Outcome following physical trauma: a comparative approach

Lyle, David; Quine, Susan; Pierce, John P.; Thomson, Peter

doi:10.3109/03790799009166264

Cited by 8 publications

(4 citation statements)

References 30 publications

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“…Both CIQ and SEI were significantly rzlated to type of disability. The physical (non-pain) or sensory group reported significantly higher CIQ and SEI scores than the acquired brain injury group, which is consistent with previous research (Lyle et al, 1991;Stambmk et al, 1991). For the psychiatric and the chronic pain groups, however, a different trend was evident.…”

Section: Discussionsupporting

confidence: 90%

“…The present study included persons with a range of disabilities, since it was anticipated that community integration would differ among disability groups. For example, previous studies (Lyle, Quine. Pierce, & Thomson, 1991;Stambrook et al, 1991) reported greater problems of psychosocial adjustment among persons with traumatic brain injuries than among those with physical disabilities.…”

mentioning

confidence: 99%

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Community integration, self-esteem, and vocational identity among persons with disabilities

Crisp¹

1996

Australian Psychologist

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his study investigated the community integration, selfesteem, and vocational identity of 106 persons with T disabilities, most of whom were unemployed and attending a vocational rehabilitation agency. Community integration was mediated by type of disability; that is, community integration levels were significantly greater among persons with a psychiatric disability and those with physical (non-pain) or sensory disabilities, than among those with acquired brain injury or chronic pain. Higher levels of selfesteem were reported by persons with chronic pain, physical (non-pain), or sensoty disabilities than among persons with acquired brain injury or a psychiatric disability. Persons who regularly received both vocational and psychologicaVpsychiatric services reported significantly lower levels of selfesteem and vocational identity than those persons who received vocational services only. Community integration was, however, independent of type of service received. Implications for rehabilitation professionals are discussed.

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Section: Discussionsupporting

confidence: 90%

mentioning

confidence: 99%

Community integration, self-esteem, and vocational identity among persons with disabilities

Crisp¹

1996

Australian Psychologist

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“…To identify how mobility outcome is currently measured after TBI, article titles and abstracts from the following electronic databases were searched from 1990 onwards: MEDLINE (1990through May 2004, CINAHL (1990through May 2004, EMBASE (1990through May 2004, and PsychLit (1990( through May 2004.…”

Section: Methodsmentioning

confidence: 99%

Measuring High-Level Mobility After Traumatic Brain Injury

Williams

Robertson

Greenwood

2004

American Journal of Physical Medicine & Rehabilitation

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High-level mobility is important for participation in many pre-accident activities after traumatic brain injury (TBI). This review examined which measures are used to quantify physical status and mobility after TBI to determine their appropriateness for measuring high-level mobility. Electronic databases, hand searching of several TBI journals, and citation tracking from retrieved articles were used to identify all TBI outcome studies from 1990 through to May 2004. Preliminary screening identified articles that either reported on physical outcome or mobility after TBI or utilized measurement tools with a physical component. Studies were selected for detailed analysis if they reported on mobility or physical outcomes after TBI. The search identified 175 studies that met the inclusion criteria for further analysis. The FIM instrument is the most frequently used outcome measure, highlighting a trend toward using inpatient measures to evaluate long-term outcomes. Only one study used a measurement tool that incorporated a mobility item beyond independent walking and stairs. High-level mobility is seldom measured using standardized outcome measures after TBI, despite independent mobility being one of the major goals of rehabilitation. A high-level mobility scale is needed to address the ceiling effect of outcome scales currently used in TBI rehabilitation and to extend mobility to age-appropriate levels for return to leisure and sporting activities.

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“…Few descriptive epidemiological studies of injury include a consideration of the natural history of injury recovery, nor have there been any specific attempts to quantify the epidemiology of injury-related morbidity and disability in the community. The need, however, for further research into the long-term outcomes of trauma in the community has been noted (Lyle et al 1990). The followup studies of injury in Australia are essentially confined to hospital case series for the purposes of evaluating and aiding clinical management, ( eg Day et al 1994) though rare exceptions to this _ rule can be found (eg Balla et al 1970).…”

Section: Australiamentioning

confidence: 99%

The public health impact of minor injury

McClure

Douglas

1996

Accident Analysis & Prevention

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The mortality and hospital morbidity data usually used to quantify the burden of injury are generally considered to represent only the tip of the iceberg. This article documents the population-based morbidity arising from non-hospitalised injuries and demonstrates the public health importance of this group of injuries. A prospective cohort study was conducted in an Australian population using a sample of injured adults to identify the health outcomes arising from the range of injuries. The total health loss caused by injury experienced by these subjects over the period of injury recovery was calculated and then weighted to provide population estimates. This study has shown that minor injuries are responsible for the greater part of the injury-related health burden in the adult community. Injuries that can be coded as 1 on the Abbreviated Injury Scale account for 80% of the morbidity arising over the first six months after injury and about 75% of the estimated lifetime morbidity. The lifetime estimates of morbidity resulting from injuries not considered serious enough to admit to hospital were of an order of magnitude higher than those that resulted in either death or hospitalisation. Sprains contributed as much to the total morbidity as all other injuries types combined and limb injuries contributed more to the total morbidity than injuries to the more central structures. The results of this study provide a strong argument for the recognition of the public health importance of minor injury. Strategies for the prevention and management of minor injury must be included in national programmes for injury control.

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Outcome following physical trauma: a comparative approach

Cited by 8 publications

References 30 publications

Community integration, self-esteem, and vocational identity among persons with disabilities

Community integration, self-esteem, and vocational identity among persons with disabilities

Measuring High-Level Mobility After Traumatic Brain Injury

The public health impact of minor injury

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