期刊
JOURNAL OF HEAD TRAUMA REHABILITATION
卷 16, 期 4, 页码 356-373出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/00001199-200108000-00006
关键词
long-term services; postacute rehabilitation; TBI
Objective: To investigate maintenance of gains after discharge from a postacute rehabilitation program. Design: Longitudinal cohort study, with inclusion based on availability of subjects at three time points. Setting: Comprehensive postacute rehabilitation program in the Southern United States. Participants: Thirty-four persons with medically documented complicated mild to severe traumatic brain injury; primarily male Caucasians with some college. Main Outcome Measures: Disability Rating Scale and the Community Integration Questionnaire completed at admission, discharge. and two follow-up time points, Results: Repeated measures analyses, using time from injury to discharge as a covariate, revealed significant improvements on all measures from admission to discharge, with no significant change from discharge to either of the follow-up periods. However, substantial changes were noted in individual cases. Conclusions: The results indicate that gains made by persons with traumatic brain injury during postacute rehabilitation are generally maintained at long-term follow-up, but changes occur in individual cases. Long-term services may help prevent decline in individual cases.
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