Post-acute Outcomes

All of NeuroRestorative’s post-acute programs use the Mayo Portland Adaptability Inventory (MPAI-4), the industry standard to measure functional outcomes. The MPAI-4 includes 29 items which comprise three subscales: Abilities Index, Adjustment Index, and Participation Index. The charts below show our outcome data from 2011-2018. This data reveals that the vast majority of our participants realized meaningful reduction in disability. We exceeded the national reference sample’s average T-score of 50 in every sub scale.

Key Findings

  • On average, our participants demonstrated an increase in functional independence across all 29 items of the MPAI-4.
  • On average, our participants improved one severity level on each of the three MPAI-4 subscales.
    *This page was updated in March 2018.

Improvement in MPAI-4 Participation, Adjustment and Abilities T-scores

Admission average Discharge average
No Limitation Severe Mild
0 10 20 30 40 50 60
  • Abilities
    Abilities Index: measures physical sensory and motor skills, communication, and cognitive skills.
    56.67
    Moderate disability that interferes from 25% to 75% of the time in a person’s daily activities.
    49.29
    Mild disability that interferes up to 24% of the time in a person’s daily activities.
  • Adjustment
    Adjustment Index: measures the functional impact of mood, neurobehavioral control, and interpersonal interactions.
    57.38
    Mild disability that interferes up to 24% of the time in a person’s daily activities.
    50.09
    Mild disability that interferes up to 24% of the time in a person’s daily activities.
  • Participation
    Participation Index: measures instrumental activities of daily living including initiation, social contact, self-care, home skills, productivity, and money skills.
    56.01
    Moderate disability that interferes from 25% to 75% of the time in a person’s daily activities.
    48.83
    Mild disability that interferes up to 24% of the time in a person’s daily activities.
  • National Reference Sample

Average Age = 47.7, Average Length of Stay = 5.6 months. Outcomes for all persons treated in active rehabilitation. The mean reduction in disability was 8.68 points, a clinically and statistically significant improvement (p<.001).

On average, our participants demonstrated an increase in functional independence across all 29 items of the MPAI-4.

Improvement from Admission to Discharge on Key MPAI-4 Functional Measures: Active Rehabilitation All Diagnoses

Continued Below

Admission average Discharge average
None Severe Mild
0 0.5 1 1.5 2 2.5 3 3.5 4
  • Mobility
    Mobility: Problems walking or moving; balance problems that interfere with moving about.
    2.38
    Mild disability that interferes up to 24% of the time in a person’s daily activities.
    1.68
    Mild disability, but does not interfere in a person’s daily activities.
  • Fatigue
    Fatigue: Feeling tired; lack of energy; tiring easily; not due to mood.
    2.4
    Mild disability that interferes up to 24% of the time in a person’s daily activities.
    1.6
    Mild disability, but does not interfere in a person’s daily activities.
  • Verbal Communication
    Verbal Communication: Problems expressing or understanding language.
    2.26
    Mild disability that interferes up to 24% of the time in a person’s daily activities.
    1.71
    Mild disability, but does not interfere in a person’s daily activities.
  • Attention
    Attention: Problems ignoring distractions, shifting attention, keeping more than one thing in mind at a time.
    2.85
    Mild disability that interferes up to 24% of the time in a person’s daily activities.
    2.26
    Mild disability that interferes up to 24% of the time in a person’s daily activities.
  • Memory
    Memory: Problems learning and recalling new information.
    2.95
    Mild disability that interferes up to 24% of the time in a person’s daily activities.
    2.3
    Mild disability that interferes up to 24% of the time in a person’s daily activities.
  • Problem Solving
    Problem Solving: Problems thinking up solutions or picking the best solution to new problems.
    2.95
    Mild disability that interferes up to 24% of the time in a person’s daily activities.
    2.4
    Mild disability, but does not interfere in a person’s daily activities.
  • Initiation
    Initiation: Problems getting started on activities without prompting. May also include over initiation (impulsivity).
    2.57
    Mild disability that interferes up to 24% of the time in a person’s daily activities.
    2.16
    Mild disability that interferes up to 24% of the time in a person’s daily activities.
  • Anxiety
    Anxiety: Tense, nervous, fearful, phobias, nightmares, flashbacks of stressful events.
    2.15
    Mild disability that interferes up to 24% of the time in a person’s daily activities.
    1.57
    Mild disability, but does not interfere in a person’s daily activities.
  • Depression
    Depression: Sad, blue, hopeless, poor appetite, poor sleep, worry, self-criticism.
    1.95
    Mild disability that interferes up to 24% of the time in a person’s daily activities.
    1.41
    Mild disability, but does not interfere in a person’s daily activities.
  • Irritability
    Irritability: Physical expressions of anger.
    1.69
    Mild disability, but does not interfere in a person’s daily activities.
    1.33
    Mild disability, but does not interfere in a person’s daily activities.
  • Inappropriate Social
    Inappropriate Social: Acting childish, silly, rude, behavior not fitting for time and place.
    1.92
    Mild disability, but does not interfere in a person’s daily activities.
    1.45
    Mild disability, but does not interfere in a person’s daily activities.
  • Self-Awareness
    Self-Awareness: Lack of recognition of personal limitations and disabilities and interference with activities, work, and/or school.
    2.67
    Mild disability that interferes up to 24% of the time in a person’s daily activities.
    1.97
    Mild disability that interferes up to 24% of the time in a person’s daily activities.
  • Social Contact
    Social Contact: Social contact with friends, work associates, and other people who are not family, significant others, or professionals.
    2.79
    Mild disability that interferes up to 24% of the time in a person’s daily activities.
    2.06
    Mild disability that interferes up to 24% of the time in a person’s daily activities.
  • Leisure
    Leisure: Activities and interest development for skills application.
    3
    Moderate disability that interferes from 25% to 75% of the time in a person’s daily activities.
    2.12
    Mild disability that interferes up to 24% of the time in a person’s daily activities.
  • Self-Care
    Self-Care: Activities of daily living such as bathing, grooming, dressing, hygiene.
    2.35
    Mild disability that interferes up to 24% of the time in a person’s daily activities.
    1.57
    Mild disability, but does not interfere in a person’s daily activities.
  • Home Skills
    Home Skills: Responsibilities of independent living and homemaking (e.g., meal preparation, home repairs and maintenance, personal health maintenance including medical management).
    3.43
    Moderate disability that interferes from 25% to 75% of the time in a person’s daily activities.
    2.71
    Mild disability that interferes up to 24% of the time in a person’s daily activities.
  • Transportation
    Transportation: bus trials, use of taxi, or learned use of public transportation; return to driving.
    3.52
    Moderate disability that interferes from 25% to 75% of the time in a person’s daily activities.
    3.02
    Moderate disability that interferes from 25% to 75% of the time in a person’s daily activities.
  • Money Management
    Money Management: Shopping, keeping a check book or other bank account, managing personal income and investments.
    3.27
    Moderate disability that interferes from 25% to 75% of the time in a person’s daily activities.
    2.73
    Moderate disability that interferes from 25% to 75% of the time in a person’s daily activities.

Improvement in each of the items above represent a clinically meaningful reduction and disability and a statistically significant difference from admission to discharge (p<.01).