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A multidisciplinary TBI inpatient rehabilitation programme for active duty service members as part of a randomized
S E Braverman1, J Spector, D L Warden
1Department of PM&R, Walter Reed Army Medical Center, Washington DC 20307-5001, USA. Sbraverman@home.com
Objective:
To design and describe an effective rehabilitation programme for use in an ongoing trial on the efficacy of multidisciplinary brain injury rehabilitation for moderately head injury military service members.
Design:
Treatment arm of a randomized control trial.
Setting:
US military tertiary care hospital inpatient rehabilitation programme.
Patients:
Sixty seven active duty military with moderate to severe TBI who were randomized to the treatment arm of the protocol.
Intervention:
Eight week rehabilitation programme combining group and individual therapies with an inpatient milieu-oriented neuropsychological focus. Group therapies included fitness, planning and organization, cognitive skills, work skills, medication, and milieu groups, and community re-entry outings. Individual therapy included neuropsychology, work therapy, occupational therapy, and speech and language pathology.
Main Outcome Measures:
Successful return to work and return to duty.
Results:
At 1 year follow-up, 64 patients returned to work (96%) and 66% (44/67) returned to duty.
Conclusion:
The described rehabilitation programme demonstrates one successful effort to rehabilitate active duty military service members with TBI who have the potential to return to duty.
