Analysis of intensive outpatient neuro-rehabilitation outcomes using FIM+FAMUK

Abstract

To analyse the functional outcomes of adults following acquired brain injury attending an intensive outpatient neuro-rehabilitation programme relative to a comprehensive TBI day programme service in the United States. Retrospective audit of all admissions over a two-year period (2001-2003) to an outpatient neuro-rehabilitation service utilising an interdisciplinary team model. Outpatient neuro-rehabilitation service. 89 patients in receipt of 2+ therapies attending for intensive day neuro-rehabilitation programme. Routine FIM+FAM(UK) scores were compiled on admission and discharge. The FIM+FAM(UK) is a widely employed outcome measure of activity and participation comprising 30 items across a range of domains including self care, domestic skills, mobility, communication, cognitive and social abilities. The scale is divided into two broad domains of functioning (motor and cognitive). Descriptive analysis of demographic, patient diagnosis, referral patterns and time since injury to attendance was undertaken. Analysis of FIM+FAM(UK) admission and discharge scores was performed. Complete admission and discharge scores were available for 65 patients. Significant mean improvements in motor (12.0 point change), cognitive (7.3 point change) and composite FIM+FAM(UK) (19.3 point change) scores were observed indicating reduced functional dependence following an intensive period of outpatient neuro-rehabilitation. The FIM+FAM(UK) measure demonstrated sensitivity to change across functional domains relevant to goal directed intensive outpatient interdisciplinary neuro-rehabilitation.