IngentaConnect A multidisciplinary TBI inpatient rehabilitation programme for ac...

Authors: Braverman S. E.; R J.S.; Warden D. L.; Wilson B. C.; Ellis T. E.; Bamdad M. J.; Salazar A. M.

Source: Brain Injury, Volume 13, Number 6, 1 June 1999 , pp. 405-415(11)

Abstract:

Objective : To design and describe an effective rehabilitation programme for use in an ongoing trial on the efficacy of multidisciplinary brain injury rehabilitation for moderately head injured military service members. Design : Treatment arm of a randomized control trial. Setting : US military tertiary care hospital inpatient rehabilitation programme. Patients : Sixty seven active duty military with moderate to severe TBI who were randomized to the treatment arm of the protocol. Intervention : Eight week rehabilitation programme combining group and individual therapies with an inpatient milieu-oriented neuropsychological focus. Group therapies included fitness, planning and organization, cognitive skills, work skills, medication, and milieu groups, and community re-entry outings. Individual therapy included neuropsychology, work therapy, occupational therapy, and speech and language pathology. Main outcome measures : Successful return to work and return to duty. Results : At 1 year follow-up, 64 patients returned to work (96%) and 66% (44/67) returned to duty. Conclusion : The described rehabilitation programme demonstrates one successful effort to rehabilitate active duty military service members with TBI who have the potential to return to duty.

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A multidisciplinary TBI inpatient rehabilitation programme for active duty service members as part of a randomized clinical trial