Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Jul-Sep;8(3):357-363.
doi: 10.4103/jnrp.jnrp_53_17.

Cognitive and Functional Outcomes following Inpatient Rehabilitation in Patients with Acquired Brain Injury: A Prospective Follow-up Study

Maitreyi Patil  1 , Anupam Gupta  1 , Meeka Khanna  1 , Arun B Taly  2 , Amit Soni  3 , J Keshav Kumar  3 , K Thennarasu  4
Affiliations

Cognitive and Functional Outcomes following Inpatient Rehabilitation in Patients with Acquired Brain Injury: A Prospective Follow-up Study

Maitreyi Patil et al. J Neurosci Rural Pract. 2017 Jul-Sep.

Abstract

Objectives: To study the effects of cognitive retraining and inpatient rehabilitation to study the effects of cognitive retraining and inpatient rehabilitation in patients with acquired brain injury (ABI).

Design and setting: This was a prospective follow-up study in a neurological rehabilitation department of quaternary research hospital.

Patients and methods: Thirty patients with ABI, mean age 36.43 years (standard deviation [SD] 12.6, range 18-60), mean duration of illness 77.87 days (SD 91.78, range 21-300 days) with cognitive, physical, and motor-sensory deficits underwent inpatient rehabilitation for minimum of 14 sessions over a period of 3 weeks. Nineteen patients (63%) reported in the follow-up of minimum 3 months after discharge. Type of ABI, cognitive status (using Montreal Cognitive assessment scale [MoCA] and cognitive Functional Independence Measure [Cog FIM]®), and functional status (motor FIM®) were noted at admission, discharge, and follow-up and scores were compared.

Results: Patients received inpatient rehabilitation addressing cognitive and functional impairments. Baseline MoCA, motor FIM, and Cog FIM scores were 15.27 (SD = 7.2, range 3-30), 31.57 (SD = 15.6, range 12-63), and 23.47 (SD = 9.7, range 5-35), respectively. All the parameters improved significantly at the time of discharge (MoCA = 19.6 ± 7.4 range 3-30, motor FIM® = 61.33 ± 18.7 range 12-89, Cog FIM® =27.23 ± 8.10 range 9-35). Patients were discharged with home-based programs. Nineteen patients reported in follow-up and observed to have maintained cognition on MoCA (18.8 ± 6.8 range 6-27), significantly improved (P < 0.01) on Cog FIM® (28.0 ± 7.7 range 14-35) and motor FIM® =72.89 ± 16.2 range 40-96) as compare to discharge scores.

Conclusions: Cognitive and functional outcomes improve significantly with dedicated and specialized inpatient rehabilitation in ABI patients, which is sustainable over a period.

Keywords: Acquired brain injury; cognitive retraining; follow-up; functional recovery; inpatient rehabilitation.

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest.

References

    1. Brain Injury Association of America (BIAUSA). What is the Difference Between Acquired Brain Injury and Traumatic Brain Injury? [Last accessed on 2012 Apr 30]. Available from: http://www.biausa.org/FAQRetrieve.aspx?ID=43913 .
    1. Teasell R, Bayona N, Marshall S, Cullen N, Bayley M, Chundamala J, et al. A systematic review of the rehabilitation of moderate to severe acquired brain injuries. Brain Injury. 2007;21:107–112. - PubMed
    1. Black C, Hanspal R. Rehabilitation Following Acquired Brain Injury: National Clinical Guidelines. London: Royal College of Physicians, British Society of Rehabilitation Medicine; 2003.
    1. Whyte E, Skidmore E, Aizenstein H, Ricker J, Butters M. Cognitive impairment in acquired brain injury: A predictor of rehabilitation outcomes and an opportunity for novel interventions. PM R. 2011;3(6 Suppl 1):S45–51. - PMC - PubMed
    1. Kamalakannan SK, Gudlavalleti AS, Murthy Gudlavalleti VS, Goenka S, Kuper H. Challenges in understanding the epidemiology of acquired brain injury in India. Ann Indian Acad Neurol. 2015;18:66–70. - PMC - PubMed

LinkOut - more resources