Stroke, Traumatic Brain Injury
Conditions
Keywords
Rehabilitation, Long term outcome
Brief summary
Investigators will determine the long-lasting effects of post-acute rehabilitation after traumatic brain injury and stroke. Investigators will also evaluate if the beneficial effects of rehabilitation continue after discharge from a rehabilitative program.
Detailed description
The long-term effects of rehabilitation will be evaluated on 60 patients with traumatic brain injury (TBI) and 60 patients that suffered a cerebrovascular accident (CVA) that underwent an comprehensive rehabilitative. These patients will be matched with subjects that received limited or no rehabilitation rehabilitative therapy. Thus, the total number of subjects in this study will be 240. Subjects will be contacted at least 1 year after discharge and will be lowed up every two-years thereafter for a total period of 10 years. Procedures will be performed in-person whenever possible. However, it is highly likely that the majority of participants will be contacted via phone interviews. Aim 1: Determine if rehabilitation improves vocational status and living status after TBI and CVA. Aim 2: Determine if rehabilitation improves life quality after TBI and CVA. Aim 3: Determine if rehabilitation improves cognitive function after TBI and CVA. Aim 4: Determine if rehabilitative benefits are sustained. Aim 5: Determine if long-term outcome is dependent on the duration of rehabilitation. Aim 6: Determine if long-term outcome is dependent on the nature of the rehabilitative treatment by comparing the effects of different types of rehabilitation. These will include the following: residential-multidisciplinary, day-treatment (i.e. full time multidisciplinary outpatient), outpatient (part-time), skilled nursing and no post-acute rehabilitation.
Interventions
OTHERPost Acute Rehabiltation
Sponsors
Centre for Neuro Skills
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Endured a traumatic brain injury or stroke * Subject or caretaker should be Fluent in English
Exclusion criteria
* Diagnosis of degenerative neurological disease prior to sustaining stroke or traumatic brain injury * b) A history of major psychosis as defined by Diagnostic and Statistical Manual of Mental Disorders (DSM-V) prior to sustaining stroke or traumatic brain injury
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effects of rehabilitation on long term occupational Status after injury | 1 to 10 years | Occupational Status Questionnaire |
| Effects of rehabilitation on long term cognitive function after injury | 1 to 10 years | Brief Test of Adult Cognition by Telephone |
| Effects of rehabilitation on long term disability function after injury | 1 to 10 years | Supervision Rating Scale and Disability Rating Scale |
| Effects of rehabilitation on long term quality of life after injury | 1 to 10 years | Quality of Life in Neurological Disorders Measures (NeuroQOL) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Effects of rehabilitation on long term health after injury | 1 to 10 years | TBI and Health in Adults Questionnaire |
Other
| Measure | Time frame | Description |
|---|---|---|
| Effects of rehabilitation on post mortem health after injury | 1 to 10 years | Post- Mortem health Assessment |
Countries
United States
Contacts
Primary ContactGrace S Griesbach, PhD
Backup ContactStefanie Howell, PhD
Outcome results
None listed