Andelic, N., Bautz-Holter, E., Ronning, P., Olafsen, K., Sigurdardottir, S., Schanke, A., . . . Roe, C. (2012). Does an early onset and continuous chain of rehabilitation improve the long-term functional outcome of patients with severe traumatic brain injury? Journal of Neurotrauma, 29(1), 66-74.
Though many studies support premise of early rehabilitation for persons with traumatic brain injury (TBI), few studies have investigated the effect of integrating rehabilitation into acute TBI care. The aim of the study is to evaluate whether a continuous chain of rehabilitation that begins with the acute phase could improve the functional outcome of severe TBI patients, compared to rehabilitation that starts in the sub-acute phase of TBI. The study includes 61 patients that are divided into two groups: (A) patients receiving early rehabilitation and (B) patient receiving delayed rehabilitation. Functional outcomes were assessed 12 months post-injury with the Glasgow Outcome Scale Extended (GOSE) and the Disability Rating Scale (DRS). In group A, 71% of patients scored a favorable rating (6-8) whereas only 37% in group B score the same. These results support the hypothesis that better functional outcome occurs in patients who receive early onset and a continuous chain of rehabilitation.
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