Analysis of intensive outpatient neuro-rehabilitation outcomes using FIM+FAM(UK).
OBJECTIVE
To analyse the functional outcomes of adults following acquired brain injury attending an intensive outpatient neuro-rehabilitation programme relative to a comprehensive TBI day programme service in the United States.


METHODS



METHODS
Retrospective audit of all admissions over a two-year period (2001-2003) to an outpatient neuro-rehabilitation service utilising an interdisciplinary team model.


METHODS
Outpatient neuro-rehabilitation service.


METHODS
89 patients in receipt of 2+ therapies attending for intensive day neuro-rehabilitation programme.


METHODS
Routine FIM+FAM(UK) scores were compiled on admission and discharge. The FIM+FAM(UK) is a widely employed outcome measure of activity and participation comprising 30 items across a range of domains including self care, domestic skills, mobility, communication, cognitive and social abilities. The scale is divided into two broad domains of functioning (motor and cognitive).


METHODS
Descriptive analysis of demographic, patient diagnosis, referral patterns and time since injury to attendance was undertaken. Analysis of FIM+FAM(UK) admission and discharge scores was performed.


RESULTS
Complete admission and discharge scores were available for 65 patients. Significant mean improvements in motor (12.0 point change), cognitive (7.3 point change) and composite FIM+FAM(UK) (19.3 point change) scores were observed indicating reduced functional dependence following an intensive period of outpatient neuro-rehabilitation.


CONCLUSIONS
The FIM+FAM(UK) measure demonstrated sensitivity to change across functional domains relevant to goal directed intensive outpatient interdisciplinary neuro-rehabilitation.
Wilson
F Colin
FC
Regional Acquired Brain Injury Unit, Musgrave Park Hospital, Belfast Health and Social Care Trust, Belfast, UK. colin.wilson@belfasttrust.hscni.net
Wheatley-Smith
Laura
L
Downes
Ciara
C
D000203:Activities of Daily Living; D000328:Adult; D001930:Brain Injuries / Q000503:physiopathology* / Q000534:rehabilitation*; D003422:Critical Care; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010045:Outpatients; D011594:Psychometrics; D012016:Reference Values; D012047:Rehabilitation Centers / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D016896:Treatment Outcome; D006113:United Kingdom; D055815:Young Adult