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  • A multidisciplinary community based rehabilitation programme improved social functioning in severe traumatic brain injury

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Therapeutics
A multidisciplinary community based rehabilitation programme improved social functioning in severe traumatic brain injury

https://doi.org/10.1136/ebm.7.4.122

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    (2002) J Neurol Neurosurg Psychiatry 72, 193; Powell J, Heslin J, Greenwood R.. Community based rehabilitation after severe traumatic brain injury: a randomised controlled trial.. Feb;. :. –202.
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 QUESTION: In patients with severe traumatic brain injury (TBI), is a multidisciplinary community based outreach rehabilitation programme more effective than information only?

    Design

    Randomised (allocation concealed*), blinded (outcome assessors),* controlled trial with a mean follow up of 24.8 months.

    Setting

    An urban setting in east London, UK.

    Patients

    110 patients, 16 to 65 years of age, who sustained severe TBI 3 months to 20 years previously and had no other neurological conditions. 94 patients (85%, mean age 34y, 76% men) participated in the end of study assessment.

    Intervention

    54 patients were allocated to a multidisciplinary community based outreach rehabilitation programme, and 56 were allocated to an information only group. Rehabilitation was highly individualised in intensity, duration, and form of treatment, with patients seen in their homes or other community settings for 2 to 6 hours per week for an average of 27 weeks.

    Main outcome measures

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    Footnotes

    • Sources of funding: Medical Research Council and Department of Health.

    • For correspondence: Dr J Powell, Goldsmiths College, London, UK. j.powell{at}gold.ac.uk.

    • Abstract and commentary also appear in Evidence-Based Mental Health.

    • ↵* See glossary.