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Only one pre-injury health status category, geriatrics, was significantly associated with RFG in female patients. Conclusions Comorbid health conditions present up to five years preceding the TBI event were significantly associated with RFG. These findings should be considered when planning and executing interventions to maximize functional gain and to support an interdisciplinary approach. Best practices guidelines and clinical interventions for older males and females with TBI should be developed to account given the increasingly agin