[Study of the pre- and post-treatment functionality of unilateral acquired brain injuries].
BACKGROUND
Most of the people who have survived a lateralized brain injury have sequelae components affecting sensorimotor, cognitive or behavioral. These deficits affect the proper execution of daily living activities. The aim of this study is to analyze and compare the occupational profile of people with unilateral acquired brain injury, both people with traumatic brain injury (TBI) and cerebrovascular accidents (CVA), with functional independence, ability, participation and the quality of performance of everyday activities, before and after a multidisciplinary treatment.


METHODS
Cohort quasi-experimental design with pre-cutting measures after treatment with a sample of 58 people, 28 TBI and 30 CVA, both lateralized. The measures used were the FIM+FAM, ICF, and AMPS.


RESULTS
Considering the groups analyzed (lateralized full sample, sample diagnosis) analysis results indicate the existence of significant differences and a moderate effect size in the two cross-sectional estimates, providing greater levels of independence to injuries occurring in the right hemisphere (p < 0.001). However, when it is divided the sample by diagnosis appears no significant differences, except in motor skills, where higher scores for TBI are showed (p < 0,05).


CONCLUSIONS
We suggest that this justifies the differences is not the mode of injury (TBI or CVA), but the hemispheric location. Therefore, it is suggested that people with acquired brain injury in the left hemisphere require more intensive intervention.
Universidad Rey Juan Carlos, 28922 Madrid, Espana.
Elisabet
E
Huertas-Hoyas
Eduardo J
EJ
Pedrero-Pérez
Ana M
AM
Águila-Maturana
Carlos
C
González-Alted
D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D001925:Brain Damage, Chronic / Q000209:etiology* / Q000503:physiopathology / Q000534:rehabilitation; D001930:Brain Injuries / Q000150:complications / Q000503:physiopathology / Q000534:rehabilitation / Q000628:therapy*; D003072:Cognition Disorders / Q000209:etiology / Q000534:rehabilitation; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D004292:Dominance, Cerebral; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009069:Movement Disorders / Q000209:etiology / Q000534:rehabilitation; D009483:Neuropsychological Tests; D009790:Occupations; D026684:Personal Autonomy; D020127:Recovery of Function; D020521:Stroke / Q000150:complications / Q000628:therapy*; D000071939:Stroke Rehabilitation; D016896:Treatment Outcome