Citation

Erler KS, Whiteneck GG, Juengst SB, Locascio JJ, Bogner JA, Kaminski J, Giacino JT. J. Head Trauma Rehabil. 2018; 33(4): 257-265.

Affiliation

Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Charlestown, Massachusetts (Drs Erler and Giacino and Ms Kaminski); Research Department, Craig Hospital, Englewood, Colorado (Dr Whiteneck); Departments of Physical Medicine & Rehabilitation and Rehabilitation Counseling, University of Texas Southwestern Medical Center, Dallas (Dr Juengst); Department of Neurology, Harvard Medical School, Boston, Massachusetts (Dr Locascio); and Department of Physical Medicine and Rehabilitation, The Ohio State University, Columbus (Dr Bogner).

Copyright

(Copyright © 2018, Lippincott Williams and Wilkins)

DOI

10.1097/HTR.0000000000000383

PMID

29385019

Abstract

OBJECTIVE: To identify factors that predict trajectories of participation over the first 5 years after moderate to severe traumatic brain injury (TBI). SETTING: TBI Model System Programs. PARTICIPANTS: Community-dwelling individuals with TBI, 16 years of age or older (n = 1947).

DESIGN: Secondary analysis of a prospective, nonrandomly sampled, longitudinal data registry. MAIN MEASURES: Participation Assessment with Recombined Tools-Objective (PART-O).

RESULTS: Age at injury and FIM Motor score predicted trajectory of participation over the first 5 years after moderate to severe TBI. Older age predicted generally worse participation overall as well as progressively worsening participation over time. Higher FIM Motor raised the predicted participation values, although it reduced the rate of improvement in participation scores over time. FIM Cognitive scores, race, depression, years of education, and living setting did not predict trajectory but did significantly influence participation consistently at all time points.

CONCLUSION: The trajectories of participation over the first 5 years after TBI can be predicted by age at injury and FIM Motor scores. These findings may enhance the ability of rehabilitation professionals to identify individuals at risk for poor participation after TBI and develop targeted interventions for optimizing involvement in life activities.

Language: en