Signs/Symptoms
Assessments
Vision
Glasgow/Rancho
TBI class
100

This is common after an ABI, and may present as restlessness or aggression.

What is agitation?

100

This assesses the nature and extent of agitation during the acute phase of recovery from acquired brain injury

What is the Agitated Behavior Scale?

100

This brain lobe is responsible for vision.

What is the occipital lobe?

100

This assessment is used to objectively describe the extent of impaired consciousness in all types of acute medical and trauma patients.

What is the Glasgow Coma Scale?

100

A hematoma

A diffuse, closed brain injury

200

Your response to this medical status, resulting in dizziness, is to lay the patient down.

What is hypotension?

200

An assessment for detecting mild cognitive impairment or early signs of dementia; it examines various cognitive functions, including: short-term memory. working memory

What is the MOCA?

200

A measure of the ability of the eye to distinguish shapes and the details of objects at a given distance

What is visual acuity?

200

These injuries classically occur when the moving head (brain) strikes a stationary object; whereas, the other injury is associated with a moving object impacting a stationary object. 

What is coup/contrecoup injury?

200

The part of the brain that processes your sense of touch and assembles input from your other senses into a form you can use; also helps you understand where you are in relation to other things that your senses are picking up around you.

What is the parietal lobe?

300

Lack of oxygen to the brain

What is hypoxia?

300

One of the most widely used assessments for functional independence. 

What is the Barthel Index?

300

The total area in which objects can be seen in the side (peripheral) vision as you focus your eyes on a central point

What is visual field?

300

Someone at this Rancho score is confused, yet appropriate.

What is GCS 6?

300

An ABI classified by LOC <24 hours, GCS 10.

What is a moderate brain injury?

400

The resulting blood pressure status, following a TBI.

What is hypotension?

400

An assessment, typically performed by PTs, to objectively determine a patient's ability (or inability) to safely balance during a series of predetermined tasks

What is the Berg Balance Scale?

400

A hierarchical model for evaluation and treatment of visual perceptual dysfunction in adult acquired brain injury

What is Mary Warren's Hierarchy?

400

The Glasgow score for someone who cannot blink or open their eyes.

What is a GCS 4?

400

A gun shot wound to the head, with exit wound

What is an open perforated injury?

500

This visual impairment following an ABI will make it difficult to read.

What are saccades?

500

This is a measure of tone, following a neurological insult/injury.

What is the Modified Ashworth Scale?

500

These rapid, conjugate, eye movements shift the center of gaze from one part of the visual field to another

What are saccades?

500

This score requires at least minimal supervision for new learning.

What is Ranchos 7?

500

An ABI resulting from >36 hours of unconsciousness.

What is a severe brain injury?