{"title":"Predictors of ambulation in individuals with disorders of consciousness after traumatic brain injury: a pilot study.","authors":"Hannah King, Stefani Cleaver, Colleen Peyton","doi":"10.1080/02699052.2025.2527737","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To identify characteristics predictive of ambulation at discharge from inpatient rehabilitation in individuals with a Disorder of Consciousness (DoC) following traumatic brain injury (TBI).</p><p><strong>Design: </strong>Prospective cohort pilot study.</p><p><strong>Setting: </strong>Inpatient Rehabilitation Facility (IRF).</p><p><strong>Participants: </strong>15 adults (≥18 years) with a DoC after TBI, admitted to IRF within 6 months of injury.</p><p><strong>Main outcome measure(s): </strong>'Ambulate 50 feet' task from Inpatient Rehabilitation Facility - Patient Assessment Instrument.</p><p><strong>Results: </strong>At discharge, 6 participants (40%) were classified as ambulators and 9 (60%) as wheelchair users. The 'ambulators' group had significantly fewer days between injury and admission to IRF (<i>p</i> < 0.001), higher JFK Coma Recovery Scale-Revised (CRS-R) scores at initial evaluation in IRF (<i>p</i> < 0.001), fewer days in IRF (<i>p</i> < 0.001), and faster rates of progress on the CRS-R in first 10 days at IRF (<i>p</i> = 0.047) compared to the 'wheelchair users' group.Both the rate of progress on the CRS-R in the first 10 days of IRF stay (<i>p</i> = 0.023) and days between injury and admission to IRF (<i>p</i> = 0.023) were significant predictors of ambulation at discharge.</p><p><strong>Conclusion(s): </strong>This study identifies the rate of progress on the CRS-R in the first 10 days of IRF stay as a potential prognostic indicator for ambulation in individuals with DoC after TBI. Additional research with larger samples is warranted.</p>","PeriodicalId":9082,"journal":{"name":"Brain injury","volume":" ","pages":"1-7"},"PeriodicalIF":1.8000,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Brain injury","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/02699052.2025.2527737","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"NEUROSCIENCES","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To identify characteristics predictive of ambulation at discharge from inpatient rehabilitation in individuals with a Disorder of Consciousness (DoC) following traumatic brain injury (TBI).
Design: Prospective cohort pilot study.
Setting: Inpatient Rehabilitation Facility (IRF).
Participants: 15 adults (≥18 years) with a DoC after TBI, admitted to IRF within 6 months of injury.
Main outcome measure(s): 'Ambulate 50 feet' task from Inpatient Rehabilitation Facility - Patient Assessment Instrument.
Results: At discharge, 6 participants (40%) were classified as ambulators and 9 (60%) as wheelchair users. The 'ambulators' group had significantly fewer days between injury and admission to IRF (p < 0.001), higher JFK Coma Recovery Scale-Revised (CRS-R) scores at initial evaluation in IRF (p < 0.001), fewer days in IRF (p < 0.001), and faster rates of progress on the CRS-R in first 10 days at IRF (p = 0.047) compared to the 'wheelchair users' group.Both the rate of progress on the CRS-R in the first 10 days of IRF stay (p = 0.023) and days between injury and admission to IRF (p = 0.023) were significant predictors of ambulation at discharge.
Conclusion(s): This study identifies the rate of progress on the CRS-R in the first 10 days of IRF stay as a potential prognostic indicator for ambulation in individuals with DoC after TBI. Additional research with larger samples is warranted.
目的：探讨创伤性脑损伤（TBI）后意识障碍（DoC）住院康复患者出院时活动能力的预测特征。设计：前瞻性队列试验研究。环境：住院康复设施（IRF）。参与者：15名成人（≥18岁），TBI后有DoC，在受伤后6个月内接受IRF治疗。主要结果测量：来自住院康复机构的“行走50英尺”任务-患者评估工具。结果：出院时，6名参与者（40%）被分类为行走者，9名参与者（60%）被分类为轮椅使用者。与“轮椅使用者”组相比，“轮椅使用者”组在受伤和进入IRF之间的时间明显缩短（p p p p = 0.047）。IRF住院前10天CRS-R的进展速度（p = 0.023）和受伤至入院期间的时间（p = 0.023）都是出院时活动能力的重要预测因子。结论：本研究确定了IRF住院前10天CRS-R的进展速度是脑外伤后DoC患者活动能力的潜在预后指标。有必要进行更大样本的进一步研究。
期刊介绍：
Brain Injury publishes critical information relating to research and clinical practice, adult and pediatric populations. The journal covers a full range of relevant topics relating to clinical, translational, and basic science research. Manuscripts address emergency and acute medical care, acute and post-acute rehabilitation, family and vocational issues, and long-term supports. Coverage includes assessment and interventions for functional, communication, neurological and psychological disorders.
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