Long-term multidisciplinary rehabilitation efficacy in older patients after traumatic brain injury : Assessed by the functional independence measure

Persistent ID (NDL): info:ndljp/pid/12263388

Material type: 博士論文

Author: 原田, 彰雄

Publisher: -

Publication date: 2022-03-24

Material Format: Digital

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Name of awarding university/degree: 香川大学,博士（医学）

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Note (General)：: Instances of traumatic brain injury (TBI) in the elderly have been increasing along with the aging of popula-tions. In the present study, we examined ...

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Material Type: 博士論文
Title: Long-term multidisciplinary rehabilitation efficacy in older patients after traumatic brain injury : Assessed by the functional independence measure
Author/Editor: 原田, 彰雄
Author Heading: 原田, 彰雄
Publication Date: 2022-03-24
Publication Date (W3CDTF): 2022-03-24
Alternative Title: 頭部外傷後遺症に対する集学的リハビリテーションに及ぼす年齢の影響
Degree grantor/type: 香川大学
Date Granted: 2022-03-24
Date Granted (W3CDTF): 2022-03-24
Dissertation Number: 甲第802号
Degree Type: 博士（医学）
Conferring No. (Dissertation): 甲第802号
Text Language Code: eng
Alias of Author: Harada, Akio
Subject Heading: aging
Functional Independence Measure
physical and cognitive impairments
traumatic brain injury
rehabilitation
Target Audience: 一般
Note (General): Instances of traumatic brain injury (TBI) in the elderly have been increasing along with the aging of popula-tions. In the present study, we examined the effect of aging on long-term multidisciplinary in-patient rehabili-tation efficacy after TBI. Sixty-three patients with physical and cognitive impairments after TBI were enrolled in this study. Patients were divided into 4 age groups (≤ 24, 25-44, 45-64, ≥ 65 years) and the clinical charac-teristics and rehabilitation efficacy of each age group were determined. Functional disability was evaluated using motor and cognitive Functional Independence Measure (FIM) scores. Rehabilitation efficacy was assessed by FIM gains during rehabilitation and compared among the groups. There were no statistically significant dif-ferences in motor and cognitive FIM gains among the age groups. However, cognitive FIM gain was limited in a subset of ≥ 65 patients, and initial cognitive measures could not predict cognitive FIM improvement. These results indicate that chronological age is insufficient to accurately predict rehabilitation efficacy in older TBI patients, and that such patients should be considered candidates for intensive rehabilitation programs based on these results. Accurate prognostication of rehabilitation efficacy with continuing data collection is important when using rehabilitation resources for older TBI patients.
DOI: info:doi/10.18926/AMO/62400
https://doi.org/info:doi/10.18926/AMO/62400
Persistent ID (NDL): info:ndljp/pid/12263388
https://dl.ndl.go.jp/pid/12263388
Collection (particular): 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文
https://dl.ndl.go.jp/collections/A00014
Acquisition Basis: 博士論文（自動収集）
Date Accepted (W3CDTF): 2022-05-09T11:57:37+09:00
Date Created (W3CDTF): 2022-04-21
Format (IMT): PDF
Access Restrictions: 国立国会図書館内限定公開
Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
Availability of remote photoduplication service: 可
Periodical Title (URI): https://kagawa-u.repo.nii.ac.jp/records/9554
Data Provider (Database): 国立国会図書館 : 国立国会図書館デジタルコレクション
https://dl.ndl.go.jp