Time between acquired brain injury and admission to community-based rehabilitation: differences in cognitive and functional gains

Elly Williams, Angelita Martini, Hayley Jackson, Janet Wagland, Lynne Turner-Stokes

Research output: Contribution to journalArticle

Abstract

Objective: To determine differences in rehabilitation gains made by people with an acquired brain injury undergoing staged community-based brain injury rehabilitation (SCBIR) at different times between injury and admission. Method: Retrospective cohort analysis of routinely collected demographic and rehabilitation data from clients admitted to SCBIR service 2011-2017 (n=92). Outcome measures: Mayo-Portland Adaptability Inventory-4 (MPAI-4) and UK Functional Assessment Measure (UK FIM+FAM) collected on admission and annually thereafter until discharge. Analysis was stratified by time since injury on admission: ‘Early’ (<1 year (n=36)), ‘Middle’ (1–2 years (n=34)) and ‘Late’ (>2 years (n=22)). Between-group differences were tested using bootstrapped one-way ANOVA. Within-group differences were tested using paired T tests. Results: Total cohort made significant gains in MPAI-4 and UK FIM+FAM total and all subscales (p = .001). Early group made greatest change in all subscales of both outcome measures (p < .01). Middle cohort improved significantly in all subscales (p < .02) excluding MPAI-4 Adjustment. Late cohort still made statistically significant gains in all UK FIM+FAM subscales (p < .05) and MPAI-4 Participation (p < .01). Item level changes are presented. Conclusion: More than 2 years after injury, people are able to make improvements in participation and functional independence following SCBIR.

Original languageEnglish
Pages (from-to)713-722
Number of pages10
JournalBrain Injury
Volume34
Issue number6
DOIs
Publication statusPublished - 11 May 2020

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