Thesis (M.Sc) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Neuromuscular Disorders and Surgery

Background: Mild traumatic brain injury (m-TBI) based on a score of 13-14 on the Glasgow Coma Scale; associated with a long duration of posttraumatic amnesia and can hinder return to work . Early detection of disability and intervention training is a very important treatment strategy to enable the injured patients to return to their works.Aim of study:to predict effect of disability on Return to work (RTW) by assessment scales for patients with mild traumatic brain injury during hospital stay and post hospital discharge eight to twelve weeks follow up. Materials and Methods:A prospective cohort study of sixty-one patients of both sexes their ages ranged from 21 -65 Years with mild traumatic brain injury (m-TBI) admitted consecutively to Neurotrauma departments at emergency hospital, in ,kasr AL-Aini hospital. Different assessment scales including ; Glasgow Coma Scale (GCS),The Montreal Cognitive Assessment (MOCA) Arabic Version , Disability Rating Scale (DRS) and post traumatic amnesia time (PTAT) were reported a detailed understanding of patients temporally changes in physical and mental statues and its impact on successful RTW and community integration. Results: The results revealed that Return to work and recovery from m-TBI occurred After hospital discharging between eight to twelve weeks in six patients (9.8%) , six to eight weeks in 28 patients (45.9%), two to four weeks in nine patients (14.8%) and one week in 18 patients (29.5%) and this was supported by using GCS, MOCA(High predicted scale (94.86%)) and DRS(High predicted scale (96.03%)) scales to predict and develop a suitable work plan according to patient disability

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