Increase in Functional Abilities Following a Residential Educational and Neurorehabilitation Programme in Young Adults With Acquired Brain Injury.
Increase in functional abilities following a residential educational and neurorehabilitation programme in young adults with acquired brain injury.
NeuroRehabilitation. 2013 Jan 1; 32(3): 671-8
Foy CM, Somers JS
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. HubMed – rehab
Proximal weakness due to injury of the corticoreticular pathway in a patient with traumatic brain injury.
NeuroRehabilitation. 2013 Jan 1; 32(3): 665-9
Yeo SS, Kim SH, Jang SH
The corticoreticular pathway (CRP) innervates the proximal muscles of extremities and axial muscles; therefore, it is involved in postural control and gait. We report on a patient who exhibited proximal weakness due to a CRP injury, which was evaluated using diffusion tensor tractography (DTT).A 62-year-old male patient who had been injured in a traffic accident underwent conservative management for a contusional hemorrhage in the right frontotemporal lobes, and a subdural and epidural hematoma in the right temporoparietal lobes. The patient exhibited right proximal weakness (shoulder: 3+, hip: 3+) at two weeks after onset. Findings on brain MRI revealed encephalomalactic lesions in both frontal lobes.Findings on DTT of the left CRP showed discontinuation at the midbrain level; in contrast, the integrities of the corticospinal tract in both hemispheres were maintained from the cerebral cortex to the medulla along the known pathway of the corticospinal tract.The proximal weakness of the right shoulder and hip observed in this patient appeared to be attributed to injury of the left CRP. HubMed – rehab