Examination of Post-Hospital Residential Brain Injury Rehabilitation Outcomes Across the Age SpectrumFrank D Lewis1*, Gordon J Horn2 and Robert Russell3
- *Corresponding Author:
- Frank D Lewis
NeuroRestorative National Clinical Outcomes
Medical College of Georgia at Augusta University, GA 30912, USA
E-mail: [email protected]
Received date: January 17, 2017; Accepted date: January 30, 2017; Published date: February 03, 2017
Citation: Lewis FD, Horn GJ, Russell R (2017) Examination of Post-Hospital Residential Brain Injury Rehabilitation Outcomes Across the Age Spectrum. Int J Phys Med Rehabil 5:390. doi: 10.4172/2329-9096.1000390
Copyright: © 2017 Lewis FD, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Objectives: To evaluate change in functional independence observed admission to discharge from post-hospital brain injury residential rehabilitation programs among a large group of chronic TBI adults and children and to determine the impact of participant age on those outcomes.
Methods: Six hundred and fifty one adults and children with moderate to severe traumatic brain injury (TBI) were assigned to one of six groups based on age: (1) 5-17, (2) 18-29, (3) 30-39, (4) 40-49, (5) 50-59, and (6) 60 and older. Functional status was assessed at admission and discharge with the MPAI-4. Differences among groups were evaluated using conventional parametric tests. Rasch analysis established reliability and construct validity of MPAI-4 data.
Results: Rasch analysis demonstrated satisfactory construct validity and internal consistency (Person reliability=0.90-0.94, Item reliability=0.99) for the admission and discharge MPAI-4s. Controlling for LOS and onset-to- admission interval, a RM MANCOVA revealed that each age group showed significant improvement in MPAI-4 Abilities, Adjustment, and Participation indices from admission to discharge (p<0.001). Improvement observed from admission to discharge was not significantly different across age groups.
Conclusions: Post-hospital residential brain injury rehabilitation was effective in reducing disability for participants in each age group. Age was not a factor in rehabilitative outcome. The oldest participants on average realized a reduction in disability equivalent to that observed in the youngest participants independent of length of stay duration.