Table of Contents
ISRN Rehabilitation
Volume 2012 (2012), Article ID 534856, 8 pages
http://dx.doi.org/10.5402/2012/534856
Research Article

The Relationship between Acute Functional Status and Long-Term Ambulation after Severe Traumatic Brain Injury

1Traumatic Brain Injury Program, McGill University Health Centre (Montreal General Hospital), Montreal, QC, Canada H3G 1A4
2Department of Neurology and Neurosurgery, McGill University, Montreal, QC, Canada H3A 0G4
3Social and Preventive Medicine Department, University of Montreal, Montreal, QC, Canada H3C 3J7
4Department of Neurosurgery, University at Buffalo, The State University of New York, Buffalo, NY 14260-1660, USA

Received 1 May 2012; Accepted 29 May 2012

Academic Editors: M. Schmitter-Edgecombe, J. J. Sosnoff, and M. Syczewska

Copyright © 2012 Elaine de Guise et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. To correlate long-term physical impairments of patients with severe traumatic brain injury (sTBI) based on their functional status in an acute care setting. Methods. 46 patients with sTBI participated in this prospective study. The Extended Glasgow Outcome Scale (GOSE) and the FIM instrument were rated at discharge from the acute care setting and at followup. The Functional Ambulation Classification (FAC), the Five-Meter Gait Speed, a quantified measure of negotiating stairs (Stair Climbing Speed and Rails used), and the functional reach test were rated at followup. Results. The subject with a score of 6 on the GOSE at discharge remained nonfunctional ambulator at followup. None of the subjects with a GOSE score of 5 became independent ambulators. Fifty percent of the subjects with a GOSE score of 4 were dependent ambulators. 100% of the subjects with a GOSE score of 2 or 3 at discharge were independent ambulators. A higher FIM score at discharge was associated with a greater chance of ambulating independently at 2 to 5 years after TBI ( πœ’ K W 2 2 𝑑 𝑓 ). Conclusions. These data will allow physical health professionals in acute rehabilitation settings to provide more precise long-term physical outcome information to patients and families.