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Relationship between strength, balance, and swallowing deficits and outcome after traumatic brain injury
DUONG TT; ENGLANDER J; WRIGHT J
ARCH PHYS MED REHABIL , 2004, vol. 85, n° 8, p. 1291-1297 Doc n°: 114748 Localisation : Documentation IRR Descripteurs : AF3 - TRAUMATISME CRANIEN, AD35 - DYSPHAGIE
Article consultable sur : http://www.archives-pmr.org
Objective: To examine the relation among strength, balance, and swallowing deficits, as measured on rehabilitation admission, and functional outcome at discharge and 1 year after traumatic brain injury (TBI). Design: Multicenter analysis of consecutive admissions to designated Traumatic Brain Injury Model Systems (TBIMS) facilities. Setting: Seventeen TBIMS centers. Participants: Adults and children older than 16 years of age with TBI (N = 2363) enrolled in the national database from January 1989 to November 2000. Interventions: Not applicable. Main Outcome Measures: Transfers, locomotion, stairs, lower-body dressing, grooming, bathing, upper-body dressing, toileting, and eating as measured by the FIM instrument at acute rehabilitation discharge and at 1 year after TBI. Results: Lower-extremity strength less than 3/5 on admission to acute rehabilitation was associated with increased need for assistance in locomotion, transfers, and lower-body dressing and less than 3/5 upper-extremity strength was associated with the need for assistance in self-care at rehabilitation discharge and at 1 year postinjury. Similar relations were found between impaired swallowing and assistance with eating, grossly impaired dynamic sitting, or standing balance and assistance with locomotion, transfers, eating, and self-care at rehabilitation discharge and Langue : ANGLAIS |
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