Article

The aim of this study was to determine the association between obesity
and functional motor outcome of patients undergoing inpatient rehabilitation
after traumatic brain injury.
This retrospective study at an urban acute
inpatient rehabilitation center screened data from 761 subjects in the Traumatic
Brain Injury Model System who were admitted from January 2010 to September 2013.
Inclusion criteria consisted of age of 18 years or older and an abnormal
Functional Independence Measure motor score. Body mass index was used to
determine obesity in the study population. Patients with a body mass index of
30.0 kg/m or greater were considered obese. RESULTS: A total of 372 subjects met
the criteria for inclusion in the study. Of these, 54 (13.2%) were obese. Both
obese and nonobese patients showed similar improvement in Functional Independence
Measure motor score (mean [SD], 30.4 [12.8] for the obese patients, P = 0.115,
and 27.3 [13.1] for the nonobese patients). The mean (SD) Functional Independence
Measure motor scores at discharge for the obese and nonobese patients were 63.0
(12.6) and 62.3 (10.1) (P = 0.6548), respectively. CONCLUSIONS: Obesity had no
adverse impact on motor functional outcomes of the traumatic brain injury
patients who underwent inpatient rehabilitation. Therefore, obesity should not be
considered an obstacle in inpatient rehabilitation after traumatic brain injury,
if patients are able to participate in necessary therapy.

Langue : ANGLAIS