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Unmet Rehabilitation Needs after Traumatic Brain Injury across Europe: Results from the CENTER-TBI Study

Department of Physical Medicine and Rehabilitation, Oslo University Hospital, 0424 Oslo, Norway
Research Centre for Habilitation and Rehabilitation Models and Services (CHARM), Faculty of Medicine, Institute of Health and Society, University of Oslo, 0373 Oslo, Norway
Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, 0318 Oslo, Norway
Turku Brain Injury Centre, Neurocenter, Turku University Hospital, and Clinical Neurosciences, University of Turku, 20500 Turku, Finland
AP-HP, GH Paris-Saclay, Hospital Raymond Poincaré, 92380 Garches, France
Université Paris-Saclay, UVSQ, Inserm, CESP, UMR 1018, Team DevPsy, 94807 Villejuif, France
Centre for Movement, Occupational and Rehabilitation Sciences, Oxford Institute of Nursing, Midwifery and Allied Health Research, Oxford Brookes University Oxford, Oxford OX3 0BP, UK
Oxford Health Biomedical Research Centre, Oxford Health NHS Foundation Trust, Oxford OX3 7JX, UK
Department of Public Health, Institute for Global Health and Epidemiology, Faculty of Health Sciences and Social Work, Trnava University, 91843 Trnava, Slovakia
VTT Technical Research Centre of Finland Ltd., FI-02044 Espoo, Finland
Department of Public Health, Erasmus MC, University Medical Center, 3000 CA Rotterdam, The Netherlands
Department of Neurosurgery, Oslo University Hospital, 0424 Oslo, Norway
Department of Psychology, Faculty of Social Sciences, University of Oslo, 0424 Oslo, Norway
Department of Child Neurology, Oslo University Hospital, 0424 Oslo, Norway
Faculty of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Montigny-le-Bretonneux, 78035 Versailles, France
Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, Universitat de Barcelona, 08830 Barcelona, Spain
Physical and Réhabilitation Médecine Department, University Hospital of Rennes, 2, rue Henri-le-Guilloux, 35000 Rennes, France
Department of Family Medicine and Population Health, Virginia Commonwealth, Division of Epidemiology, University of Richmond, Richmond, VA 23173, USA
Institute of Medical Psychology and Medical Sociology, University Medical Center Göttingen, 37073 Göttingen, Germany
Authors to whom correspondence should be addressed.
Academic Editor: Sang Kim
J. Clin. Med. 2021, 10(5), 1035;
Received: 14 January 2021 / Revised: 9 February 2021 / Accepted: 24 February 2021 / Published: 3 March 2021
(This article belongs to the Special Issue Traumatic Brain Injury: Diagnosis, Management, and Outcomes)
This study aims to assess rehabilitation needs and provision of rehabilitation services for individuals with moderate-to-severe disability and investigate factors influencing the probability of receiving rehabilitation within six months after traumatic brain injury (TBI). Overall, the analyses included 1206 individuals enrolled in the CENTER-TBI study with severe-to-moderate disability. Impairments in five outcome domains (daily life activities, physical, cognition, speech/language, and psychological) and the use of respective rehabilitation services (occupational therapy, physiotherapy, cognitive and speech therapies, and psychological counselling) were recorded. Sociodemographic and injury-related factors were used to investigate the probability of receiving rehabilitation. Physiotherapy was the most frequently provided rehabilitation service, followed by speech and occupational therapy. Psychological counselling was the least frequently accessed service. The probability of receiving a rehabilitative intervention increased for individuals with greater brain injury severity (odds ratio (OR) 1.75, CI 95%: 1.27–2.42), physical (OR 1.92, CI 95%: 1.21–3.05) and cognitive problems (OR 4.00, CI 95%: 2.34–6.83) but decreased for individuals reporting psychological problems (OR 0.57, CI 95%: 1.21–3.05). The study results emphasize the need for more extensive prescription of rehabilitation services for individuals with disability. Moreover, targeted rehabilitation programs, which aim to improve outcomes, should specifically involve psychological services to meet the needs of individuals recovering from TBI. View Full-Text
Keywords: rehabilitation needs; traumatic brain injury; disability; outcome rehabilitation needs; traumatic brain injury; disability; outcome
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Figure 1

MDPI and ACS Style

Andelic, N.; Røe, C.; Tenovuo, O.; Azouvi, P.; Dawes, H.; Majdan, M.; Ranta, J.; Howe, E.I.; Wiegers, E.J.A.; Tverdal, C.; Borgen, I.; Forslund, M.V.; Kleffelgaard, I.; Dahl, H.M.; Jacob, L.; Cogné, M.; Lu, J.; von Steinbuechel, N.; Zeldovich, M. Unmet Rehabilitation Needs after Traumatic Brain Injury across Europe: Results from the CENTER-TBI Study. J. Clin. Med. 2021, 10, 1035.

AMA Style

Andelic N, Røe C, Tenovuo O, Azouvi P, Dawes H, Majdan M, Ranta J, Howe EI, Wiegers EJA, Tverdal C, Borgen I, Forslund MV, Kleffelgaard I, Dahl HM, Jacob L, Cogné M, Lu J, von Steinbuechel N, Zeldovich M. Unmet Rehabilitation Needs after Traumatic Brain Injury across Europe: Results from the CENTER-TBI Study. Journal of Clinical Medicine. 2021; 10(5):1035.

Chicago/Turabian Style

Andelic, Nada, Cecilie Røe, Olli Tenovuo, Philippe Azouvi, Helen Dawes, Marek Majdan, Jukka Ranta, Emilie I. Howe, Eveline J.A. Wiegers, Cathrine Tverdal, Ida Borgen, Marit V. Forslund, Ingerid Kleffelgaard, Hilde M. Dahl, Louis Jacob, Mélanie Cogné, Juan Lu, Nicole von Steinbuechel, and Marina Zeldovich. 2021. "Unmet Rehabilitation Needs after Traumatic Brain Injury across Europe: Results from the CENTER-TBI Study" Journal of Clinical Medicine 10, no. 5: 1035.

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