title: Impact of rehabilitation on functional outcome during the first year of moderate and severe traumatic brain injury.
abstract: OBJECTIVE
  To describe the functional level after 1 year in moderate and severe traumatic brain injury (TBI).
  
  
  METHODS
  Prospective, cross-sectional study.
  
  
  METHODS
  Seventy individuals with TBI were admitted directly from acute care hospitals to a rehabilitation facility in Sawai Mansingh Medical College and Hospital, Jaipur (SMS). A follow-up of 58 patients was done up to 1 year later in the period from July 2011 to July 2012.
  
  
  RESULTS
  Mean change in FIM scores from admission to discharge was 51.26 and from admission to 12 months it was 85.3 in the moderate injury group. Mean change in DRS from admission to discharge was -8.19 and from admission to 12 months it was -17.76 in the moderate injury group and -8.55 and -19 in the severe injury group, respectively. The correlation coefficient (r) between FIM and GOSE was 0.570 and between FIM and DRS was -0.8190, both of which were significant.
  
  
  CONCLUSIONS
  All individuals improved significantly in the inpatient rehabilitation facility in the acute phase, with maximum gain in function seen from admission to discharge as assessed on FIM and DRS. The majority of the individuals continued to improve up to 6 months post-injury.
authors.affiliation: Department of Physical Medicine and Rehabilitation, S.M.S.M.C and Hospital , Jaipur , India.
authors.forename: Mahima
authors.initials: M
authors.lastname: Agrawal
authors.forename: Mrinal
authors.initials: M
authors.lastname: Joshi
mesh_terms: D000293:Adolescent; D000328:Adult; D001930:Brain Injuries / Q000401:mortality / Q000503:physiopathology / Q000534:rehabilitation*; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015601:Injury Severity Score; D007902:Length of Stay / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge / Q000706:statistics & numerical data*; D026741:Physical Therapy Modalities; D011446:Prospective Studies; D020127:Recovery of Function; D012047:Rehabilitation Centers; D013997:Time Factors; D016896:Treatment Outcome