Unmet rehabilitation needs after traumatic brain injury across Europe: Results from the center-tbi study

Nada Andelic (Corresponding Author), 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, Marina Zeldovich (Corresponding Author)

    Research output: Contribution to journalArticleScientificpeer-review

    33 Citations (Scopus)


    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.

    Original languageEnglish
    Article number1035
    Number of pages18
    JournalJournal of Clinical Medicine
    Issue number5
    Publication statusPublished - 3 Mar 2021
    MoE publication typeA1 Journal article-refereed


    • Disability
    • Outcome
    • Rehabilitation needs
    • Traumatic brain injury


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