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Original article| Volume 91, ISSUE 9, P1357-1362, September 2010

Impact of Traumatic Brain Injury on Participation in Leisure Activities

      Abstract

      Wise EK, Mathews-Dalton C, Dikmen S, Temkin N, Machamer J, Bell K, Powell JM. Impact of traumatic brain injury on participation in leisure activities.

      Objective

      To determine how participation in leisure activities for people with traumatic brain injury (TBI) changes from before injury to 1 year after injury.

      Design

      Prospective evaluation of leisure participation at 1 year after TBI.

      Setting

      Level I trauma center.

      Participants

      Rehabilitation inpatients (mean age, 35.3 years; 77% male; 77% white) with moderate to severe TBI (N=160).

      Interventions

      Not applicable.

      Main Outcome Measure

      Functional Status Examination.

      Results

      At 1 year after injury, 81% had not returned to preinjury levels of leisure participation. Activities most frequently discontinued included partying, drug and alcohol use, and various sports. The activity most often reported as new after injury was watching television. Of the small fraction who returned to preinjury levels, 70% did so within 4 months of injury. Sixty percent of those who did not return to preinjury levels were moderately to severely bothered by the changes.

      Conclusions

      At 1 year after injury, many TBI survivors engage in a reduced number of leisure activities, which are more sedentary and less social, with a substantial fraction dissatisfied with these changes. While discontinuing some activities may be viewed as a positive change, there are few new ones to replace them.

      Key Words

      List of Abbreviations:

      FSE (Functional Status Examination), TBI (traumatic brain injury), TBIMS (Traumatic Brain Injury Model System)
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