---
title: The Many Facets of Shepherd's Brain Injury Program
description: Shepherd's Brain Injury Rehabilitation Program is one of the top brain injury facilities in the US thanks to its extensive services and the passion of the people who work there.
image: https://www.spinalcord.com/hubfs/The%20Many%20Facets%20of%20Shepherds%20Brain%20Injury%20Program%20-%20Featured.jpg
---

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# The Many Facets of Shepherd's Brain Injury Program

 Author: [Spinal Cord Team](https://www.spinalcord.com/meet-our-authors)

 Publish Date: November 12, 2019

The Shepherd Center may have been founded because of one family's personal experience with spinal cord injury, but it has grown to treat all types of neurological conditions, including brain injuries. Shepherd's Brain Injury Rehabilitation Program is one of the top brain injury facilities in the US thanks to its extensive services and the passion of the people who work there.

The *U.S. News and World Report *rank Shepherd as one of the top 10 rehab hospitals in the country. From their large team of experienced brain injury medical professionals to their five unique brain injury programs, it’s easy to see why. Learn more about Shepherd’s Brain Injury Program and how it changes lives in the face of one of the most difficult injuries.

## Why Choose Shepherd's Brain Injury Program?

Located in Atlanta, Georgia, Shepherd dedicates a large portion of their hospital to patients with brain injuries, including traumatic brain injuries (TBI). With an estimated 282,000 people in the US each year hospitalized because of brain injuries, Shepherd sees a lot of patients at their facility with brain injuries. Many are injured in a fall, a fight or in a motor vehicle accident. 

They also see many patients with anoxic and hypoxic brain injuries, which occur when the brain is deprived of oxygen. This can happen from heart attacks, drownings, and other near-death events. In regard to their staff, eight physicians work in their Brain Injury Rehabilitation program, two of which work in their Disorders of Consciousness Program. They also have several other specialists depending on what is wrong with the body. See video interviews with the Brain Injury Program staff: [https://www.shepherd.org/about/medical-staff/physician-profiles](https://www.shepherd.org/about/medical-staff/physician-profiles) 

## Their 5 Programs

To ensure they take care of the needs of all their patients with brain injuries, from people with minor brain injuries from concussions to people with severe injuries from car accidents, they have created five specialized programs to treat their patients. These programs are as follows:

## *Disorders of Consciousness Program*

This program is for people who have suffered a brain injury and are either in a semi-comatose state or are minimally conscience. Traditionally, these patients were left in beds until they were fully awake. Now, however, these patients are treated in a conscious disorder program, which Shepherd offers. Shepherd’s Disorder of Consciousness Program is a 4 to a 6-week program that gives patients 1 and 1/2 hours of therapy daily. They also make sure to educate families on their loved ones' care, as well as helping patients by maximizing their mobility and advising on nutrition and drugs.

## *Adolescent Program*

For teenagers and children who experience brain injuries, Shepherd has a separate Adolescent Brain Injuries Rehabilitation Program. This program is different by focusing on maximizing the patient’s independence and socialization. This program puts a high priority on involving family and friends in activities and creating an environment where patients feel like they belong. The program also educates adolescents with brain injuries on self-care, problem-solving, self-advocacy as well as drug and alcohol awareness and sexuality. Also, peer support, teen outings and making sure they return to school are other important components of their adolescent program.

## *Day Program*

For people with brain injuries who no longer need 24-hour nursing but need to continue their recovery and rehabilitation, Shepherd’s Day Program, also known as Shepherd Pathways, is a great option. It is a separate facility located in Decatur, Georgia that offers extensive recreational opportunities, such as therapy gyms, outdoor sports equipment and recreational and leisure activities. Access to outdoor sports equipment is also possible. Shepherd's Day Program also offers housing for some of their patients. However, to be eligible, you must live 60 miles from Decatur, Georgia.

## *Residential Program*

For patients with brain injuries who have completed their inpatient program and are ready to move out and return home, they offer a residential program in the local community for people who still need 24-hour support. Their residential program allows up to 11 patients. Called Shepherd Pathways, they ensure their patients are cared for by offering 24-hour supervision by an LPN and residential assistants. They also have specially trained life coaches on staff who work with residential patients on implementing behavior goals and personal management plans.

## *Inpatient Rehabilitation Programs*

For people with new brain injuries not ready to return home, the Inpatient Brain Injury Rehabilitation Program at Shepherd offers 58 beds. People with all kinds of great injuries are treated here, from stroke, brain tumors to encephalitis.

To be inspired by Shepherd’s Brain Injury Program success rate, which with over 97% of patients recommending the program, view Patient Stories of Hope, which are firsthand accounts from former Shepherd patients, can be found on their site. View these stories here: [https://www.shepherd.org/stories-of-hope](https://www.shepherd.org/stories-of-hope). 

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**Topics:** Brain Injuries, Shepherd Center, Brain Injury Rehabilitation, Brain Injury, Brain Damage

### Stay Updated on Advancements On Traumatic Brain & Spinal Cord Injuries

About the Author

#### Spinal Cord Team

 The authors of Spinalcord.com are made up of attorneys, those in the medical field, and survivors of spinal cord injuries or traumatic brain injuries. Learn more about our team of authors including a brief biography that explains how they impact the SCI and TBI community. 

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### Spinal Cord Injury

- [Types of Spinal Cord Injuries](https://www.spinalcord.com/types-of-spinal-cord-injuries)
- [Secondary Complications](https://www.spinalcord.com/secondary-complications-after-sci-spinal-cord-injury)
- [Causes](https://www.spinalcord.com/signs-symptoms-of-spinal-cord-injuries)
- [Symptoms](https://www.spinalcord.com/types-of-spinal-cord-injuries)
- [Prognosis](https://www.spinalcord.com/prognosis-of-spinal-cord-injuries)
- [Legal Help](https://www.spinalcord.com/spinal-cord-injury-legal-help-get-a-lawyer)

### Brain Injury

- [Types of Brain Injuries](https://www.spinalcord.com/types-of-traumatic-brain-injury)
- [Causes](https://www.spinalcord.com/causes-of-traumatic-and-acquired-brain-injuries)
- [Symptoms](https://www.spinalcord.com/traumatic-brain-injury-tbi-symptoms)
- [Prognosis](https://www.spinalcord.com/brain-injury-prognosis-for-tbi-abi)
- [Legal Help](https://www.spinalcord.com/brain-injury-legal-help-get-a-lawyer)

### Finding Treatment

- [Physician Directory](https://www.spinalcord.com/brain-and-spinal-cord-injury-physician-directory)
- [Rehabilitation Directory](https://www.spinalcord.com/spinal-cord-injury-hospitals-rehabilitation-directory)
- [Technology Advancements](https://www.spinalcord.com/sci-technology-advancements)
- [Prevention](https://www.spinalcord.com/spinal-cord-injury-prevention)

### Legal Options

- [Spinal Cord Injury Lawyer](https://www.spinalcord.com/spinal-cord-injury-lawyer)
- [Brain Injury Lawyer](https://www.spinalcord.com/brain-injury-lawyer)
- [Types of Personal Injury Claims](https://www.spinalcord.com/types-of-personal-injury-claims)
- [Where To Start](https://www.spinalcord.com/brain-spinal-cord-injury-lawyer-where-to-start)
- [Local Assistance](https://www.spinalcord.com/florida-personal-injury-claims)

#### [About Us](https://www.spinalcord.com/about-us)

Spinal cord injuries are traumatic for patients and their families. They cause disruptive changes to every aspect of your life and there is a lot of new information to navigate and understand. Our experts have collected everything in one place to help you learn more about your injury, locate doctors and treatment centers, find financial support, and get assistance navigating your next move.

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{
  "@context" : "http://schema.org",
  "@type" : "Article",
  "articleBody" : "The spinal cord is a vital part of the human body. As the vehicle responsible for carrying messages from the brain to the rest of the body and back again, even the smallest interference can be detrimental. Following a traumatic <A href=\"/spinal-cord-injury\" rel=\"noopener\" target=\"_blank\"><SPAN style=\"font-weight: 400;\">spinal cord injury</SPAN></A>, this bundle of nerves can become bruised, also known as <A href=\"//www.spinalcord.com/blog/contusion-vs.-concussion-understanding-the-difference\">a contusion.</A> Because of the nature of the nervous system, any interference can constitute a serious spinal contusion, but these facts will help you dissect all of the information from the medical professionals.</P>\n\n<H2><STRONG>What Is a Spinal Contusion?</STRONG></H2>\n<IMG src=\"https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=300&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg\" alt=\"Signs-of-a-spinal-contusion-title-image\" width=\"300\" style=\"width: 300px; float: right; margin: 0px 0px 10px 10px;\" srcset=\"https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=150&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 150w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=300&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 300w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=450&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 450w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=600&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 600w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=750&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 750w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=900&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 900w\" sizes=\"(max-width: 300px) 100vw, 300px\"/>\n<P>Much like any other bruise, a contusion can cause bleeding from local blood vessels and inflammation which, rather<I><SPAN style=\"font-weight: 400;\"> unlike</SPAN></I> bruises on other parts of the body, can have serious negative impacts on the spinal cord itself. Because the<A href=\"/blog/contusion-vs.-concussion-understanding-the-difference\" rel=\"noopener\" target=\"_blank\"> “blood must clot to stop the bleeding”</A>a bruise results from contusions also increase cardiovascular risks.</P>\n<P>For example, the swelling a contusion can cause will often disrupt nerve impulses that travel from the brain to the body through the spinal cord, and the severity of this will depend upon the level of injury. Unlike a concussion, a contusion would not cause unconsciousness or a ‘blackout’, but instead cause the patient to feel a numbness or tingling in the extremities.</P>\n<P>A contusion can cause spinal compression, which happens when there is pressure on the spinal cord. This can go on to cause an array of <A href=\"http://www.hopkinsmedicine.org/healthlibrary/conditions/nervous_system_disorders/spinal_cord_compression_134,13/\" rel=\"noopener\" target=\"_blank\">physical symptoms</A> such as loss of sensation in the feet, inability to use the hands and loss of sexual ability. It must be noted that not all contusions cause spinal compression, and not all spinal compression is caused by a contusion, although they do often connect this way.</P>\n<H2><STRONG>Warning Signs of a Serious Spinal Contusion to Watch For</STRONG></H2>\n<P>Firstly, doctors will try and establish what area or limb the injury has affected. Spinal contusions most often “affect the upper extremities bilaterally and also sometimes involve the lower extremities,” <A href=\"http://www.healio.com/orthopedics/journals/ortho/2012-1-35-1/%7B7b1ed5f6-d6ca-435e-b69a-dba8a6d7c3c0%7D/spinal-cord-contusions\" rel=\"noopener\" target=\"_blank\">according to Dr. Wong</A>, an orthopedic physician.</P>\n<P>Symptoms include “numbness, tingling, [or] electric shock-like sensations and burning in the extremities,” <A href=\"http://www.aans.org/patient%20information/conditions%20and%20treatments/spinal%20cord%20injury.aspx\">(American Association of Neurological Surgeons, 2016)</A>. Generally falling into the category of “spinal trauma” there are many symptoms which are similar to other forms of spinal trauma and spinal cord injury. Below are some symptoms of spinal trauma:</P>\n<UL>\n<LI>Spinal shock — or the &quot;loss of feeling or movement below site of injury&quot; <A href=\"http://www.columbianeurosurgery.org/conditions/spinal-trauma/\" rel=\"noopener\" target=\"_blank\"><I>(Columbia University Medical Centre, 2016) </I></A>that can last between hours and weeks</LI>\n<LI>Loss of bladder or bowel function</LI>\n<LI>Difficulty breathing</LI>\n<LI>Muscle spasticity</LI>\n<LI>Difficulty understanding speech</LI>\n<LI>Problems with attention</LI>\n<LI>Memory challenges</LI>\n<LI>Heart rate and blood pressure problems</LI>\n</UL>\n<P>Unfortunately, it is sometimes challenging to identify which symptoms are due to a spinal contusion, and which ones are the result of a spinal cord injury directly. It can sometimes require a few days or weeks for the body to recover from spinal trauma and reveal if any permanent damage is left from the accident that caused the SCI.</P>\n<P>Understanding what a contusion is, and how it can come into play following a spinal cord injury is important in order to clearly appreciate your injury, understand your diagnoses, and work toward treatment and a prognosis. Doctors can sometimes use jargon that’s difficult to understand, so the more you can educate yourself about your condition, the more control you can have in your recovery and treatment.</P>\n<P>If you still have questions about the details of the spinal cord and how it may be affected from your injury, please contact us or download our <A href=\"/the-simplified-guide-to-understanding-a-spinal-cord-injury\" rel=\"noopener\" target=\"_blank\">guide to understanding a spinal cord injury</A>.",
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"description":"The spinal cord is a vital part of the human body. As the vehicle responsible for carrying messages from the brain to the rest of the body and back again, even the smallest interference can be detrimental. Following a traumatic spinal cord injury, this bundle of nerves can become bruised, also known as a contusion. Because of the nature of the nervous system, any interference can constitute a serious spinal contusion, but these facts will help you dissect all of the information from the medical professionals.

What Is a Spinal Contusion?
Signs-of-a-spinal-contusion-title-image
Much like any other bruise, a contusion can cause bleeding from local blood vessels and inflammation which, rather unlike bruises on other parts of the body, can have serious negative impacts on the spinal cord itself. Because the “blood must clot to stop the bleeding”a bruise results from contusions also increase cardiovascular risks.

For example, the swelling a contusion can cause will often disrupt nerve impulses that travel from the brain to the body through the spinal cord, and the severity of this will depend upon the level of injury. Unlike a concussion, a contusion would not cause unconsciousness or a ‘blackout’, but instead cause the patient to feel a numbness or tingling in the extremities.

A contusion can cause spinal compression, which happens when there is pressure on the spinal cord. This can go on to cause an array of physical symptoms such as loss of sensation in the feet, inability to use the hands and loss of sexual ability. It must be noted that not all contusions cause spinal compression, and not all spinal compression is caused by a contusion, although they do often connect this way.

Warning Signs of a Serious Spinal Contusion to Watch For
Firstly, doctors will try and establish what area or limb the injury has affected. Spinal contusions most often “affect the upper extremities bilaterally and also sometimes involve the lower extremities,” according to Dr. Wong, an orthopedic physician.

Symptoms include “numbness, tingling, [or] electric shock-like sensations and burning in the extremities,” (American Association of Neurological Surgeons, 2016). Generally falling into the category of “spinal trauma” there are many symptoms which are similar to other forms of spinal trauma and spinal cord injury. Below are some symptoms of spinal trauma:

Spinal shock — or the loss of feeling or movement below site of injury (Columbia University Medical Centre, 2016) that can last between hours and weeks
Loss of bladder or bowel function
Difficulty breathing
Muscle spasticity
Difficulty understanding speech
Problems with attention
Memory challenges
Heart rate and blood pressure problems
Unfortunately, it is sometimes challenging to identify which symptoms are due to a spinal contusion, and which ones are the result of a spinal cord injury directly. It can sometimes require a few days or weeks for the body to recover from spinal trauma and reveal if any permanent damage is left from the accident that caused the SCI.

Understanding what a contusion is, and how it can come into play following a spinal cord injury is important in order to clearly appreciate your injury, understand your diagnoses, and work toward treatment and a prognosis. Doctors can sometimes use jargon that’s difficult to understand, so the more you can educate yourself about your condition, the more control you can have in your recovery and treatment.

If you still have questions about the details of the spinal cord and how it may be affected from your injury, please contact us or download our guide to understanding a spinal cord injury.",
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