TY - JOUR
PY - 2019//
TI - Balance and mobility improvements during inpatient rehabilitation are similar in young-old, mid-old, and old-old adults with traumatic brain injury
JO - Journal of head trauma rehabilitation
A1 - Perry, Susan B.
A1 - Billek-Sawhney, Barbara
A1 - Woollard, Jason
A1 - Little, Susan
A1 - Szalinski, Amy
SP - E66
EP - E73
VL - 34
IS - 2
N2 - OBJECTIVE: To compare balance, mobility, and functional outcomes across 3 age groups of older adults with traumatic brain injury; to describe differences between those discharged to private residences versus institutional care. SETTING: Acute inpatient rehabilitation facility. PARTICIPANTS: One hundred adults, mean age of 78.6 ± 7.9 years (range = 65-95 years), with an admitting diagnosis of traumatic brain injury.
DESIGN: Retrospective case series. MAIN MEASURES: Functional Independence Measure (FIM) for Cognition and Mobility; Berg Balance Scale; Timed Up and Go; and gait speed, at admission to and discharge from an inpatient rehabilitation facility.
RESULTS: Statistically significant improvements (P <.01) were made on the Timed Up and Go, Berg Balance Scale, and gait speed for young-old, mid-old, and old-old adults, with no differences among the 3 age groups. Substantial balance and mobility deficits remained. The FIM cognition (P =.013), FIM Walk (P =.009), and FIM Transfer (P =.013) scores were significantly better in individuals discharged home or home with family versus those discharged to an institution.
CONCLUSION: Preliminary outcome data for specific balance and mobility measures are reported in 3 subgroups of older adults following traumatic brain injury, each of which made significant and similar improvements. Some FIM item scores discriminated between those discharged to a private residence versus a higher level of care.
Language: en
LA - en SN - 0885-9701 UR - http://dx.doi.org/10.1097/HTR.0000000000000415 ID - ref1 ER -