- Ride defensively: Always be aware of the vehicles in your surrounding area. At stop signs, take caution and never assume the other drivers will stop! Car drivers are often the cause of motorcycle accidents. With distracted driving on the rise, being defensive and aware while on a motorcycle is more important than ever.
- Select the Right Ride: Purchasing a motorcycle that is properly suited for your height and size is essential. When selecting a motorcycle, ensure your feet are easily resting on the ground and the handlebars and controls are within easy reach.
- Make Time for a Tune Up: In addition to tuning up your motorcycle, see if your riding skills are in need of a tune up as well. If your riding skills are a little rusty, sign up to take the Motorcycle Safety Foundation (MSF) riding course. This course covers the basics as well as some advanced riding techniques. As an added bonus, taking this course may qualify you for an insurance discount.
- Dress for Success: Wear clothing that will protect you from wind, flying bugs, debris, and road rash. Avoid clothing items such as shorts, tank tops, and t-shirts.
- Protect Your Head: Riders who do not wear helmets have a much higher risk of fatality. If you are injured in a motorcycle accident, you are also three times more likely to sustain a head injury if you do not have your helmet on. Helmets save lives; grab yours before hitting the road.
- Protect Your Eyes: If you do not wear a full-face helmet, make sure you have the proper eye protection. You never know what you may encounter on the roads; take this small precaution to ensure your eyes are safe.
- Avoid bad weather: Rain makes the pavement slippery, reduces your margins for error and decreases your overall visibility. Watch for road hazards including potholes, sand, gravel, wet leaves, and grass.
- Plan ahead: speak with family and friends to identify a safe and enjoyable way to enjoy the holiday
- Manage fatigue: be well-rested leading up to the celebration and take breaks when needed
- Reduce sensory overstimulation: taking noise-cancelling earphones, sunglasses, or hats may reduce the sensory input during fireworks and around large crowds
- Choose your location carefully: if you choose to enjoy a live celebration of fireworks, choose a seat furthest away from the action
- Explore your options: forego the live fireworks and watch them from the comfort (and quietness) of your home
- Ask first: ask the person with brain injury their preference for activities for the holiday
- Offer support: if they choose to sit out on certain activities, join them and provide company
- Find a balance: compromise on traditions and swap out events with new activities your loved one is most comfortable with
- Have a back-up plan: identify alternative activities if your loved one is not feeling up to the festivities at that time
- Plan your escape: in the event that your loved one is triggered by something during the activity, have a plan for minimizing distress and moving to a more comfortable place
- To learn more about Post-Traumatic Stress Disorder, visit:
- To access current fireworks laws, visit:
- For more information on quiet camping options, check out:
Origami Brain Injury Rehabilitation Center
- Visual acuity and perception
- Memory to recall directions or destination
- Hand-eye coordination
- Reaction time
- Safety awareness and judgment
- Sustained and alternating attention
- Range of motion and strength of arms, legs and neck
- Confidence behind the wheel
- Anxiety level
- Classen, S. e. (2009). Traumatic brain injury and driving assessment; and evidence-based literature review. American Journal of Occupational Therapy, 580-591.
- Schultheis, M. T., & Whipple, E. (2014). Driving after traumatic brain injury:evaluation and rehabilitation interventions. Current Physical Medicine and Rehabilitation Reports, 176-183.
Occupational Therapist + Therapy Best Practices Coordinator
Special Tree Rehabilitation System
- Loss of Consciousness (only occurs in ~10% of all concussions!)
- Delayed verbal/motor responses
- Confusion/Disorientation/Memory deficits
- Lack of focus/Concentration
- Speech disturbances such as slurred speech
- Physical Exercise
- Visual and Vestibular Retraining
- Cervical Spine-Alignment and Musculature Issues
- Balance Retraining
- Rest Initially 24 hours
- Light Cognitive Activity
- Half Day of School
- Full Day of School
- Clearance for Physical Activity
- Light Non-Contact Sport Specific Activity
- Higher Intensity Non-Contact Sport Specific Activity
- Full Contact Sport
- Return to Competition
- Prien, Et al. “Epidemiology of Head Injuries Focusing on Concussions in Team Contact Sports: A Systematic Review” Sports Med. 2018 Apr:48(4):953-969.
- Langlois Et al. “The epidemiology and Impact of Traumatic Brain Injury: A Brief Overview” Journal of Head Trauma Rehabilitation: September-October 2006: Vol21. Issue 5. Pg 375-378.
- Patel, Et Al. “Aerobic vs anaerobic exercise training effects of the cardiovascular system” World J Cardiol. 2017 Feb 26:9(2):1324-138.
- Viano Et al. “Concussion in professional football: biomechanics of the struck player part 14” Neurosurgery. 2007 Aug:61(2):313-327.
Karley graduated with her Doctorate of Physical Therapy from Central Michigan University in May of 2009. She has been employed at The Lighthouse Neurological Rehabilitation Center, Caro location, since July of 2009. Karley has continued education in the areas of Hippotherapy, NDT, and Concussion Management. Karley is also a CrossFit Level 1 Trainer at Davison CrossFit and Flint CrossFit with a special certification in Adaptive CrossFit.
“When we cast ourselves in the victim role, we often feel helpless, hopeless, powerless, inept, etc. Sometimes, we may think “I can’t do it, I need you to do it.”Fast forward to the Emerald City, where the best rescuer is believed to reside – the Wizard. Dorothy asks the Wizard for help, but is denied. [Oh, no, that isn’t supposed to happen – the Wizard (rescuer) is supposed to help me.] For the Wizard, his role quickly transitions from rescuer to persecutor.
“Now the victim has to find a new rescuer.”In the case of the Wizard of Oz, that person becomes Glenda. Glenda helps Dorothy rescue herself by finding her voice and enacting her power to dissolve the witch with a bucket of water, and with three taps of the shoes, we see Dorothy back home.
“Rescuers, understand: if you are not able to rescue your victim, the victim doesn’t like how you rescued them, or other reasons – you – the rescuer is now becomes the persecutor.”So, how do we break out of the triangle?
- Support, don’t rescue. If someone comes to you to rescue them, assist them in figuring out how to solve the problem themselves.
- Refer the victim back to the person with whom they are having the problem.
- Help the victim find their voice. Role play what they could say by using the “I” message concept:
“When you act like a jerk, you make me angry, I want you to stop” will serve to incite more conflict versus help resolve. A different approach might be “when you keep your headphones on when I am trying to talk to you, I feel frustrated. I would like you to take the headphones off.”We can also use this method to communicate positives. “When you take off your headphones when I’m trying to talk to you, I feel appreciative, please keep it up!” Some helpful reminders:
- When we say “I feel,” we’ve taken responsibility for our own emotions, versus when we say “you make me feel,” we give all the power to the other person.
- Make sure the description of the behavior is without opinion or judgement.
- Psych Central – Mental Health & Psychology Information and Support. Triangulation: The Trap of the Problematic Person, By Támara Hill, MS, LPC.
Triangulation: The Trap Of The Problematic Person
Limited License Psychologist
Hope Network Neuro Rehabilitation
What is a Brain Injury?Just as there are no two people alike, no two brain injuries are the same. An acquired brain injury is an injury to the brain that has occurred after birth; these injuries are not a result of heredity, nor are they congenital or degenerative. There are two types of acquired brain injuries, non-traumatic and traumatic. A non-traumatic brain injury is caused by damage to the brain by internal factors, such as lack of oxygen, exposure to toxins, pressure from a tumor, and so on. A traumatic brain injury is an injury to the brain that is caused by an outside force or impact that is sudden and damaging.
Common Causes of Brain Injury
- Anoxia/hypoxia (lack of oxygen to the brain)
- Neurotoxic poisoning (ingestion of insecticides, solvents, lead)
- Motor vehicle accidents
- Struck by an object
- Improvised Explosive Device (IED)