Model System:

TBI

Reference Type:

Journal

Accession No.:

J72087

Journal:


Archives of Physical Medicine and Rehabilitation

Year, Volume, Issue, Page(s):

, 96, 8, Supplement 3, S235-S244

Publication Website:

Abstract:

Study examined patients’ daily level of effort in occupational, physical, and speech therapy sessions during traumatic brain injury (TBI) inpatient rehabilitation and evaluated how age, injury severity, cognitive impairment, and time are associated with effort. A secondary analysis was conducted of data from 1,946 patients with a primary diagnosis of TBI who were admitted to 10 acute inpatient rehabilitation facilities and received a total of 138,555 therapy sessions. Effort in rehabilitation sessions was rated using the Rehabilitation Intensity of Therapy Scale (RITS). Data on the Functional Independence Measure (FIM), Comprehensive Severity Index (CSI) brain injury severity score, posttraumatic amnesia (PTA), and Agitated Behavior Scale (ABS) were also collected. The RITS effort ratings in individual therapy sessions closely conformed to a normative distribution for all 3 disciplines. Mean RITS ratings for patients’ therapy sessions were higher in the discharge week than in the admission week. For patients who completed 2, 3, or 4 weeks of rehabilitation, differences in effort ratings were observed between 5 subgroups stratified by admission FIM cognitive scores and over time. In linear mixed-effects modeling, age and CSI brain injury severity score at admission, days from injury to rehabilitation admission, days from admission, and daily ratings of PTA and ABS score were predictors of level of effort.

Author(s):


Seel, Ronald T., Corrigan, John D., Dijkers, Marcel P., Barrett, Ryan S., Bogner, Jennifer, Smout, Randall J., Garmoe, William, Horn, Susan D.

Participating Centers: