Journal article
Adaptive functioning following traumatic brain injury and orthopedic injury: A controlled study
Archives of physical medicine and rehabilitation, Vol.79(8), pp.893-899
1998
DOI: 10.1016/S0003-9993(98)90084-3
PMID: 9710159
Abstract
Objective: To study adaptive functioning after severe traumatic brain injury (TBI).
Design: Case-control study.
Setting: A university hospital and three regional and four community hospitals.
Subjects: A consecutive series (
n = 24) of children age 5 through 14 years who suffered severe TBI were individually matched to subjects who sustained a mild TBI and to a second group who sustained an orthopedic injury with no evidence of TBI.
Main Outcome Measures: Standardized adaptive functioning, intellectual, psychiatric, and neuroimaging assessments were conducted on average 2 years after injury.
Results: Severe TBI was associated with significantly (
p < .05) lower Vineland Adaptive Behavior composite, communication, and socialization standard scores and lower Child Behavior Checklist parent-rated social competence scores compared with children with orthopedic injury. Severe TBI and mild TBI subjects were significantly (
p < .05) more impaired than orthopedic subjects on teacher-rated adaptive function. Family functioning, psychiatric disorder in the child, and IQ were significant variables, explaining between 22% and 47% of the variance in adaptive functioning outcomes.
Conclusions: Severe TBI is associated with significant deficits in child adaptive functioning. This association appears to be mediated by family dysfunction, child psychiatric disorder, and intellectual deficits.
Details
- Title: Subtitle
- Adaptive functioning following traumatic brain injury and orthopedic injury: A controlled study
- Creators
- Jeffrey E Max - Department of Psychiatry, University of Iowa, Iowa City, USASharon L Koele - Department of Psychiatry, University of Iowa, Iowa City, USAScott D Lindgren - Department of Pediatrics, University of Iowa, Iowa City, USADonald A Robin - Department of Speech Pathology and Audiology, University of Iowa, Iowa City, USAWilbur L Smith - Department of Radiology, University of Iowa, Iowa City, USAYutaka Sato - Department of Radiology, University of Iowa, Iowa City, USAStephan Arndt - Department of Psychiatry, University of Iowa, Iowa City, USA
- Resource Type
- Journal article
- Publication Details
- Archives of physical medicine and rehabilitation, Vol.79(8), pp.893-899
- DOI
- 10.1016/S0003-9993(98)90084-3
- PMID
- 9710159
- NLM abbreviation
- Arch Phys Med Rehabil
- ISSN
- 0003-9993
- eISSN
- 1532-821X
- Publisher
- Elsevier Inc
- Language
- English
- Date published
- 1998
- Academic Unit
- Radiology; Psychiatry; Stead Family Department of Pediatrics; Biostatistics; Nursing; Injury Prevention Research Center
- Record Identifier
- 9984051701702771
Metrics
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