Abstract
Objectives:: To study the effects of cognitive retraining and inpatient rehabilitation to study the effects of cognitive retraining and inpatient rehabilitation in patients with acquired brain injury (ABI). Design and Setting:: This was a prospective follow-up study in a neurological rehabilitation department of quaternary research hospital. Patients and Methods:: Thirty patients with ABI, mean age 36.43 years (standard deviation [SD] 12.6, range 1860), mean duration of illness 77.87 days (SD 91.78, range 21300 days) with cognitive, physical, and motor-sensory deficits underwent inpatient rehabilitation for minimum of 14 sessions over a period of 3 weeks. Nineteen patients (63%) reported in the follow-up of minimum 3 months after discharge. Type of ABI, cognitive status (using Montreal Cognitive assessment scale [MoCA] and cognitive Functional Independence Measure [Cog FIM]), and functional status (motor FIM) were noted at admission, discharge, and follow-up and scores were compared. Results:: Patients received inpatient rehabilitation addressing cognitive and functional impairments. Baseline MoCA, motor FIM, and Cog FIM scores were 15.27 (SD = 7.2, range 330), 31.57 (SD = 15.6, range 1263), and 23.47 (SD = 9.7, range 535), respectively. All the parameters improved significantly at the time of discharge (MoCA = 19.6 7.4 range 330, motor FIM = 61.33 18.7 range 1289, Cog FIM =27.23 8.10 range 935). Patients were discharged with home-based programs. Nineteen patients reported in follow-up and observed to have maintained cognition on MoCA (18.8 6.8 range 627), significantly improved (P < 0.01) on Cog FIM (28.0 7.7 range 1435) and motor FIM =72.89 16.2 range 4096) as compare to discharge scores. Conclusions:: Cognitive and functional outcomes improve significantly with dedicated and specialized inpatient rehabilitation in ABI patients, which is sustainable over a period.
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This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
