VIII Interdisciplinary Approach to Rehabilitation

This chapter discusses functional (early)-rehabilitation and outcome in neurosurgery since the number of patients with permanent brain damage (TBI) is growing as a result of the increased survival rate. Based on the literature explicatory case histories confirm that essential cognitive impairment and neuropsychological disability will ultimately determine the final degree of handicap and performance capacity following brain damage as classified by the WHO ICDH 2 and its new definition of disability. Early-Neurorehabilitation that respects all aspects of the individual's health related social, economic, and cultural aspects can successfully be performed by means of an inter-/transdisciplinary team approach. By contrast, in emerging countries, these preconditions are still generally lacking. The novel QOLIBRI QoL assessment tool integrates disease specific issues of TBI individuals in the long run, for example cognition, existential aspects etc that are missing in generic tools. International societies like WFNR, WFNS, AMN, CNM, EMN, and QOLIBRI provide a more scientific understanding in neurorehabilitation and outcome.