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Brain Injury Recovery

Traumatic brain injury recovery can be a long and challenging process. One common tool used to classify and describe different stages of TBI recovery is the Rancho Los Amigos Scale.

This scale outlines ten stages of recovery that survivors typically experience based on the level of cognitive function that they attain. These stages serve only as a general guide. Not every person will experience each stage in identical ways, and each survivor will recover at a different pace.

To better understand what the recovery process might look like, this page will list each of the major traumatic brain injury recovery stages survivors may experience based on the Rancho Los Amigos Scale.

The 10 Stages of Traumatic Brain Injury Recovery

Based on the Rancho Los Amigos Scale.

Early Stages of Brain Injury Recovery

Stage 1. Coma (No Response, Total Assistance)

Stage 2. Vegetative State (Generalized Response, Total Assistance)

Stage 3. Minimally Conscious State (Localized Response, Total Assistance)

Stage 4. Post-Traumatic Amnesia (Confused/Agitated, Maximal Assistance)

Later Stages of Brain Injury Recovery

Stage 5. Confused/Inappropriate, Non-agitated (Maximal Assistance)

Stage 6. Confused/Appropriate (Moderate Assistance)

Stage 7. Automatic/Appropriate (Minimal Assistance)

Stage 8. Purposeful/Appropriate (Standby Assistance)

Stage 9. Purposeful/Appropriate (Standby Assistance on Request)

Stage 10. Purposeful/Appropriate (Modified Independent)