Milieu-based neurorehabilitation in patients with traumatic brain injury: outcome at up to 11 years postdischarge.

Research paper by P S PS Klonoff, D G DG Lamb, S W SW Henderson

Indexed on: 18 Nov '00Published on: 18 Nov '00Published in: Archives of Physical Medicine and Rehabilitation


To examine the rate of productivity and competitive activity in participants with traumatic brain injury (TBI) at a milieu-based day treatment neurorehabilitation program.Follow-up data in a cross-sectional design sought from all admissions from May 1986 to May 1998 at 3 months and at year 1, 3, 5, 7, 9, and 11.Outpatient milieu-based interdisciplinary day treatment program.One hundred twelve participants with TBI, representing 78.9% of TBI patients successfully discharged from the program.Milieu-based interdisciplinary neurorehabilitation (mean length of treatment, 6.2 mo).Productivity, defined as gainful employment, school, and/or volunteer work, and competitive activity, defined as work for pay or enrollment in school.88.4% of patients were productive up to 11 years after discharge, with 76.8% engaged in competitive activity and with no decline in productivity seen over time from discharge.A large majority of patients suffering from TBI are able to return to work or a productive life situation after milieu-based neurorehabilitation. Level of outcome did not significantly decline over an 11-year follow-up interval.