Occupational, physical, and speech therapy treatment activities during inpatients rehabilitation for traumatic brain injury
Model System:
TBIReference Type:
JournalAccession No.:
J72086Journal:
Archives of Physical Medicine and Rehabilitation
Year, Volume, Issue, Page(s):
, 96, 8, Supplement 3, S222-S234, S234.e1-S234.e17Publication Website:
Abstract:
Study examined the use of occupational therapy (OT), physical therapy (PT), and speech therapy (ST) treatment activities throughout the acute rehabilitation stay of patients with traumatic brain injury (TBI). Data were obtained from 2,130 patients admitted to 10 acute inpatient rehabilitation centers as part of a comparative effectiveness study in which patient characteristics, environmental factors, and interventions were evaluated to identify factors associated with key TBI inpatient rehabilitation outcomes. Patients were categorized based on rehabilitation admission Functional Independence Measure (FIM) cognitive scores, resulting in 5 fairly homogeneous cognitive groups. Analyses examined the percentage of patients engaged in specific activities and mean amount of time patients engaged in these activities for each 10-hour block of time for OT, PT, and ST combined. Results indicated that therapy activities in OT, PT, and ST across all 5 cognitive groups had a primary focus on basic activities. Although advanced activities occurred in each discipline and within each cognitive group, these advanced activities occurred with fewer patients and usually only toward the end of the rehabilitation stay. The pattern of activities engaged in was both similar to and different from patterns seen in previous practice-based evidence studies with different rehabilitation diagnostic groups.
Author(s):
Beaulieu, Cynthia L., Dijkers, Marcel P., Barrett, Ryan S., Horn, Susan D., Giuffrida, Clare G., Timpson, Misti L., Carroll, Deborah M., Smout, Randy J., Hammond, Flora M.