Intensive Multi-Disciplinary Outpatient Rehabilitation for Facilitating Return-To-Work after Acquired Brain Injury: A Case-Control Study.

Moreno Legast, Gabriela; Durand, Amandine; Aboulafia Brakha, Tatiana; Schnider, Armin; Guggisberg, Adrian (2022). Intensive Multi-Disciplinary Outpatient Rehabilitation for Facilitating Return-To-Work after Acquired Brain Injury: A Case-Control Study. Journal of rehabilitation medicine, 54, jrm00313. Foundation of Rehabilitation Information 10.2340/jrm.v54.416

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OBJECTIVE

Return-to-work is often the most important objective of working-age patients with acquired brain injury, but is often difficult to achieve. There is a lack of evidence for effective treatment. This study aimed to assess the benefit of a multidisciplinary neurorehabilitation in a daytime hospital on return-to-work after an acquired brain injury.

DESIGN

Retrospective case-control study.

PATIENTS

Acquired brain injury patients between 18 and 65 years of age.

METHODS

Two periods, before (n = 82 patients) and after (n = 89 patients) the implementation of a daytime hospital in our neuro-rehabilitation unit were compared. Patients followed in the daytime hospital received intensive, interdisciplinary, coordinated, individual and group-level physical, cognitive, and vocational rehabilitation. During the control period, patients received outpatient neurorehabilitation with less intensive treatment without interdisciplinary coordination. The main outcome was the proportion of patients returning to > 50% of their premorbid work activity.

RESULTS

Fifty-five percent of patients were able to resume more than 50% of their premorbid work level in the daytime hospital period vs 41% in the control period (p = 0.076).

CONCLUSION

Intensive and coordinated outpatient neurorehabilitation may facilitate return-to-work after an acquired brain injury.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology

UniBE Contributor:

Guggisberg, Adrian (A)

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1650-1977

Publisher:

Foundation of Rehabilitation Information

Language:

English

Submitter:

Pubmed Import

Date Deposited:

25 Jul 2022 12:10

Last Modified:

29 Mar 2023 23:38

Publisher DOI:

10.2340/jrm.v54.416

PubMed ID:

35861581

URI:

https://boris.unibe.ch/id/eprint/171467

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