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No effect of an early intervention after mild traumatic brain injury on activity and participation: A randomized controlled trial.
Karolininska Institutet. (Department of Clinical Sciences,)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Rehabilitation Medicine. Karolininska Institutet.ORCID iD: 0000-0002-5308-4821
Karolininska Institutet. (Department of Clinical Sciences,)
2016 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 48, no 1, 19-26 p.Article in journal (Refereed) Published
Abstract [en]

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.

PATIENTS: Consecutive patients attending the emergency room with mild traumatic brain injury.

DESIGN: 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.

CONCLUSION: 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.

Place, publisher, year, edition, pages
Stockholm, 2016. Vol. 48, no 1, 19-26 p.
Keyword [en]
mild traumatic brain injury; concussion; intervention; outcome; activity; participation; quality of life; sick leave.
National Category
Physiotherapy
Research subject
Rehabilitation Medicine
Identifiers
URN: urn:nbn:se:uu:diva-278960DOI: 10.2340/16501977-2025ISI: 000370307600004PubMedID: 26536843OAI: oai:DiVA.org:uu-278960DiVA: diva2:907261
Funder
AFA Insurance
Available from: 2016-02-26 Created: 2016-02-26 Last updated: 2017-11-30Bibliographically approved

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Eriksson, Gunilla

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