Community integration outcomes after traumatic brain injury due to physical assault

Can J Occup Ther. 2013 Feb;80(1):49-58. doi: 10.1177/0008417412473262.


Background: Community integration is considered an ultimate goal for rehabilitation after traumatic brain injury (TBI).

Purpose: To determine (a) whether differences exist in rehabilitation outcomes between intentional and unintentional TBI populations and (b) whether TBI from assault is a predictor of community integration following inpatient rehabilitation.

Method: Retrospective cohort study using population-based data from Canadian hospital administration records, 2001 to 2006. Outcome measure was the Reintegration to Normal Living Index (RNLI).

Findings: From a sample of 243 persons, 24 (9.9%) had sustained TBI from physical assault. Persons with TBI from physical assault reported significantly lower scores on two items on the RNLI's Daily Functioning subscale: "recreation" and "family role."

Implications: These findings suggest that targeted intervention in these specific areas could be beneficial, which are often primarily addressed by occupational therapists in both inpatient rehabilitation and community settings.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Brain Injuries / etiology*
  • Brain Injuries / psychology*
  • Brain Injuries / rehabilitation
  • Canada
  • Family Relations*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Recreation / psychology*
  • Retrospective Studies
  • Self Concept
  • Social Participation / psychology
  • Statistics, Nonparametric
  • Surveys and Questionnaires
  • Travel / psychology
  • Violence*
  • Work / psychology
  • Young Adult