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             Shropshire Enablement Team

                            part of              

                          

Glossary

The glossary is here to help you to understand some of the terminology used in both this web site, and in information given to you by other health professionals.

The glossary has been taken from the following sources:

Wikipedia -  http://en.wikipedia.org/wiki/Main_Page (terms from this website are in black)

Brain and Spine injury Charity (BASIC) http://www.basiccharity.org.uk/gloss1  (terms from this website are in red)

“Cognitive Strategies and Techniques for Brain Injury Rehabilitation – User’s Guide by Malia, Bewick, Raymond and B  (terms from this reference are in grey)

Shropshire Enablement Teams team member leaflet (terms from this are in blue)

Head Injury: A Practical Guide by Trevor Powell - (terms from this refernce are in green.)

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Aphasia

Loss of the ability to express oneself and/or to understand language.  It is caused by damage to brain cells rather than deficits in speech or hearing organs

Apraxia/dyspraxia

The inability to carry out purposeful movement in the absence of motor dysfunction. 

Ataxia

A problem of muscle co-ordination not due to apraxia, weakness, rigidity, spasticity, or sensory loss.  It is caused by lesion of the cerebellum or basal ganglia.  This problem can interfere with a person’s ability to walk, talk, eat, and perform other self-care tasks

Aneurysm

 
A balloon-like swelling in the wall of the artery, due to disease or congenital deficiency.

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Brain Stem

 

A bundle of nerve tissues below the main hemisphere at the top of the spinal cord. Controls bodily functions such as consciousness, wakefulness and breathing.

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Cerebellum

 

A lump of tissue behind the brain stem regulating fine motor movements.

Cerebral Palsy

Definition from www.scope.org.uk

A disorder of movement and posture due to a non-progressive defect or lesion to the immature brain

CFS/ME

 Chronic fatigue syndrome (CFS), also known as myalgic encephalomyelitis (ME), post-viral fatigue syndrome (PVFS) and various other names, is a syndrome of unknown and possibly multiple etiology, affecting the central nervous system (CNS), immune, and many other systems and organs                    (abridged).

Clinical (neuro) Psychologist

 

 

Can help with problems to do with how you feel, how you think and how you get along with others.  You may see a clinical psychologist if you feel low or anxious, are forgetful, tend to be disorganized or if you are irritable or short tempered with other people

Closed head injury

 

 Head injuries may be closed or open. A closed (non-missile) head injury is one in which the skull is not broken. Brain injuries may be diffuse, occurring over a wide area, or focal, located in a small, specific area. (Abridged)

Cognitive (ablilties)

 

 The ability to use and integrate basic capacities such as perception, language, memory and thought.

Coma

A state of unconsciousness from which the client cannot be aroused, even by powerful stimulation.  It may last from a few seconds to a few months or longer.  Generally, the longer the coma, the more sever the injury and less favourable the outcome.  People begin to emerge from their coma when they open their eyes, speak, or begin to obey commands

Confabulation

Verbalisations about people, places, events with no basis in reality.  The client appears to “fill in” gaps in memory with plausible facts.

Contre-Coup

Injury to brain tissue on the side opposite the initial injury or point of impact

CT Scan

 Computed tomography (CT), originally known as computed axial tomography (CAT) and body section roentgenography, is a medical imaging method employing tomography where digital geometry processing is used to generate a three-dimensional image of the internals of an object from a large series of two-dimensional X-ray images taken around a single axis of rotation     (abridged)

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Dietician

 

Provides advice and support about food and nutrition, advice about diabetes, support regarding tube feeding or information about healthy eating and other food related problems

Dysarthria

Difficulty in forming or speaking words because of weakness of muscles used in speaking.  Speech is characterized by slurred, imprecise articulation.  Tongue movements are usually labored and the rate of speaking may be very slow.  Voice quality may be abnormal and is usually excessively nasal, volume may be weak, and drooling may occur.  Dysarthria may accompany aphasia or occur independently.

Dyslexia

Definition from www.bdadyslexia.org.uk

Dyslexia is a combination of abilities and difficulties that affect the learning process in one or more of reading, spelling and writing. It is a persistent condition.  (Abridged)

Dysphagia

 Difficulty in swallowing.

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Electroencephalogram (EEG)

A procedure that uses electrodes on the scalp to record electrical activity of the brain.  It is used for detection of epilepsy, coma, and death

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Friedrich’s Ataxia

Definition from www.ninds.nih.gov

Friedreich's ataxia is an inherited disease that causes progressive damage to the nervous system resulting in symptoms ranging from muscle weakness and speech problems to heart disease

Frontal Lobe

 

Contributes to judgment, reasoning, personality, motivation and inhibition of behaviours.

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Glasgow Coma Scale (Jennett and Teasdale 1974)

A standardised system used to assess the degree of brain impairment and to identify the seriousness of the injury in relation to outcome.  The system involves three determinants: eye opening, verbal responses, and motor responses.  These are scored together.  Clients are considered to have experienced a mild brain injury when their score is 13-15.  A score of 9-12 is considered to reflect a moderate brain injury , and a score of 8 or less reflects a severe brain injury.

Graduate Rehabilitation Assistant

 

 Provides support to the Clinicians by continuing treatment plans, running groups and working one to one with clients.

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Haematoma

The collection of blood in tissues or a pace following rupture of a blood vessel

Haemorrhage

The escape of blood from a ruptured vessel, externally or internally

Hemiparesis

Weakness of one side of the body, generally resulting from a brain injury contra-lateral to the weak side

Huntingdon’s Disease

Definition from www.hda.org.uk

Huntington's disease, which is often called HD, is an hereditary disorder of the central nervous system. It used to be known as Huntington's Chorea or HC.

Hydrocephalus

Enlargement of fluid-filled cavities in the brain, not due to brain atrophy.  This is often associated with excessive amount of cerebral spinal fluids (CSF)

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Ischemia

 Ischemia can be described as an inadequate flow of blood to a part of the body, caused by constriction or blockage of the blood vessels supplying it (abridged)

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Lobe There are four lobes on each side of the brain. Frontal, temporal, parietal and occipital.

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Magnetic resonance imaging (MRI)

Similar to a CT scan, but uses magnetic fields to produce a picture of brain tissue.  MRIs are more sensitive than CT scans or X-rays for detecting many structural brain abnormalities

Motor Neurone Disease (MND)

Definition from www.ninds.nih.gov

The motor neuron diseases (MNDs) are a group of progressive neurological disorders that destroy cells that control essential muscle activity such as speaking, walking, breathing, and swallowing.

Multiple Sclerosis (MS)

Definition from

www.mssociety.org.uk

 

MS is the result of damage to myelin - a protective sheath surrounding nerve fibres of the central nervous system. When myelin is damaged, this interferes with messages between the brain and other parts of the body.
 

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Neuropathy

Neuropathy is a disease of the peripheral nervous system

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Occipital Lobe

The centre for processing information from the eyes also known as the visual cortex

Occupational Therapist

Can help individuals who are finding daily activities difficult to manage physically or mentally.  They provide programmes to help people gain as much independence as possible, making meals, carrying out leisure activities or accessing the workplace.

Open head injury

Open head injury, is a head injury in which the dura mater, the outer layer of the meninges, is breached. Penetrating injury can be caused by  fragments from a skull fracture that are driven into the brain. Head injuries caused by penetrating trauma are serious medical emergencies.                    (abridged)

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Parietal Lobe

Interprets sensations from the skin, muscles, joints and tendons.

Parkinson’s Disease

Definition from www.parkinsons.org.uk

Parkinson's is a progressive neurological condition affecting movements such as walking, talking, and writing.  Parkinson's occurs as result of a loss of nerve cells in the part of the brain known as the substantia nigra. These cells are responsible for producing a chemical known as dopamine, which allows messages to be sent to the parts of the brain that co-ordinate movement.
 

Physiotherapist

 

 

 Physiotherapists provide hands on treatment which includes an assessment of a persons current situation.  Other activities and treatment modalities may be explored to maximise potential in all aspects of health.

Post Concussion Syndrome The term given to a group of symptoms that may result following a head injury.  These may include: headache, dizziness, poor memory, impoverished concentration, anxiety.

Post traumatic amnesia

A period of confusion following brain trauma.  The person is awake but unable to recall what happened a few hours or even minutes ago.  Individuals with this form of amnesia are confused and disoriented about the day, time, where they are, and sometimes who they are.

Pragmatics

 

Pragmatics is concerned with bridging the explanatory gap between sentence meaning and speaker’s meaning. The study of how context influences the interpretation is then crucial. Pragmatics is a sub domain of general linguistics.

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Rehabilitation

The process of helping a person to achieve his or her maximum functional potential.  The rehabilitation process can speed up the natural healing process and teach the individual new strategies to deal with the environment.  It used to be standard opinion that recovery stopped after the first 6-12 months; however, recent research has shown continued recovery for years post-injury.  This research is resulting in a shift toward a more optimistic view about longer term recovery

Retrograde amnesia

A period of memory loss for events that occurred before a brain injury.  After brain injury, people almost never remember the accident or events immediately preceding it.  This can be a problem if memory loss extends back for longer periods of time.  On occasion, it can extend back for years.

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Skull Fracture

 A skull fracture is a break in one or more of the bones in the skull caused by a head injury. Isolated skull fractures are not very serious injuries, but usually the presence of a skull fracture indicates that significant enough impact occurred to cause brain injury, which is quite serious.     (abridged)

Specialist Supported Living Officer

 

Works with other agencies to develop new accommodation schemes for people with brain injury.  Also monitors special placements outside of Shropshire.

Speech & Language Therapist

 

Can help overcome the problems that may restrict people in communicating.  This includes problems in speaking, understanding, reading and writing.  Assessments of swallowing difficulties are also carried out and support provided

Stroke

Definition from www.stroke.org.uk

A stroke is what happens when the blood supply to part of the brain is cut off. Blood carries essential nutrients and oxygen to the brain. Without a blood supply, brain cells can be damaged or destroyed and won’t be able to do their job.
 

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Temporal Lobe

 

Interprets the senses of hearing, taste and smell.  It receives and interprets sounds as words and has a role in committing information to memory.

Therapy Assistant

 Therapy Assistants assist the clinicians with therapy goals with clients.

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Ventricles

Four natural cavities in the brain that are filled with cerebrospinal fluid.  The outline of one of more of these cavities may change with a space-occupying lesion (haemorrhage, tumour) has developed in a lobe of the brain.