There are currently no international guidelines regarding treatment in the early rehabilitation phase for persons with severe traumatic brain injury (TBI), and only a few studies have investigated effect of integrating into acute TBI care. The aim study was to evaluate whether continuous chain that begins could improve functional outcome patients, compared broken starts sub-acute TBI. A total 61 surviving patients were included quasi-experimental conducted at Level I trauma center Eastern...

To describe the functional outcome and health-related quality of life (HRQL) 10 years after moderate-to-severe traumatic brain injury (TBI).A retrospective, population-based study 62 survivors working-age with TBI injured in 1995/1996, hospitalized at Trauma Referral Center Eastern Norway. Functional status was measured by Glasgow Outcome Scale-Extended (GOS-E). HRQL assessed SF-36 questionnaire.The mean current-age 40.8 years. The frequency epilepsy 19% depression rate 31%. A majority had...

Purpose. To assess the prevalence and variation of post-concussion symptoms within first year after mild traumatic brain injury (TBI), explore association between severity, demographic factors symptoms.Methods. Prospective study patients with TBI followed up at 3, 6 12 months (N = 96 included, n 52 attending all follow-ups). Sociodemographic factors, mechanisms impact (Glasgow Coma Scale score, Abbreviated Injury Severity Score (AIS), Score) were recorded inclusion. Symptoms reported in...

AbstractPurpose. The purpose of this study was to assess disability and the physical mental health status 1 year after traumatic brain injury (TBI), using International Classification Functioning, Disability Health (ICF) as a conceptual model for understanding TBI disability.Methods. A prospective 85 patients with moderate-to-severe (aged 16–55 years) due occurring from May 2005 2007 hospitalised at Trauma Referral Centre in Eastern Norway were included. severity structural damage overall...

AbstractPurpose: To explore how motor and cognitive impairments relate to physical activities of daily living (PADL) social after stroke. Method: The data related 65 patients (mean age 74.4 years, 43% females), assessed 1 year stroke by means the Sodring Motor Evaluation Stroke Assessment other Brain damage instruments. self-care scales applied were Barthel ADL Index Frenchay Activities (FAI). association between impairment variables on one hand PADL FAI scores was estimated using Kendall...

Objective: To compare the subjective well-being of stroke patients with that a reference group, and to study its relationship patient characteristics. Design: Cross-sectional study. Setting: Interviews performed in respondents' homes, tests at outpatient clinic. Subjects: Sixty one year after (median age 74 years, interquartile range (IQR) 68-80), 419 individuals 75 IQR 71-80). Measures: Subjective assessed General Health Questionnaire (GHQ-20). Explanatory variables were demographic medical...

Several studies have documented the variety of post-stroke psychosocial challenges, which are complex, multifaceted, and affect a patient's rehabilitation recovery. Due to consequences these well-being should be considered an important outcome stroke rehabilitation. Thus, valid reliable instrument that is appropriate for population required. The factor structure Norwegian version GHQ-28 has not previously been examined when applied population. purpose this study was explore psychometric...

Purpose: To study gender differences in functional outcome unexpectedly observed a follow-up of stroke patients. Design: Prospective hospitalized patients, with evaluations the subacute phase and after one year. Setting: Geriatric general medical wards, geriatric outpatient clinic university hospital serving as for defined population. Subjects: All patients admitted during six-month period (n = 165) were considered inclusion, whom 87 could be assessed 65 Main measures: Motor function by...

To explore the relationship between subjective well-being and competence in instrumental activities of daily living after stroke.Cross-sectional with evaluation at six months post stroke.Eighty-two patients admitted to an acute stroke unit, whom 64 were seen months. The mean age was 77.5 years, 55% females alone.The General Health Questionnaire (GHQ-20 version), a scale, factor analysed yielded three dimensions, named 'coping', 'anxiety' 'satisfaction' that served as main...

Objective: To assess health-related quality of life in individuals with severe traumatic brain injury at 12 months postinjury, applying the Quality Life after Brain Injury (QO-LIBRI) instrument, and to study relationship between injury-related factors, post-injury functioning healthrelated life.Design/subjects: The is part a prospective, Norwegian multicentre adults (≥ 16 years old) injury, as defined by Glasgow Coma Scale score 3-8 during first 24 h post-injury.A total 126 patients were...

Stroke is a major public health threat globally. Psychosocial well-being may be affected following stroke. Depressive symptoms, anxiety, general psychological distress and social isolation are prevalent. Approximately one third report depressive symptoms 20% anxiety during the first months or years after difficulties impact significantly on long-term functioning quality of life, reduce effects rehabilitation services lead to higher mortality rates. The aim study evaluate effect previously...

Evaluation of complex interventions should include a process evaluation to give evaluators, researchers, and policy makers greater confidence in the outcomes reported from RCTs. Implementation fidelity can be part refers degree which an intervention is delivered according protocol. The aim this implementation study was evaluate what extent dialogue-based psychosocial A modified conceptual framework for used guide analysis. This has explanatory, sequential two-phase mixed methods design....

Background Occupational therapists strive to provide evidence-based cognitive rehabilitation for everyday functional activities in community-based rehabilitation.

<ns4:p>Background Amyotrophic lateral sclerosis (ALS) can lead to emotional and psychological distress between persons with ALS their family carers. Many develop cognitive impairment, which limits ability process complex information, interact, communicate. This decline adds caregiver burden. Few studies have explored interpersonal relations Aim To better understand how ALS-associated impairment influences close relations. Methods Individual semi-structured in-depth, interviews were conducted...

Objective: To evaluate the effectiveness of lifestyle group intervention on well-being, occupation and social participation. Design: A randomized controlled trial. Setting: Senior centres in community. Subjects: Of 204 stroke survivors screened, 99 (49%) were three months after whereby 86 (87%) participants (mean (SD) age 77.0 (7.1) years) completed all assessments (39 47 control group). Intervention: course combination with physical activity (intervention group) compared alone (control Both...

The aim of this qualitative study was to explore young and midlife stroke survivors' experiences with the health services identify long-term follow-up needs. Sixteen participants from two cohorts were interviewed in-depth. interviews analyzed applying a hermeneutic-phenomenological analysis. struggled gain access services. They felt that whether they systematically followed up more coincidental than planned. Young survivors thus appear vulnerable falling outside system. Those who received...

To compare the well-being of stroke patients' relatives with that a reference group, and to identify variables related relatives.Cross-sectional study.Outpatient hospital department relatives' own homes.Fifty-four patients one year after their closest relatives. A population consisted 419 elderly people drawn at random from census files.Emotional was assessed General Health Questionnaire (GHQ-20), perceived burden attributed care patient Caregiver Strain Index (CSI). The personal...

Purpose: To evaluate the feasibility and effectiveness of early supported discharge (ESD) following acute stroke. Method: An ESD scheme was compared to conventional rehabilitation in a randomized controlled trial. All patients admitted with stroke were considered for inclusion. Eighty-eight (20.2%) found be eligible 82 either (n=42) or (n=40). The primary outcome measure Nottingham Extended Activities Daily Living Scale. General Health Questionnaire, Montgomery Aasberg Depression Rating...

Objective: To investigate whether the Patient Competency Rating Scale at three months predicts global functioning and participation one year after traumatic brain injury. Design: Prospective cohort study with follow-up 3 12 post The was analysed in a logistic regression model outcomes Community Integration Questionnaire, Glasgow Outcome Extended return to work/study. Setting: neurosurgical department of trauma referral centre metropolitan hospital. Subjects: A 70 patients acute injury,...

The psychosocial consequences following a stroke are known to be challenging, influencing the survivors' ability participate in and carry out taken-for-granted roles activities family life. This study explored how living with of impacted on life late recovery phase, that is, six months or more after onset. Twenty-two survivors aged 20-61 years were interviewed in-depth nine interviews analyzed applying narrative, hermeneutic phenomenological approach. findings revealed challenges varied...

Purpose: To describe problems in body functions, activities, and participation the influence of environmental factors as experienced after mild traumatic brain injury (TBI), using ICF framework. compare our findings with Brief Comprehensive Core Sets for TBI. Methods: Six focus-group interviews were performed 17 participants (nine women, eight men, age ranged from 22 to 55 years) within context an outpatient rehabilitation programme patients The transcribed verbatim analysed ICF. Results:...

To explore traumatic brain injury (TBI) as a biographical disruption and to study the reconstruction of everyday occupations work participation among individuals with mild TBI.Seven focus groups were conducted 12 women 8 men (22-60 years) who had sustained TBI participated in return-to-work program. Interviews analyzed using qualitative content analysis.Four interrelated themes emerged: occupational capacity balance; changes self-perceptions; experience time; adjustment reconstruction. The...