The evolution of trauma care in recent years has led to an increased survival rate for victims, necessitating major changes in rehabilitation to accommodate the needs of survivors and their families. Traditionally, rehabilitation implied the final stage of recovery for patients, often following discharge from acute care hospitals. This article discusses the advent of current trends In rehabilitation, which support early, aggressive initiation of treatment with patients with severe brain injuries in the intensive care unit. The roles of the various rehabilitation disciplines are discussed, with an emphasis on the importance of multidisciplinary communication.