Return to productive activity after traumatic brain injury: Relationship with measures of disability, handicap, and community integration
Archives of Physical Medicine and RehabilitationPublished 1 January 2002
Amy K. Wagner, Flora M. Hammond, Howell Sasser, David R. Wiercisiewski
Citations115
SJR quartileQ1
SJR score1.14
SNIP1.41
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Premorbid and injury-related variables and measures of handicap and community integration were associated with RTPA at 1 year to understand and effectively support vocational pursuits in the TBI population.
Abstract
Premorbid and injury-related variables and measures of handicap and community integration were associated with RTPA at 1 year. To understand and effectively support vocational pursuits in the TBI population, future studies are needed to define further causality and origin of these relationships.
Keywords
Medicine
Journal of Head Trauma RehabilitationTraumatic Brain Injury in the United States: A Public Health Perspective
1,386 Citations1999David J. Thurman, Clinton J. Alverson +3 more
Rates of TBI-related hospitalization have declined nearly 50% since 1980, a phenomenon that may be attributed, in part, to successes in injury prevention and also to changes in hospital admission practices that shift the care of persons with less severe TBI from inpatient to outpatient settings.
PubMedDisability rating scale for severe head trauma: coma to community.
1,094 Citations1982M. Rappaport, Kelly Hall +3 more
The DR Scale is more sensitive than the Glasgow Outcome Scale in detecting and measuring clinical changes in individuals who have sustained severe head trauma and can be used to help identify patients most likely to benefit from intensive rehabilitation care within a hospital setting.
Journal of Head Trauma RehabilitationAssessment of community integration following rehabilitation for traumatic brain injury
573 Citations1993Barry Willer, Mitchell Rosenthal +3 more
Evaluating outcomes for individuals with traumatic brain injury who are providing community integration in a home-like setting, integration into a social network, and integration into productive activities such as employment, school, or volunteer work.
Journal of Neurology Neurosurgery & PsychiatryOne year outcome in mild to moderate head injury: the predictive value of acute injury characteristics related to complaints and return to work
446 Citations1999Joukje van der Naalt, A.H. van Zomeren +2 more
In mild to moderate head injury outcome is determined by duration of PTA and not by GCS on admission, suggesting the application of a more detailed outcome scale will increase accuracy in predicting outcome.
Neurologic ClinicsEPIDEMIOLOGIC ASPECTS OF BRAIN INJURY
303 Citations1996Jess F. Kraus, David L. McArthur
By identifying risk factors, perhaps effective legislation and environmental and educational intervention strategies can be developed to prevent brain injury.
Journal of Head Trauma RehabilitationCharacteristics and comparisons of functional assessment indices
297 Citations1993Karyl M. Hall, Byron B. Hamilton +2 more
The Model Systems assessed the functional level of individuals with traumatic brain injury using the Disability Rating Scale, the Functional Independence Measure, and the Functional Assessment Measure at admission and discharge from acute inpatient rehabilitation.
Archives of Physical Medicine and RehabilitationAcute predictors of successful return to work 1 year after traumatic brain injury: A multicenter analysis
242 Citations1997David X. Cifu, Lori Keyser‐Marcus +5 more
Investigation of the influence of acute injury characteristics on subsequent return to work in traumatic brain injury (TBI) patients found persons obtaining better scores on certain acute measures are more likely to return to the workforce.
Journal of Head Trauma RehabilitationFunctional Measures After Traumatic Brain Injury: Ceiling Effects of FIM, FIM+FAM, DRS, and CIQ
220 Citations1996Karyl M. Hall, Nancy R. Mann +4 more
Celling effects for the FIM, FIM+FAM, and two of the three CIQ subscales indicate that these measures are not as sensitive to changes, especially in the community, as may be needed to assess progress in areas most commonly causing dysfunction for the TBI population.
Journal of Head Trauma RehabilitationThe Effect of Employment on Quality of Life and Community Integration after Traumatic Brain Injury
191 Citations1998John P. O’Neill, Mary R. Hibbard +5 more
Being employed contributes to one's sense of well-being, social integration, and pursuit of leisure and home activities, and loss of consciousness, as a measure of severity, was unexpectedly predictive of diminished sense of QOL for individuals with less severe injuries.
Archives of Physical Medicine and RehabilitationThe community integration questionnaire revisited: An assessment of factor structure and validity
183 Citations1999Angelle M. Sander, Kathleen Fuchs +4 more
The results provide further evidence for the validity of the CIQ and improve the scoring system and show significant relationships with other widely used measures of outcome.
Archives of Physical Medicine and RehabilitationExplaining quality of life for persons with traumatic brain injuries 2 years after injury
160 Citations1995Carole R. Webb, Michael Wrigley +2 more
Employment was the strongest contributor of improved quality of life and the psychosocial variables of self-blame and family support improvedquality of life by reducing impairments and increasing the likelihood of employment.
Brain InjuryFactors influencing failure to return to work due to traumatic brain injury
124 Citations1996Arlene I. Greenspan, J. Michael Wrigley +3 more
The joint distribution of motor and cognitive items suggests that, for a given level of cognitive function, the addition of a motor limitation will result in greater injury-related FTR TW, and as motor function declines, FTRTW is further increased.
Journal of Head Trauma RehabilitationRelationships among impairment, disability, handicap, and life satisfaction in persons with traumatic brain injury
118 Citations1995Allen W. Heinemann, Gale G. Whiteneck
The results suggest that efforts to remediate disability have a direct benefit in reducing handicap and enhancing life satisfaction and support the World Health Organization model of impairment, disability, and handicap.
Brain InjuryEffects of mild, moderate and severe closed head injury on long-term vocational status
112 Citations1990Michael Stambrook, Allan D. Moore +3 more
A multidimensional assessment of quality of life of a sample of 131 male head-injury patients suffering a range of severities of insult with specific emphasis on vocational outcome is reported, with lower post-CHI occupational status associated with lower GCS on admission and longer lengths of post-traumatic amnesia.
Archives of Physical Medicine and RehabilitationMild traumatic brain injury from motor vehicle accidents: Factors associated with return to work
105 Citations1999Carol F. Ruffolo, Judith Friedland +3 more
Social interaction, jobs with greater decision-making latitude, and discharge home were positively related to RTW for this population of motor vehicle accident survivors with mild traumatic brain injury and cognitive impairment within the first month was not a reliable indicator of RTW potential.
Use of Injury Severity Variables in Determining Disability and Community Integration after Traumatic Brain Injury
86 Citations2000Amy K. Wagner, Flora M. Hammond +3 more
Injury severity variables are significant single outcome predictors and, in combination with premorbid and demographic variables, help predict long-term disability and community integration for individuals hospitalized with TBI.
Brain InjuryCritical factors associated with the successful supported employment placement of patients with severe traumatic brain injury
70 Citations1993Paul Wehman, John Kregel +5 more
Recommendations are made for applying the findings of this study to assessment, placement, and training activities within vocational rehabilitation programmes for persons with traumatic brain injuries.
American Journal of Physical Medicine & RehabilitationRETURN TO WORK FOR PERSONS FOLLOWING SEVERE TRAUMATIC BRAIN INJURY
57 Citations1993Paul Wehman, Pam Sherron +4 more
The present study reports the results of a supported employment program that has placed 80 individuals into competitive employment during a 5-year time period, with a majority of individuals employed in warehouse, clerical and service-related occupations.
PubMedSupported employment: an alternative model for vocational rehabilitation of persons with severe neurologic, psychiatric, or physical disability.
47 Citations1991P H Wehman, W. Grant Revell +4 more
Cross-disability group differences were found in areas such as hourly wages, type of employment, services provided by employment specialists, and job retention.
Brain InjuryHead injury, an empirical study: Describing long-term productivity and independent living outcome
37 Citations1989Donald R. Vogenthaler, Kenneth R. Smith +1 more
The data indicate that the more severe the injury, as measured by the best GCS during the first 24 hours, the more dependent and less productive the subject was at follow-up, however, this was not invariably the case.
