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首页> 外文期刊>Brain injury: BI >Efficacy of a functionally-based neurorehabilitation programme: A retrospective case-matched study of rehabilitation outcomes following traumatic brain injury
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Efficacy of a functionally-based neurorehabilitation programme: A retrospective case-matched study of rehabilitation outcomes following traumatic brain injury

机译：基于功能的神经气氛计划的功效：创伤后脑损伤后康复结果的回顾性差异研究

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Objective: To investigate the efficacy of a functionally-based neurorehabilitation programme. Design: Retrospective, case-matched cohort design. Setting: An inpatient acquired brain injury (ABI) service at a post-acute rehabilitation facility. In 2001, a functionally-based rehabilitation model was introduced that streams patients into neurocognitive (NC) and neurophysical (NP) treatment groups based on predominant functional deficits. Methods: Sixty-nine patients with TBI admitted to the ABI service before implementation of the functionally-based programme comprised a historical control group. These patients were individually case-matched to 69 participants admitted after the functionally-based programme began. Rehabilitation outcomes were compared between matched patients treated before and after implementation of the programme. Outcome measures: Rehabilitation length of stay (RLOS), Functional Independence Measure (FIM) and Disability Rating Scale (DRS) at rehabilitation discharge and FIM efficiency. Results: At discharge, the NP-stream had a significantly higher FIM motor efficiency compared to the historical control (0.41 vs. 0.29; p=0.01). The NC-stream had significantly less disability, as measured by the DRS, compared to its control (3.63 vs. 5.05; p=0.01). Conclusions: This study presents preliminary evidence that a rehabilitation programme that targets functional needs rather than diagnosis may be useful in improving function after traumatic brain injury.
机译：目的：探讨基于功能为基础的神经晕船计划的功效。设计：回顾性，案例匹配的队列设计。环境：在急性康复设施的住院性获得脑损伤（ABI）服务。 2001年，引入了基于功能基础的康复模型，该模型基于主要功能缺陷将患者流入神经过度认知（NC）和神经神经学（NP）治疗组。方法：在执行基于功能为基础的计划的情况下，六十九名TBI患者达到ABI服务，包括历史对照组。这些患者在基于功能为基础的计划开始之后，与69名参与者进行了单独的情况。在实施该计划之前和之后的匹配患者之间比较了康复结果。结果措施：在康复放电和FIM效率下，康复住宿（RLO），功能独立措施（FIM）和残疾额定值（DRS）。结果：在放电时，与历史对照相比，NP流具有明显较高的FIM电机效率（0.41对0.29; P = 0.01）。与其对照相比，NC流量的残疾显着较低（3.63 Vs. 5.05; P = 0.01）。结论：本研究提出了初步证据，即针对功能需要而不是诊断的康复计划可用于改善创伤性脑损伤后的功能。

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