Archives electronic page Poster presentation| Volume 87, ISSUE 10, e20, October 2006

Poster 45

Recovery Patterns Following Long-Term Rehabilitation After Traumatic Brain Injury
      Objectives: To examine rates of recovery following traumatic brain injury (TBI) and to determine if ongoing intensive therapy provided for at least 1 year results in continual functional gains. Design: Retrospective review. Setting: Long-term care facility providing intensive inpatient brain injury rehabilitation. Participants: 17 persons with severe TBI who received continued intensive restorative therapy. Interventions: Ongoing, intensive, interdisciplinary rehabilitation lasting at least 1 year. Main Outcome Measures: Combined FIM instrument and Functional Assessment Measure (FIM/FAM) scores recorded on admission, 2-year postadmission, and on completion of restorative therapy. Percentage of subjects receiving extended rehabilitation who were discharged to the community. Results: Average length of rehabilitation was 21 months (range, 12–39mo). All subjects demonstrated improved functioning as measured by the FIM/FAM throughout the entire period of rehabilitation. After 12 months of therapy, 12% of subjects were discharged to community. However, with additional therapy beyond 12 months, a total of 65% were deemed ready for community discharge. Conclusions: Intensive rehabilitation lasting at least 1 year results in improved functional outcomes and increased possibility of community re-entry in selected people with TBI.

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