"phase":"Long-term recovery (6-24 months)","description":"Slower gains, adaptation, ongoing support and management of persistent deficits.","restrictions":[]}],"rehabilitation_days":{"min":30,"max":180,"unit":"days","qualifier":"Intensive structured programme for moderate to severe TBI; continuing outpatient therapy often extends beyond this and mild TBI is shorter."},"result_longevity":"Functional gains are generally lasting but depend on severity and continued home practice. Most recovery occurs in the first 6 months, with slower gains up to about 2 years.","revision_rate_pct":null,"scars":null,"sessions_or_stages":{"sessions":{"min":14,"max":60,"unit":"visits","qualifier":"Daily therapy days across the inpatient stay, each combining physiotherapy, occupational, speech and neuropsychology sessions; varies with severity."},"stages":[{"code":"assessment","label":"Multidisciplinary baseline assessment and goal setting","after":{"min":0,"max":3,"unit":"days","qualifier":"At admission."}},{"code":"intensive_inpatient","label":"Intensive daily inpatient rehabilitation","after":{"min":3,"max":60,"unit":"days","qualifier":"Duration depends on severity and progress."}},{"code":"reassessment","label":"Team reassessment of goals and progress","after":{"min":14,"max":30,"unit":"days","qualifier":"Timing varies with progress."}},{"code":"discharge_plan","label":"Discharge and home therapy plan","after":{"min":14,"max":60,"unit":"days","qualifier":"At end of inpatient stay."}}],"qualifier":"One intensive inpatient programme followed by outpatient therapy at home."},"success":{"metric":"Patients with moderate-severe TBI achieving functional independence in daily activities","value":65,"unit":"percent","horizon":"12 months after injury","population":"Adults with moderate to severe TBI completing inpatient rehabilitation","evidence_status":"limited"},"techniques":[{"name":"Inpatient multidisciplinary rehabilitation","suits_whom":"Moderate to severe TBI with multiple functional deficits needing daily coordinated therapy.","recovery":"Stay of weeks to a couple of months, followed by outpatient therapy."},{"name":"Outpatient or day-programme rehabilitation","suits_whom":"Medically stable patients with milder deficits who can live at home.","recovery":"Several therapy sessions per week over months."},{"name":"Cognitive rehabilitation","suits_whom":"Patients with attention, memory or executive deficits.","recovery":"Gradual improvement over months with practice and strategy training."},{"name":"Physical and occupational therapy","suits_whom":"Patients with motor, balance or daily-living difficulties.","recovery":"Progressive functional gains over weeks to months."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2,"max":6,"unit":"hours","qualifier":"Per treatment day of combined therapies in an intensive inpatient programme; individual sessions are shorter."},"initial_assessment_documents":["Discharge summary from acute hospital","Brain CT or MRI reports and images","Neurosurgery or operative report (if available)","Glasgow Coma Scale and injury date record","Recent neuropsychological or cognitive assessment (if available)","Current functional status and therapy progress report"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"One trip covers the inpatient programme; optional reassessment trip later."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check whether you can put your questions about the treatment to the team directly","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check whether follow-up care is scheduled at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C4","text":"Agree in advance how you will communicate with the care team if you do not speak the native language","scope":"treatment_abroad","source":{"url":"https://www.orthoinfo.org/en/treatment/what-to-know-about-medical-tourism","host":"orthoinfo.org","quote":"If you do not speak the native language, determine in advance how you will communicate with your care team.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check whether the facility and healthcare professionals hold accreditation or certification","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Some facilities and healthcare professionals abroad might lack accreditation or certification.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C6","text":"Check that you understand the possible complications and side effects of the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you 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