Article

OBJECTIVE: To describe 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. DESIGN: Multisite
prospective observational cohort study. SETTING: Inpatient rehabilitation
settings. PARTICIPANTS: Patients (N=2130) admitted for initial acute
rehabilitation after traumatic brain injury. Patients were categorized on the
basis of admission FIM cognitive scores, resulting in 5 fairly homogeneous
cognitive groups. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES:
Percentage of patients engaged in specific activities and mean time patients
engaged in these activities for each 10-hour block of time for OT, PT, and ST
combined. RESULTS: 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. CONCLUSIONS: 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.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS