Long-Term Maintenance of Gains Obtained in Postacute Rehabilitation by Persons with Traumatic Brain Injury

OBJECTIVE: To investigate maintenance of gains after discharge from a postacute rehabilitation program. DESIGN: Longitudinal cohort study, with inclusion based on availability of subjects at three time points. SETTING: Comprehensive postacute rehabilitation program in the Southern United States. PARTICIPANTS: Thirty-four persons with medically documented complicated mild to severe traumatic brain injury; primarily male Caucasians with some college. MAIN OUTCOME MEASURES: Disability Rating Scale and the Community Integration Questionnaire completed at admission, discharge, and two follow-up time points. RESULTS: Repeated measures analyses, using time from injury to discharge as a covariate, revealed significant improvements on all measures from admission to discharge, with no significant change from discharge to either of the follow-up periods. However, substantial changes were noted in individual cases. CONCLUSIONS: The results indicate that gains made by persons with traumatic brain injury during postacute rehabilitation are generally maintained at long-term follow-up, but changes occur in individual cases. Long-term services may help prevent decline in individual cases.