@article{ref1,
title="Time between acquired brain injury and admission to community-based rehabilitation: differences in cognitive and functional gains",
journal="Brain injury",
year="2020",
author="Williams, Elly and Martini, Angelita and Jackson, Hayley and Wagland, Janet and Turner-Stokes, Lynne",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="<b>Objective</b>: To determine differences in rehabilitation gains made by people with an acquired brain injury undergoing staged community-based brain injury rehabilitation (SCBIR) at different times between injury and admission.<b>Method</b>: Retrospective cohort analysis of routinely collected demographic and rehabilitation data from clients admitted to SCBIR service 2011-2017 (n=92). Outcome measures: Mayo-Portland Adaptability Inventory-4 (MPAI-4) and UK Functional Assessment Measure (UK FIM+FAM) collected on admission and annually thereafter until discharge. Analysis was stratified by time since injury on admission: 'Early' (<1 year (n=36)), 'Middle' (1-2 years (n=34)) and 'Late' (>2 years (n=22)). Between-group differences were tested using bootstrapped one-way ANOVA. Within-group differences were tested using paired T tests.<b>Results</b>: Total cohort made significant gains in MPAI-4 and UK FIM+FAM total and all subscales (p = .001). Early group made greatest change in all subscales of both outcome measures (p < .01). Middle cohort improved significantly in all subscales (p < .02) excluding MPAI-4 Adjustment. Late cohort still made statistically significant gains in all UK FIM+FAM subscales (p < .05) and MPAI-4 Participation (p < .01). Item level changes are presented.<b>Conclusion</b>: More than 2 years after injury, people are able to make improvements in participation and functional independence following SCBIR.<p /> <p>Language: en</p>",
language="en",
issn="0269-9052",
doi="10.1080/02699052.2020.1740943",
url="http://dx.doi.org/10.1080/02699052.2020.1740943"
}