A-152 Long-term Outcome Profiles of Survivors of Traumatic Brain Injury and Stroke After Holistic Milieu-Oriented Neurorehabilitation

Abstract

Abstract Objective The present study examined the outcome profiles of survivors of traumatic brain injury (TBI) and stroke up to 30 years after completing holistic milieu-oriented neurorehabilitation. Method Participants included 99 individuals with acquired brain injury (TBI n = 70; stroke n = 29) who attended holistic milieu-oriented outpatient neurorehabilitation between 1986 and 2016. On average, time of discharge to follow-up was 9.3 years with a range of 0 to 29.3 years. Data are a part of a larger ongoing follow-up survey using the Mayo-Portland Adaptability Inventory-4 (MPAI-4) and a psychosocial outcome questionnaire developed for this study. Results Independent-samples t-tests revealed that the TBI group was significantly younger than the stroke group on factors of age at the time of injury and age at the time of follow-up. However, the groups did not differ on factors of duration between discharge and follow-up as well as between injury and treatment. Regarding functional outcomes, analysis of covariance (ANCOVA) revealed no significant differences between the two groups on the MPAI-4 (Total Score and Subscales) while controlling for age at injury and age at the time of the study. Furthermore, 90% of TBI and 88% of stroke participants were productive (i.e., working/school full-time, part-time, or volunteering); whereas, 10% of TBI and 12% of stroke survivors were unemployed. Conclusion Overall, the findings suggest that both groups’ long-term functional outcomes are similar and very positive. Specifically, both stroke and TBI participants were able to successfully maintain functional and productive activities even close to 30 years after discharge from holistic milieu-oriented neurorehabilitation.