To investigate maintenance of gains after discharge from a postacute rehabilitation program.
Longitudinal cohort study, with inclusion based on availability of subjects at three time points.
Comprehensive postacute rehabilitation program in the Southern United States.
Thirty-four persons with medically documented complicated mild to severe traumatic brain injury; primarily male Caucasians with some college.
Disability Rating Scale and the Community Integration Questionnaire completed at admission, discharge, and two follow-up time points.
Repeated measures analyses, using time from injury to discharge as a covariate, revealed significant improvements on all measures from admission to discharge, with no significant change from discharge to either of the follow-up periods. However, substantial changes were noted in individual cases.
The results indicate that gains made by persons with traumatic brain injury during postacute rehabilitation are generally maintained at long-term follow-up, but changes occur in individual cases. Long-term services may help prevent decline in individual cases.
Assistant Professor (Sander)
Postdoctoral Fellow (Roebuck)
Assistant Professor (Struchen)
Assistant Professor (Sherer)
Assistant Professor (High)
* Department of Physical Medicine and Rehabilitation, TIRR Brain Injury Research Center, Baylor College of Medicine, Houston, Texas.
† Department of Neuropsychology, Methodist Rehabilitation Center, Departments of Neurology and Psychiatry, University of Mississippi Medical Center, Jackson, Mississippi.
This work was partly supported by grants #H133A70015, #H133B40002, and #H133B990014 from the National Institute on Disability and Rehabilitation Research, United States Department of Education.
Address correspondence and reprint requests to: Angelle M. Sander, PhD, Brain Injury Research Center, 2455 South Braeswood, Houston, TX 77030. Phone 713-666-9550, Fax 713-383-5695. email: email@example.com.