People who experience serious brain injuries may have movement problems, emotional problems, thinking and memory problems, language problems, pain or numbness, or other limitations. Many people with brain injuries have challenges returning to independent living, work or school. Mayo Clinic's brain rehabilitation team works to meet the ongoing needs of people with brain injuries and help them become as independent as possible.

The most common way brain function is altered by injury or disease is after a stroke, which may be due to lack of blood flow to your brain or bleeding in your brain caused by a ruptured brain aneurysm. More than 60 percent of people treated in Mayo Clinic's brain rehabilitation program have had strokes. Other common causes of brain dysfunction include brain tumors and traumatic brain injuries, which are caused by a severe, sudden blow to your head or body.

Mayo Clinic doctors trained in physical medicine and rehabilitation and other staff offer a full range of brain rehabilitation treatment options for you, from intensive hospital care through outpatient and community-based services.

Inpatient rehabilitation

Mayo Clinic doctors and other staff trained in brain rehabilitation become involved in providing and coordinating your care as soon as you arrive at the hospital. They work closely with the hospital treatment team, initiating your rehabilitation assessment and treatment while closely monitoring your progress and planning for the next step. Brain rehabilitation specialists play a central role in teaching you and your family about your condition.

Brain rehabilitation unit

If you need further rehabilitation treatment after your condition has stabilized, you'll be admitted to the state-of-the-art inpatient brain rehabilitation unit at Mayo Clinic Hospital, Saint Marys Campus in Rochester, Minn. Rooms, therapy and social areas in the unit are designed to provide you and your family with a comfortable atmosphere. Each room has plenty of space to accommodate wheelchairs and other equipment.

The unit has a patio for easy access to the outdoors, a lounge area and laundry facilities. A specially designed apartment is available where you can practice and improve daily living skills.

In inpatient rehabilitation, your treatment team will help you to transition to living independently at home or in another type of independent living facility. Your team will work with you to help improve physical, mental and behavioral functioning. Your therapy and treatment will depend on your individual needs. Brain rehabilitation specialists will work with you and your family to discuss treatment goals and determine ways to meet these goals.

Outpatient rehabilitation

Outpatient rehabilitation focuses on helping you improve your physical, mental and behavioral functioning so that you can live and work as independently as possible after your condition has stabilized.

Brain Rehabilitation Clinic

You'll be evaluated by staff in the Brain Rehabilitation Clinic at Mayo Clinic in Minnesota to determine which outpatient program or combination of treatments most appropriately meets your needs. If you need a new-patient evaluation, ask your doctor to make a referral to Mayo Clinic. An evaluation team reviews referrals prior to your evaluation to ensure that the appropriate doctors and staff are involved.

Your evaluation may include referrals to any member of the brain rehabilitation team. Your treatment team may include doctors trained in physical medicine and rehabilitation, physical and occupational therapists, and other specialists. Treatment team members work with you and your family to establish your treatment start date, create your treatment goals and determine ways for you to meet those goals. The team meets regularly to monitor your treatment and progress.

Mayo Clinic staff members can also help you find local housing, transportation and financial assistance for medical expenses. The rehabilitation nurse, neuropsychologist, clinical social worker and other specialists are available to provide family education and support. Your family and friends are encouraged to participate in many program activities.

The Brain Rehabilitation Clinic offers several outpatient programs, including:

  • Brain rehabilitation day program. This intensive group-oriented outpatient program meets Monday through Friday. The program aims to help you develop independent living skills and successfully compete for employment. An integrated team develops, organizes and provides treatment that addresses your needs.
  • Community reintegration group. This program is for people with a brain disorder who may benefit from continued, but less intensive, treatment. The group seeks to help you function well in the community with minimal support.
  • Cognitive rehabilitation. In individual therapy sessions, cognitive rehabilitation therapists work with you to improve your thinking (cognitive) skills and maximize your success in personal and occupational roles.
  • Vocational case coordination. Staff help you develop a plan to resume work in your previous job field or help you develop new career goals.
  • Neuromuscular brain rehabilitation program. Physical and occupational therapists trained in brain rehabilitation use state-of-the-art approaches to treat mobility and motor control limitations and to maximize reintegration into independent living.
  • Speech and language rehabilitation. In individual therapy sessions, speech and language therapists work with you to reduce any language-based or other limitations to effective communication you may experience.
  • Experience and expertise. Mayo Clinic in Rochester, Minn., is a leading treatment and research center for people who need brain rehabilitation after injury or disease has altered their brain function. The Commission on Accreditation of Rehabilitation Facilities (CARF) has accredited the inpatient and outpatient brain rehabilitation services at Mayo Clinic in Minnesota for its expertise in providing stroke, traumatic brain injury and pediatric rehabilitation care.
  • Team approach. Mayo Clinic's brain rehabilitation team helps hundreds of people recover from traumatic and nontraumatic brain injuries each year. Doctors trained in physical medicine and rehabilitation coordinate a team of doctors and staff trained in many areas to evaluate and address your needs.
  • Treatment and follow-up care. Mayo Clinic doctors and other staff trained in brain rehabilitation provide your care from the day you're diagnosed with a brain disorder through your return home to your family and community. Some impairments after your brain injury last a lifetime. Mayo Clinic's integrated brain rehabilitation team will work with you to meet your long-term needs, offering you and your family a seamless experience between levels of care as your condition improves and your needs change over time.
  • Individualized care. Mayo Clinic doctors and other specialists develop an individualized treatment plan for each person with a brain disorder. You and your family are considered an integral part of the treatment team, and you're informed and involved in making decisions. Pediatric specialists trained in physical medicine and rehabilitation care for children with brain injuries at Mayo Clinic in Minnesota.
  • Research. Mayo Clinic doctors take an evidence-based approach to brain rehabilitation. Brain rehabilitation research at Mayo Clinic in Minnesota has been funded by the federal government for 15 years to study outcomes, rehabilitation options and potential treatments for brain injuries and disorders. Read about rehabilitation outcomes in brain disorders and other conditions.

Mayo Clinic in Rochester, Minn., ranks #1 for neurology and neurosurgery in the U.S. News & World Report Best Hospitals rankings. Mayo Clinic in Scottsdale, Ariz., is ranked among the Best Hospitals for neurology and neurosurgery, and Mayo Clinic in Jacksonville, Fla., is ranked high performing for neurology and neurosurgery by U.S. News & World Report. Mayo Clinic also ranks among the Best Children's Hospitals for neurology and neurosurgery.

At Mayo Clinic, we assemble a team of specialists who take the time to listen and thoroughly understand your health issues and concerns. We tailor the care you receive to your personal health care needs. You can trust our specialists to collaborate and offer you the best possible outcomes, safety and service.

Mayo Clinic is a not-for-profit medical institution that reinvests all earnings into improving medical practice, research and education. We're constantly involved in innovation and medical research, finding solutions to improve your care and quality of life. Your doctor or someone on your medical team is likely involved in research related to your condition.

Our patients tell us that the quality of their interactions, our attention to detail and the efficiency of their visits mean health care — and trusted answers — like they've never experienced.

Why Choose Mayo Clinic

What Sets Mayo Clinic Apart

Mayo Clinic works with hundreds of insurance companies and is an in-network provider for millions of people. In most cases, Mayo Clinic doesn't require a physician referral. Some insurers require referrals or may have additional requirements for certain medical care. All appointments are prioritized on the basis of medical need.

Doctors trained in physical medicine and rehabilitation and other areas care for people with brain injuries who require brain rehabilitation at Mayo Clinic in Florida.

For appointments or more information, call the Central Appointment Office at 904-953-0853 8 a.m. to 5 p.m. Eastern time, Monday through Friday or complete an online appointment request form.

Doctors trained in physical medicine and rehabilitation and other staff care for people with brain injuries who require brain rehabilitation at Mayo Clinic in Minnesota.

You'll need a physician's referral to be considered for admission into the inpatient brain rehabilitation program or for an appointment in the outpatient program.

For information regarding admission to the inpatient brain rehabilitation program, call the admissions coordinator at 507-266-6442 from 8 a.m. to 5 p.m. Central time, Monday through Friday. For information regarding outpatient appointments, call 507-538-1576 from 8 a.m. to 5 p.m. Central time, Monday through Friday.

Rehabilitation provider information

Mayo Clinic can provide you with information about rehabilitation providers in your local area when such services are available. If you would like to be included in our rehabilitation provider database, please complete the online form.

Pediatric specialists trained in physical medicine and rehabilitation care for children with brain injuries who require rehabilitation at Mayo Clinic in Minnesota. Children needing inpatient treatment receive care at Mayo Eugenio Litta Children's Hospital at Mayo Clinic in Minnesota.

Your child will need a physician's referral to be considered for admission into the inpatient program or for an appointment in the outpatient program.

For appointments or more information, call the Central Appointment Office at 507-538-3270 7 a.m. to 6 p.m. Central time, Monday through Friday or complete an online appointment request form.

See information on patient services at the three Mayo Clinic locations, including transportation options and lodging.

Brain rehabilitation researchers at Mayo Clinic in Minnesota are actively involved in basic science and clinical studies to better understand:

  • How to measure muscle tone (spasticity) using new technology involving ultrasound
  • How information gained from monitoring physical activity can help improve mobility after stroke
  • How brain injury affects survival and life span
  • How cognitive rehabilitation can be provided in your home by telemedicine

Researchers also study stroke rehabilitation, long-term outcomes of traumatic brain injuries and many other areas of brain rehabilitation. Read more about brain-rehabilitation research.

Traumatic Brain Injury Model System Center

The Mayo Clinic Traumatic Brain Injury (TBI) Model research program is one of 16 medical research programs in the United States involved in a research consortium funded by the National Institute on Disability and Rehabilitation Research. The Mayo Clinic TBI Model program studies new ways to advance medical services for people with traumatic brain injuries. Model systems are funded based on their ability to provide comprehensive, coordinated care. The program also contributes data to a large database that allows for long-term collaborative research studies of outcomes.

Using this database, Mayo researchers have studied clinical characteristics of patients to predict activity limitation, independent living and productive activity after injury and inpatient rehabilitation. Researchers are assessing the course of long-term recovery and outcomes after a traumatic brain injury to develop and identify innovative services that most appropriately meet people's needs and allow them to reintegrate into their communities. In collaboration with other model systems, Mayo Clinic has studied headaches and issues related to sexuality after TBI, sharing these research findings with brain injury rehabilitation programs across the country.

Telerehabilitation

Researchers are studying the use of telerehabilitation, a type of rehabilitation using phone and computer technology, for people who don't have access to rehabilitation treatment in their communities. Mayo Clinic researchers are studying the benefits of technology in providing cognitive rehabilitation in people with traumatic and nontraumatic brain injuries. Other research includes studying the impact of telerehabilitation-based treatment on individuals' function, community involvement and treatment satisfaction.

Midwest Advocacy Project

Your ability to advocate for your own needs after a traumatic brain injury is an important part of your recovery and rehabilitation. The Midwest Advocacy Project, a clinical trial taking place in the community, is studying the most effective ways for people and their families to develop advocacy skills. Read more about Mayo's research in enhancing advocacy in patients who have traumatic brain injuries.

Publications

See a list of publications by Mayo authors on PubMed, a service of the National Library of Medicine.

Jan. 05, 2012