Community integration after severe traumatic brain injury in adults

Truelle, Jean-Luc; Fayol, P.; Montreuil, Michèle; Chevignard, Mathilde

doi:10.1097/wco.0b013e3283404258

Cited by 26 publications

(18 citation statements)

References 44 publications

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“…Studies on community rehabilitation following a TBI highlight the benefit of individually tailored approaches and meaningful activities for the patients (Brasure et al, 2013;Truelle, Fayol, Montreuil, and Chevignard, 2010). What is perceived as meaningful in the clinical situation depends on several factors in which body, movement and interaction between the PT and the patient may play an essential role.…”

Section: Meaning and Doingmentioning

confidence: 99%

“…Early multi-disciplinary rehabilitation and more intensive intervention are effective in terms of earlier functional gains (Cope, 1995;Turner-Stokes, Disler, Nair, and Wade, 2005). In terms of rehabilitation aiming for reorientation to everyday life, the literature we reviewed emphasizes implementing an individually tailored and evolving approach (Brasure et al, 2013;Truelle, Fayol, Montreuil, and Chevignard, 2010). Changes in identity and self may impede the reorganization process including social reintegration and returning to work (Hawthorne, Gruen, and Kaye, chosen activities may strengthen ''who I am'' and contribute towards feeling ''part of things''.…”

Section: Introductionmentioning

confidence: 99%

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Embodiment and self in reorientation to everyday life following severe traumatic brain injury

Sivertsen

Normann

2014

Physiotherapy Theory and Practice

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People with severe traumatic brain injury (sTBI) are often young and need long-term follow-up as many suffer complex motor, sensory, perceptual and cognitive impairments. This paper aims to introduce phenomenological notions of embodiment and self as a framework to help understand how people with sTBI experience reorientation to everyday life, and to inform clinical practice in neurological physiotherapy. The impairments caused by the sTBI may lead to a sense of alienation of one's own body and changes in operative intentionality and in turn disrupt the reorganization of self, identity, everyday life and integration/co-construction of meaning with others. Applying a first-person conception of the body may extend insights into the importance of an adapted and individualized approach to strengthen the sensory, perceptual and motor body functions, which underpin the pre-reflective and reflective aspects of the self. It seems important to integrate these aspects, while also paying attention to optimizing co-construction of meaning for the person with sTBI in the treatment context. This requires understanding the patient as an experiencing and expressive body, a lived body (body-as-subject) and not just the body-as-object as is favored in more traditional frameworks of physiotherapy.

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Section: Meaning and Doingmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Embodiment and self in reorientation to everyday life following severe traumatic brain injury

Sivertsen

Normann

2014

Physiotherapy Theory and Practice

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“…1 Reintegration into the community in terms of independence in one's living situation, social relations, and participation in meaningful activities is the ultimate goal for individuals with long-lasting TBI sequelae. 2,3 Thus, the research that targets community integration over longer periods of time becomes more and more important. Still, longitudinal research on this topic has been sparse.…”

Section: Introductionmentioning

confidence: 99%

Modeling of Community Integration Trajectories in the First Five Years after Traumatic Brain Injury

Anđelić

Arango-Lasprilla

Perrin

et al. 2016

Journal of Neurotrauma

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The aims of this study were to assess the trajectories of community integration in individuals with traumatic brain injury (TBI) through one, two, and five years post-injury and to examine whether those trajectories could be predicted by demographic and injury characteristics. A longitudinal cohort study was conducted with 105 individuals with moderate-to-severe TBI admitted to a trauma referral center in 2005-2007. Demographics and injury-related factors were extracted from medical records. At the one-, two- and five-year follow-ups, community integration was measured by the Community Integration Questionnaire (CIQ). A hierarchical linear model (HLM) examined whether longitudinal trajectories of community integration could be predicted by: time, sex, age, relationship status, education, employment status, occupation, acute Glasgow Coma Scale score, cause of injury, days in post-traumatic amnesia (PTA), computed tomography Marshall Score, and Injury Severity Score. CIQ scores improved across the three time-points (p<0.001). Additionally, higher trajectories of community integration were predicted by being single at the time of injury (p<.001), higher level of education (p=0.006), employment (p<0.001), and a shorter length of PTA (p<0.001). In a follow-up HLM with interaction terms, time*PTA was statistically significant (p<0.001), suggesting that participants with longer PTA increased in community integration more rapidly than those with shorter PTA. The longitudinal course of community integration described in this study may help rehabilitation professionals to plan more extensive follow-ups and targeted rehabilitation programs in the early stage of recovery for patients with specific demographic and injury characteristics.

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“…The incidence of TBI is approximately 400/100,000 inhabitants, and the number of disability cases as a result of TBI was estimated in 1996 at approximately 5.3 million in the USA and 6.2 million in Europe (1,2).…”

Section: Introductionmentioning

confidence: 99%

Factors affecting participation after traumatic brain injury

Larsson¹,

Björkdahl²,

Esbjörnsson³

et al. 2013

J Rehabil Med

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Objective: The aim of this work was to explore the extent to which social, cognitive, emotional and physical aspects influence participation after a traumatic brain injury. Design/subjects: An explorative study of the patient perspective of participation 4 years after traumatic brain injury. The cohort consisted of all patients (age range 18-65 years), presenting in 1999-2000, admitted to the hospital (n = 129). Sixty-three patients responded; 46 males and 17 females, mean age 41 (range 19-60) years. Methods: Four years after the injury, the European Brain Injury Questionnaire (EBIQ), EuroQol-5D, Swedish Stroke Register Questionnaire and Impact on Participation and Autonomy (IPA) questionnaire were sent to the sample. Data were analysed with logistic regression. Results: On the EBIQ, 40% of the sample reported problems in most questions. According to IPA, between 20% and 40% did not perceive that they had a good participation. The analyses gave 5 predictors reflecting emotional and social aspects, which could explain up to 70% of the variation in participation. Conclusion: It is not easy to find single predictors, as there seems to be a close interaction between several aspects. Motor deficits appear to have smaller significance for participation in this late state, while emotional and social factors play a major role.

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Community integration after severe traumatic brain injury in adults

Cited by 26 publications

References 44 publications

Embodiment and self in reorientation to everyday life following severe traumatic brain injury

Embodiment and self in reorientation to everyday life following severe traumatic brain injury

Modeling of Community Integration Trajectories in the First Five Years after Traumatic Brain Injury

Factors affecting participation after traumatic brain injury

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