QEF Neuro Rehabilitation Services, Banstead, Surrey, UK.
NeuroRehabilitation. 2013;32(3):671-8. doi: 10.3233/NRE-130890.
To characterize and determine the pre-injury and injury-related variables that are linked to the extent of functional recovery following rehabilitation at a mixed therapy and educational residential programme and whether these variables differ for traumatic brain injury (TBI) and non traumatic brain injury (nonTBI).
106 young adults (age 16-36 years) with moderate-to-severe TBI who had attended and been discharged from the centre since 2002 were included. Clients received 5 hours of education and/or therapy each day. Functional level was assessed using the FIM + FAM. Regression analysis was used to determine possible predictors of functional independence at discharge.
Clients with TBI and nonTBI made clinically and statistically significant improvements in their functional abilities during their neurorehabilitation. For the combined TBI and nonTBI group, FIM + FAM scores at discharge were predicted by FIM + FAM at admission and length of stay. These two predictors explained 80% of the variance in the FIM + FAM score at discharge.
Both clients with TBI and nonTBI benefited from a mixed inpatient neurorehabilitation programme. This benefit was predicted by their functional abilities at admission and the length of stay. These findings are of importance as it becomes increasingly necessary to demonstrate who will benefit from residential intensive neurorehabilitation as opposed to community therapy.
描述并确定与在混合治疗和教育住宿计划中康复后功能恢复程度相关的损伤前和损伤相关变量，以及这些变量是否因创伤性脑损伤 (TBI) 和非创伤性脑损伤 (nonTBI) 而有所不同。
纳入了自 2002 年以来参加并从该中心出院的 106 名中度至重度 TBI 的年轻成年人（年龄 16-36 岁）。患者每天接受 5 小时的教育和/或治疗。使用 FIM + FAM 评估功能水平。回归分析用于确定出院时功能独立性的可能预测因素。
TBI 和 nonTBI 患者在神经康复过程中其功能能力均取得了临床和统计学上的显著改善。对于 TBI 和 nonTBI 合并组，出院时的 FIM + FAM 评分由入院时的 FIM + FAM 和住院时间预测。这两个预测因素解释了出院时 FIM + FAM 评分的 80%。
TBI 和 nonTBI 患者均从混合住院神经康复计划中受益。这种益处取决于他们入院时的功能能力和住院时间。这些发现很重要，因为越来越有必要证明谁将从住院强化神经康复中受益，而不是社区治疗。
