A Home- and Community-Based Neurorehabilitation Program for Pediatric Brain Injury: A Case Series

The purpose of this case series was to explore a home- and community-based neurorehabilitation model for children with acquired brain injury (ABI) by describing services provided and the outcomes of children served in the program.

This was a retrospective, secondary data analysis of eight pediatric participants with ABI who completed a home- and community-based neurorehabilitation pilot program, receiving up to 16 h of interdisciplinary services per week for up to 12 wk. The Mayo-Portland Adaptability Inventory, Fourth Edition (MPAI-4), administered at admission and discharge.

All participants 1) reported satisfaction with and recommended the treatment services and 2) demonstrated a clinically important difference and a robust clinically important difference in the MPAI-Ability subscale scores from admission to discharge. For MPAI-Adjustment and MPAI-Total scores, 87.5% of participants demonstrated a robust clinically important difference, while 50% demonstrated this difference in the MPAI-Participation subscale.

These preliminary findings, among the first to examine outcomes of a home- and community-based model for pediatric ABI, highlight the potential of this service delivery approach for neurorehabilitation to support functional recovery across daily life domains. While significant improvements were seen across all domains, participation-level outcomes may be the most persistent challenge, warranting further exploration.