Current Possibilities for the Assessment of the Functioning and Quality of Life in Patients with Remote Consequences of Closed Traumatic Brain Injury

V.M. Shkolnyk, H.D. Fesenko


Background. Recent requirement for methods of patient’s condition assessment is a detailed analysis of both physical and social, professional component of the patient’s life that causes constant search for new methods and improvement of existing ones. The aim of the study is to describe the health status, related quality of life and functioning of patients with the disabling consequences of closed traumatic brain injury of varying severity, to evaluate the utility by SF‑36v2 questionnaire, and a basic set of international classification of functioning for traumatic brain injury in the daily practice in medical and social expertise. Materials and methods. We examined 100 patients with remote consequences of closed brain injury, which were divided into three groups depending on the trauma severity. Functional status of patients was assessed by a brief core set of international classification of functioning for traumatic brain injury. SF‑36v2 questionnaire was used to assess the quality of life. Results. The evaluation of the quality of life in all groups revealed lower values for subscales related to the mental component of health. None of the subscales showed significant differences between the groups. Consequently, while the evaluation of patients with the international classification of functioning brief core set for traumatic brain injury the following categories were associated with the highest amount of disturbances: memory function, emotional function, sensation of pain, attention, structure of the brain, complex interpersonal interactions, and family relationships. The vast majority of categories from brief core set significantly statistically differed between the groups. Conclusion. Brief core set of international classification of functioning for traumatic brain injury demonstrated better opportunities in distinguishing between different states in the population in the main group of patients, providing more accurate and adequate description of the functional state, taking into account professional and social component of patient’s life.


closed traumatic brain injury; quality of life; international classification of functioning


Novik AA, Ionova TI, authors; Shevchenko YuL, editor. [Guide for Assessment Quality of Life in Medicine]. Moskva: Neva; 2007. 315 p. Russian.

Arango-Lasprilla JC. [Traumatic brain injury in Spanish-speaking individuals: research findings and clinical implications]. Brain Inj.2012; 26(6):801-804. English.

Von Steinbuechel N, Covic A, Polinder S,Kohlmann T, Cepulyte U, Poinstingl H, Backhaus J, Bakx W, Bullinger M, Christensen AL, Formisano R, Gibbons H, Höfer S, Koskinen S, Maas A, Neugebauer E, Powell J, Sarajuuri J, Sasse N, Schmidt S, Mühlan H, von Wild K, Zitnay G, Truelle JL. Assessment of Health-Related Quality of Life after TBI: Comparison of a Disease-Specific (QOLIBRI) with a Generic (SF-36)Instrument. Behavioral Neurol [Internet]. 2016 [cited 2016 May 29]; 2016.Available from:

Bier N, Dutil E, Couture M. [Factors affecting leisure participation after a traumatic brain injury: an exploratory study]. J Head Trauma Rehabil.2009; 24(3): 187-94. English.

Willemse-van Son AH, Ribbers GM, Hop WC, Stam HJ. [Community integration following moderate to severe traumatic brain injury: a longitudinal investigation]. J Rehabil Med. 2009; 41(7):521-7. English.

Rosenfeld J, Maas A, Bragge P, [Early management of severe traumatic brain injury]. Lancet. 2012; 22(9847): 1088-98. English.

Frasca D, Tomaszczyk J, McFadyen BJ, Green RE.Traumatic brain injury and post-acute decline: what role does environmental enrichment play? A scoping review. Front Hum Neurosci [Internet].2013 Apr 17 [cited 2016 May 28];7. Available from:

Riemsma RP, Forbes CA, Glanville JM,Eastwood AJ, Kleijnen J. General health status measures for people with cognitive impairment: learning disability and acquired brain injury Health Technology Assessment [Internet].2001Apr [cited 2016 23 May];5(6).Available from:

Polinder S, Haagsma J, van Klaveren D, Steyeberg EW, van Beeck EF.Health-related quality of life after TBI: a systematic review of study design, instruments, measurement properties, and outcome. Population Health Metrics [Internet]. 2015 Feb 15 [cited 2016 May 29]. 13. Available from:

Bickenbach J, Cieza A, Rauch A, Stucki A, editors. [ICF core sets: manual for clinical practice]. Göttingen: Hogrefe; 2012. 141p. English.

Wise EK, Mathews-Dalton C, Dikmen S, Temkin N, Machamer J, Bell K, Powell JM. [Impact of traumatic brain injury on participation in leisure activities]. ArchPhys Med Rehabil.2010; 91(9): 1357-62. English.

Nichol A, Higgins A, Gabbe B, Murrey LJ, Cooper DJ, Cameron PA.[Measuring functional and quality of life outcomes following major head injury: common scales and checklists]. Injury. 2011; 42(3): 281-7. English.

Shukla D, Devi B, Agrawal A. [Outcome measures for traumatic brain injury].ClinNeurolNeurosurg. 2011; 113(6): 435-41. English.

Fleming J, Nalder E, Alves-Stein S, Cornwell P. [The effect of environmental barriers on community integration for individuals with moderate to severe traumatic brain injury]. J Head Trauma Rehabil. 2014; 29(2): 125-35. English.



  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.


© Publishing House Zaslavsky, 1997-2017


 Яндекс.МетрикаSeo анализ сайта Рейтинг