Functionality predictors in acquired brain damage

  • E. H
  • E.J. P
  • A.M. A
  • et al.
ISSN: 0213-4853
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Abstract

Introduction: Most individuals who have survived an acquired brain injury present consequences affecting the sensorimotor, cognitive, affective or behavioral components. These deficits affect the proper execution of daily living activities. The aim of this study is to identify functional differences between individuals with unilateral acquired brain injury by functional independence, capacity, and the carrying out of daily activities. Method: Descriptive cross-sectional design with a sample of 58 people, with right injury (n = 14 TBI; n = 15 stroke), and left injury (n = 14 TBI, n = 15 stroke), right handed, and with a mean age 47 years and a time of onset of 4 (plus or minus) 3.65 years. The functional assessment/functional independence measure (FIM/FAM) and the International Classification of Functioning (ICF) were used for the study. Results: The data showed significant differences (P<.000), and a high size effect (dr=0.78) in the cross-sectional estimates, being less restrictive in those with a lesion on their right side. The major differences were in the variables <<speaking>> and <<receiving spoken messages>> (ICF variables), and <<Expression>>, <<Writing>> and <<intelligible speech>> (FIM/FAM variables). On performing a linear regression, the results showed that only 4 FIM/FAM variables, taken together, predict 44% of the ICF variance which measures the ability of the individual, and up to 52% of the ICF which measures the performance of the subject. Gait alone predicts a 28% of the variance. Conclusions: It seems that individuals with acquired brain injury on the left hemisphere have important differences within the functional and communication variables. The motor aspects are important factor in the prognosis for functional rehabilitation. (copyright) 2013 Sociedad Espanola de Neurologia.

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APA

E., H. H., E.J., P. P., A.M., A. M., S., G. L.-A., & C., G. A. (2014). Functionality predictors in acquired brain damage. Neurologia. Retrieved from http://www.embase.com/search/results?subaction=viewrecord&from=export&id=L53017149

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