Relationship between competency in activities and post-concussion symptoms after traumatic brain injury

Author(s)

Publication date

2010-09

Series/Report no

Scandinavian Journal of Occupational Therapy;17 (3)

Publisher

Informa Healthcare

Document type

Abstract

Objective: To determine to what extent injury severity and post-concussion symptoms after 3 months predict ability in activities 12 months after traumatic brain injury (TBI) and assess the frequency of problems in daily activities. Methods: A oneyear cohort of 63 persons with mild to severe TBI was assessed on admission, after three and 12 months. Injury severity was assessed using the Glasgow Coma Scale, Abbreviated Injury Scale for the head and Injury Severity Score. Postconcussion symptoms were reported using the Rivermead Post Concussion Symptoms Questionnaire after three months. The Patient Competency Rating Scale (PCRS), a self-rating scale of ability in activities, was applied 12 months post-injury. The PCRS consists of the domains interpersonal/emotional and cognitive competency, and instrumental ADL. Multiple backward regression models were performed with the three subscales of PCRS as dependent variables. Results: Activity problems at 12 months were related to perceived cognitive and interpersonal/emotional competency. Postconcussion symptoms reported at three-month follow-up were main predictors of cognitive and interpersonal/ emotional competency at 12 months. Injury severity predicted only cognitive competency. Conclusion: Symptoms evolving after the trauma seem to be the strongest predictor of perceived ability in activities in this population. This underlines the need for follow-up after TBI to identify persons at risk of developing long-term activity limitations.

Keywords

Version

Postprint version of article published by Informa Healthcare. Original can be found at URL: http://dx.doi.org/10.3109/11038120903171295

Permanent URL (for citation purposes)

  • http://hdl.handle.net/10642/518