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Impact of traumatic brain injury on participation in leisure activities

WISE EK; MATHEWS DALTON C; DIKMEN S; TEMKIN N; MACHAMER J; BELL K; POWELL JM
ARCH PHYS MED REHABIL , 2010, vol. 91, n° 9, p. 1357-1362
Doc n°: 148274
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.apmr.2010.06.009
Descripteurs : AF3 - TRAUMATISME CRANIEN, JM - LOISIRS - VACANCES - HANDICAP
Article consultable sur : http://www.archives-pmr.org

OBJECTIVE: To determine how participation in leisure activities for people with
traumatic brain injury (TBI) changes from before injury to 1 year after injury.
DESIGN: Prospective evaluation of leisure participation at 1 year after TBI.
SETTING: Level I trauma center. PARTICIPANTS: Rehabilitation inpatients (mean
age, 35.3 years; 77% male; 77% white) with moderate to severe TBI (N=160).
INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE: Functional Status
Examination. RESULTS: At 1 year after injury, 81% had not returned to preinjury
levels of leisure participation. Activities most frequently discontinued included
partying, drug and alcohol use, and various sports. The activity most often
reported as new after injury was watching television. Of the small fraction who
returned to preinjury levels, 70% did so within 4 months of injury. Sixty percent
of those who did not return to preinjury levels were moderately to severely
bothered by the changes. CONCLUSIONS: At 1 year after injury, many TBI survivors
engage in a reduced number of leisure activities, which are more sedentary and
less social, with a substantial fraction dissatisfied with these changes. While
discontinuing some activities may be viewed as a positive change, there are few
new ones to replace them.

Langue : ANGLAIS

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