Abstract
Objectives: To examine the impact of multi faceted rehabilitation services on functional outcomes after traumatic brain injury (TBI) for individuals with moderate and severe TBI. Design: Cohort, non-randomized, interventional study, pre-test, post-test design. Setting: Community integrated post acute rehabilitation centre. Main outcome measures: Galvenston Orientation and Amnesia Test (GOAT), Mini Mental Status Examination (MMSE), Functional Independence Measure (FIM), Glasgow outcome scale extended (GOSE). Results: Mean change in MMSE scores from admission to twelve months was 23.48 in moderate injury group and 21.26 in severe injury group. This change was significant in both the severity groups. Mean change in GOAT scores from admission to twelve months was 74.85 in moderate injury group and 70.71 in the severe injury group which also was significant. Predictors such as Length of stay (LOS) in acute care (B=-0.913), GCS at the time of acute admission (B=0.402), FIM at the time of discharge (B=.241), injury severity (B=0.221) and LOS in rehabilitation (B=0.168) explained 85.7% of the variation in the value of FIM at 12 months after injury. Conclusion: Impairment of cognitive function and its socio-economic impact is vast such that it affects the socio economic status of a community and country as a whole. Cognitive rehabilitation remains central to the management of persons with TBI.
Highlights
Cognition is defined as the process of knowing through the selection and acquisition of that information, the understanding of that information and the application of knowledge in the appropriate situation. 1 Cognitive rehabilitation therapy (CRT) is basically a broad term that covers a wide range of systematic, goal oriented approaches to overcoming or compensating for cognitive impairments such as those caused by traumatic brain injury (TBI).2TBI constitutes a major global health and socio-economic problem
1 Cognitive rehabilitation therapy (CRT) is basically a broad term that covers a wide range of systematic, goal oriented approaches to overcoming or compensating for cognitive impairments such as those caused by TBI.2
Mode of trauma in 65 (93%) was road traffic accidents (RTA) and in 5 (7%) it was fall from height (FFH)
Summary
Cognition is defined as the process of knowing through the selection and acquisition of that information, the understanding of that information and the application of knowledge in the appropriate situation. 1 Cognitive rehabilitation therapy (CRT) is basically a broad term that covers a wide range of systematic, goal oriented approaches to overcoming or compensating for cognitive impairments such as those caused by TBI.2TBI constitutes a major global health and socio-economic problem. There is accumulating evidence that a subset of TBI’s trigger progressive degenerative processes affecting cognitive or motor function or both.. Impairments of cognitive function are amongst the most important issues that concern a TBI survivor. Considering the serious impact of cognitive deficits on safety, independence, social integration and financial status of a TBI survivor, comprehensive management of cognitive dysfunction forms an integral part of their treatment and recovery. These individuals face difficulties in obtaining treatment for cognitive dysfunction termed cognitive rehabilitation
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