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June 20, 2026Journal of Neurotrauma

Fall Risk and Physical/Occupational Therapy Referral Patterns in Older Adults with Mild Traumatic Brain Injury

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Authors

JAJennifer S. AlbrechtUniversity of Maryland, BaltimoreOAOdessa AddisonUniversity of Maryland, BaltimoreLDLeland E. DibbleUniversity of Utah

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Implication

Randomized trial evaluates fall risk and therapy referrals in older adults with mild traumatic brain injury, highlighting care gaps.

Key Points

  • This study aims to evaluate therapy referral patterns and assess fall risk in older adults who have experienced mild traumatic brain injury.
  • Analyzed data from a prospective cohort study of adults aged 65 and older with mTBI at a level 1 trauma center and affiliated hospitals.
  • Included assessments at discharge and 2-week post-mTBI using the Short Physical Performance Battery and the Four-Square Step Test.
  • Statistical comparisons made using Fisher’s exact test and t-tests.
  • Only 34 (24%) of participants were referred to physical or occupational therapy at discharge.
  • Participants referred to PT/OT had higher rates of inpatient consultations (97% vs. 22%, p < 0.001).
  • Impaired mobility indicators were prevalent among participants not referred to therapy: 46% had impaired SPPB, 58% impaired FSST, and 60% had slow gait speed.

Cite This Study

Albrecht et al. (2026) studied this question.

synapsesocial.com/papers/6a3632fcdb0793dc1a53968ehttps://doi.org/10.1177/08977151261459307
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Definition of mild traumatic brain injury1993 · 1,924 citations
  2. 2Associations Between Head Injury and Subsequent Risk of Falls2023 · 9 citations
  3. 3Physical and Functional Impairment Among Older Adults With a History of Traumatic Brain Injury2020 · 20 citations