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The therapeutic value of cranioplasty in individuals with brain injury. | LitMetric
Primary Objective : To examine the effect of cranioplasty on recovery.Research Design : Retrospective cohort study.Method And Procedures : Retrospective chart review conducted in 2011 and 2012 on adult inpatients with craniectomy who completed a continuous episode of inpatient rehabilitation before and after receiving their cranioplasty. Patients were matched 1:1 or age, gender, functional level at admission, injury severity and length of stay with inpatients who completed rehabilitation before cranioplasty. Main outcome measures include FIM (Functional Independence Measure) and FIM efficiency [(FIM discharge - FIMadmission)/number of days in rehabilitation]. To examine within and between group differences, analyses included paired and independent t-tests, Pearson correlations and chi-square analyses.Results : Twenty-six individuals (13 from the cranioplasty group and 13 from the comparison group) were analysed. FIM efficiency increased following cranioplasty [0.29 to 0.61; t(12) = -2.77, p = 0.017]. The mean FIM efficiency for the cranioplasty group was below that of the comparison group prior to cranioplasty [0.28 ± 0.37 and 0.39 ± 0.32, p = .41], but increased following cranioplasty [0.61 ± 0.71 and 0.39 ± 0.32, p = .32]. An improvement in FIM efficiency following cranioplasty was more commonly seen among individuals with less severe brain injuries (75%, χ = 3.8, df = 1, p = 0.053).Conclusion : Rate of recovery increased following cranioplasty and exceeded that of the comparison group suggesting that cranioplasty may contribute to improvement.
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