A large proportion of individuals with traumatic brain injuries (TBI) sustain long-term physical, cognitive, and emotional impairments that have a profound impact on their everyday level of functioning, community participation, and reintegration (1). Participation in daily life activities and work is identified as one of the most important outcomes of TBI-rehabilitation by patients, their families and healthcare professionals. Identifying predictors for long-term participation is complicated, as there is a complex interaction between several influential factors (2). For example, motor and cognitive deficits appear to have significant impact on participation in the early stages, whereas personal, emotional and social factors play a major role in later stages of TBI (3). Injury-specific factors seem to play the largest prognostic role early on, whilst general factors such as resilience, access to social support, and degree of pre- and co-morbid psychological problems, play a greater role in long-term adjustment (4). There are a limited number of well-designed TBI studies examining determinants of participation by the individuals with TBI, effective rehabilitation and community re-entry programs, and long-term outcomes. Rehabilitation studies from different countries are required to allow a better understanding of sociopolitical and cultural variation in patient needs and service delivery ...
Language: en
LA - en SN - 1664-2295 UR - http://dx.doi.org/10.3389/fneur.2019.01153 ID - ref1 ER -