title: No effect of an early intervention after mild traumatic brain injury on activity and participation: A randomized controlled trial.
abstract: OBJECTIVE
  To evaluate measures of activity, participation and quality of life 3 months after mild traumatic brain injury and the effect of an early intervention for patients with an estimated high risk for problems after mild traumatic brain injury.
  
  
  METHODS
  Consecutive patients attending the emergency room with mild traumatic brain injury.
  
  
  METHODS
  Randomized controlled trial.
  
  
  METHODS
  Patients reporting < 3 symptoms after 10 days were considered to have a low risk for prolonged problems. Patients with ≥ 3 symptoms (high-risk patients) were randomized to a visit to a physician or treatment-as-usual. Data on self-reported limitations in activity, restrictions in participation, and quality of life were collected for all patients at 3 months.
  
  
  RESULTS
  At 3 months post-injury, low-risk patients reported good quality of life and significantly fewer problems in everyday life compared with high-risk patients. The intervention had no effect on activity, participation or quality of life.
  
  
  CONCLUSIONS
  Patients who report few symptoms early after mild traumatic brain injury are likely to have a good outcome regarding activity and participation. The intervention offered in this study, focusing on reassurance of a good outcome and treatment of comorbidities, had no effect.
authors.affiliation: Department of Rehabilitation Medicine, Danderyd Hospital, SE-182 88 Stockholm , Sweden. giedre.matuseviciene@ds.se.
authors.forename: Giedre
authors.initials: G
authors.lastname: Matuseviciene
authors.forename: Gunilla
authors.initials: G
authors.lastname: Eriksson
authors.forename: Catharina Nygren
authors.initials: CN
authors.lastname: DeBoussard
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001930:Brain Injuries / Q000453:epidemiology*; D061345:Early Medical Intervention; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D018570:Risk Assessment; D058992:Social Participation; D013548:Sweden / Q000453:epidemiology; D055815:Young Adult