No effect of an early intervention after mild traumatic brain injury on activity and participation: A randomized controlled trial.

Authors

  • Giedre Matuseviciene
  • Gunilla Eriksson
  • Catharina Nygren DeBoussard

DOI:

https://doi.org/10.2340/16501977-2025

Keywords:

mild traumatic brain injury, concussion, intervention, outcome, activity, participation, quality of life, sick leave.

Abstract

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.

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Published

2015-10-12

How to Cite

Matuseviciene, G., Eriksson, G., & Nygren DeBoussard, C. (2015). No effect of an early intervention after mild traumatic brain injury on activity and participation: A randomized controlled trial. Journal of Rehabilitation Medicine, 48(1), 19–26. https://doi.org/10.2340/16501977-2025

Issue

Section

Original Report