COMPARISON OF REHABILITATION OUTCOME IN PATIENTS WITH APHASIC AND NON-APHASIC TRAUMATIC BRAIN INJURY
Objective: To compare the functional, cognitive and disability status of aphasic and non-aphasic traumatic brain injury patients.Design: A prospective comparative study in which 103 patients with traumatic brain injury participated.Subjects: Fifty-one aphasic and 52 non-aphasic patients with traumatic brain injury.Methods: Functional Independence Measure and Disability Rating Scale were used to determine functional status and disability. Cognitive status was evaluated by the Mini-Mental Status Examination. Aphasic patients were evaluated using the Gülhane Aphasia Test for language disorders.Results: The most frequent type of aphasia was Broca aphasia at 26.49% followed by anomic at 19.6% and trans-cortical motor at 15.6%. Functional Independence Measure, Disability Rating Scale and Mini-Mental Status Examination scores at admission and at discharge showed significant differences in aphasic patients (p<0.001). There were no significant differences in the Functional Independence Measure, Disability Rating Scale and Mini-Mental Status Examination gains between the aphasic and non-aphasic patients (p>0.01).Conclusion: Although aphasia could be accepted as a negative prognostic indicator in patients with traumatic brain injury, we could not detect any difference in functional and cognitive gains between the aphasic and non-aphasic patients.
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