Harborview Medical Center, Seattle, WA, USA.
Arch Phys Med Rehabil. 2010 Sep;91(9):1357-62. doi: 10.1016/j.apmr.2010.06.009.
To determine how participation in leisure activities for people with traumatic brain injury (TBI) changes from before injury to 1 year after injury.
Prospective evaluation of leisure participation at 1 year after TBI.
Level I trauma center.
Rehabilitation inpatients (mean age, 35.3 years; 77% male; 77% white) with moderate to severe TBI (N=160).
Not applicable.
Functional Status Examination.
At 1 year after injury, 81% had not returned to preinjury levels of leisure participation. Activities most frequently discontinued included partying, drug and alcohol use, and various sports. The activity most often reported as new after injury was watching television. Of the small fraction who returned to preinjury levels, 70% did so within 4 months of injury. Sixty percent of those who did not return to preinjury levels were moderately to severely bothered by the changes.
At 1 year after injury, many TBI survivors engage in a reduced number of leisure activities, which are more sedentary and less social, with a substantial fraction dissatisfied with these changes. While discontinuing some activities may be viewed as a positive change, there are few new ones to replace them.
确定创伤性脑损伤（TBI）患者从受伤前到受伤后 1 年参与休闲活动的变化情况。
TBI 后 1 年对休闲参与情况的前瞻性评估。
一级创伤中心。
康复住院患者（平均年龄 35.3 岁；77%为男性；77%为白人），中度至重度 TBI（N=160）。
不适用。
功能状态检查。
在受伤后 1 年，81%的患者没有恢复到受伤前的休闲参与水平。最常停止的活动包括聚会、吸毒和酗酒以及各种运动。受伤后报告的最常见的新活动是看电视。在那些恢复到受伤前水平的小部分人中，70%在受伤后 4 个月内恢复。那些没有恢复到受伤前水平的人中，有 60%对这些变化感到中度至严重困扰。
在受伤后 1 年，许多 TBI 幸存者参与的休闲活动数量减少，且更久坐、社交活动更少，其中很大一部分人对这些变化感到不满。虽然停止某些活动可能被视为积极的变化，但很少有新的活动来取代它们。
