Functional outcome after rehabilitation for severe traumatic brain injury

Whitlock, James A.; Hamilton, Byron B.

doi:10.1016/s0003-9993(95)80117-0

Cited by 84 publications

(46 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a study of functional outcomes of 328 patients with traumatic brain injury, only 2 participants (0.6%) were found to be independent in all 18 of the FIM functional items, upon discharge. 17 In our study, advanced endurance and strength activities such as stairs and walking were found, as anticipated, to be most difficult if at all able to be performed. Of the 15 participants in the structured mobility group, 6 (40%) did not improve on the FIM scale.…”

Section: Discussionsupporting

confidence: 68%

“…Although the FIM was not originally intended to measure functional changes in the ICU and may lack sensitivity in this population, we found it the most reliable, valid, and easy to utilize tool to study functional outcomes. [18][19][20][21][22][23][24][25][26][27][28][29] Comparing patients in the retrospective unstructured and prospective structured groups, the mean LOS from first upright sitting to ICU discharge was 8.6 days and 4.1 days, respectively. This difference in LOS did not reach statistical significance.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Mobility Criteria for Upright Sitting With Patients in the Neuro/Trauma Intensive Care Unit

Gillick

Marshall

Rheault

et al. 2011

The Neurohospitalist

View full text Add to dashboard Cite

Background and purpose: Few studies have explored optimal advancement and variation in mobility and length of stay (LOS) data with critically ill patients in the intensive care unit (ICU). The purpose of this study was to analyze the outcomes and LOS of critically ill patients in the neurotrauma ICU involved in rehabilitation. Methods: A bidirectional case-control study of a total of 30 patients admitted to a level 1 trauma hospital in the metropolitan Chicago area with Glasgow Coma Score (GCS) of ≤ 12 (3-12) were studied. Functional outcomes of a structured mobility group were compared at first upright sitting and at ICU discharge using the functional independence measure (FIM). Retrospective LOS review of a group (n ¼ 15) with unstructured activity advancement was compared. Results: The main outcome measures were FIM scores and LOS in number of days. In the structured mobility group, a significant increase in functional performance between first upright sitting and ICU discharge was found (P < .005). Length of stay was shorter in the structured mobility groups but the difference was not statistically significant. Conclusions: Results from this study revealed favorable functional outcomes for patients involved in a structured mobility program with physical therapy in the neuro/trauma ICU.

show abstract

Section: Discussionsupporting

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Mobility Criteria for Upright Sitting With Patients in the Neuro/Trauma Intensive Care Unit

Gillick

Marshall

Rheault

et al. 2011

The Neurohospitalist

View full text Add to dashboard Cite

show abstract

“…Rehabilitation services for TBI increase, but few data exist with respect to the long-term cognitive performance in a paediatric rehabilitation population. Most studies investigated functional outcome after rehabilitation in an adult TBI population [20][21][22][23][24]. The few studies that were performed in children who received rehabilitation had broad inclusion criteria [25].…”

Section: Introductionmentioning

confidence: 99%

Long-term neuropsychological performance in a cohort of children and adolescents after severe paediatric traumatic brain injury

et al. 2006

View full text Add to dashboard Cite

In this unique study a clinical cohort of children with severe TBI was followed for many years after injury. Most cognitive deficits were found in the early phase of rehabilitation. Most children did improve on cognitive functioning (40%) during the first year after their injury, whereas at follow-up most children had not changed. At follow-up, more than half of the children (54%) attended a regular school or had a regular job, corresponding to their age and pre-morbid functioning.

show abstract

“…This tool is used as a measure of functional outcome of disabilities and its validity, stability and reliability have been reported in rehabilitation settings and years after TBI [26][27][28][29][30][31][32][33][34]. In acute care, the FIM seems to be a useful, practical and simple instrument to assess initial disability, progress and residual limitations [35,36]. Corrigan et al [37] confirmed the validity of the FIM for persons with TBI in 1997.…”

Section: Introductionmentioning

confidence: 99%

Prediction of the level of cognitive functional independence in acute care following traumatic brain injury

et al. 2005

View full text Add to dashboard Cite

show abstract

Functional outcome after rehabilitation for severe traumatic brain injury

Cited by 84 publications

References 20 publications

Mobility Criteria for Upright Sitting With Patients in the Neuro/Trauma Intensive Care Unit

Mobility Criteria for Upright Sitting With Patients in the Neuro/Trauma Intensive Care Unit

Long-term neuropsychological performance in a cohort of children and adolescents after severe paediatric traumatic brain injury

Prediction of the level of cognitive functional independence in acute care following traumatic brain injury

Contact Info

Product

Resources

About