Long-term Rehabilitation in Patients With Acquired Brain Injury

Abstract

Background: Patients with acquired brain injury who have been discharged from inpatient neurological rehabilitation often continue to suffer from limited independence, participation, and quality of life. Participation-focused outpatient treatment (in German: teilhabeorientierte ambulante Maßnahme, TEAM) was developed to improve these patients' outcomes.Methods: In a randomized, controlled trial, 53 patients who had sustained an acquired brain injury approximately four years earlier were allotted to two different sequences of treatment (26 TEAM/control, 27 control/TEAM). The primary endpoint was the achievement of an individual participation goal one month after the start of treatment. The secondary endpoints included independence in everyday activities, health-related quality of life, participation, and need for nursing care. The intervention was four weeks long and was carried out on an outpatient basis (19.4 ± 1.3 hours per week). Patients in the control group were treated in a manner resembling usual current care. All endpoints were evaluated in a per-protocol (PP) analysis of data from 47 patients. For confirmation, an intention-to-treat (ITT) analysis was also carried out for the primary endpoint and for independence in everyday activities.

Effects of transsectoral long-term neurorehabilitation

“…We assume that the non-normal distribution of the BI at t2 with a clear ceiling effect contributes to this statistical effect. Other studies have also shown that patients have unmet rehabilitation potential, highlighting the lack of appropriate services [ 7 , 8 , 22 , 23 ].…”

Matrix metalloproteinase-9, its inhibitor-1 and interleukines in experimental traumatic brain injury

“…Постраждалі на ЧМТ, на відміну від інших травм, у віддаленому періоді можуть мати низку моторних і когнітивних порушень, що суттєво знижують якість життя та пов'язані із розвитком пізніх ускладнень, таких як дифузне аксональне пошкодження, апоптоз нейронів та аутоімунне пошкодження нервової тканини внаслідок демаскування нейрональних антигенів [2,6]. Нейроза-палення розвивається внаслідок ушкодження нервової тканини, при цьому ключовим моментом щодо розвитку аутоагресії при ЧМТ є порушення гематоенцефалічного бар'єра [2,3].…”

Digital divide among individuals with acquired brain injury: a scoping review protocol

“…An ABI as a result of trauma, stroke, disease, tumor, infection, poisoning, or hypoxia can cause multiple cognitive and emotional impairments, impacting independent functioning and social participation 2-4 . Comprehensive, interdisciplinary rehabilitation is often required to recover functioning and improve quality of life after a brain injury, with the potential recovery period extending several years post-injury 2,4,5 …”

“…[2][3][4] Comprehensive, interdisciplinary rehabilitation is often required to recover functioning and improve quality of life after a brain injury, with the potential recovery period extending several years postinjury. 2,4,5 When applied within health, rehabilitation, and home contexts, mainstream information and communication technologies (ICTs) can increase access to care, improve functioning, and facilitate participation outcomes for individuals living with an ABI. [6][7][8] Beyond medical or assistive devices developed specifically for target consumers with disabilities, mainstream ICTs are widely accessible, and increasingly being used as convenient and versatile assistive technologies to support individual needs in the home.…”