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Published on: February 16, 2011
Community integration outcomes after traumatic brain injury due to physical assault
Hwan Kim1, Angela Colantonio, Deirdre R Dawson
1Department of Occupational Therapy, College of Rehabilitation Sciences, Daegu University, Jullyang, Gyeongsan, Gyeongbuk, Republic of Korea.
Background:
Community integration is considered an ultimate goal for rehabilitation after traumatic brain injury (TBI).
Purpose:
To determine (a) whether differences exist in rehabilitation outcomes between intentional and unintentional TBI populations and (b) whether TBI from assault is a predictor of community integration following inpatient rehabilitation.
Method:
Retrospective cohort study using population-based data from Canadian hospital administration records, 2001 to 2006. Outcome measure was the Reintegration to Normal Living Index (RNLI).
Findings:
From a sample of 243 persons, 24 (9.9%) had sustained TBI from physical assault. Persons with TBI from physical assault reported significantly lower scores on two items on the RNLI's Daily Functioning subscale: "recreation" and "family role."
Implications:
These findings suggest that targeted intervention in these specific areas could be beneficial, which are often primarily addressed by occupational therapists in both inpatient rehabilitation and community settings.

