Cynthia L Beaulieu1, Marcel P Dijkers2, Ryan S Barrett3, Susan D Horn3, Clare G Giuffrida4, Misti L Timpson5, Deborah M Carroll6, Randy J Smout3, Flora M Hammond7. 1. Brooks Rehabilitation Hospital, Jacksonville, FL. Electronic address: cynthia.beaulieu@brooksrehab.org. 2. Icahn School of Medicine at Mount Sinai, New York, NY. 3. Institute for Clinical Outcomes Research, Salt Lake City, UT. 4. Rush University Medical Center, Chicago, IL. 5. Intermountain Medical Center, Salt Lake City, UT; Rocky Mountain University of Health Professions, Provo, UT. 6. Intermountain Medical Center, Salt Lake City, UT. 7. Carolinas Rehabilitation, Charlotte, NC; Indiana University School of Medicine, Indianapolis, IN.
Abstract
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.
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.
Authors: Nancy K Latham; Diane U Jette; Mary Slavin; Lorie G Richards; Adam Procino; Randall J Smout; Susan D Horn Journal: Arch Phys Med Rehabil Date: 2005-12 Impact factor: 3.966
Authors: Gerben DeJong; Ching-Hui Hsieh; Julie Gassaway; Susan D Horn; Randall J Smout; Koen Putman; Roberta James; Michael Brown; Elizabeth M Newman; Mary P Foley Journal: Arch Phys Med Rehabil Date: 2009-08 Impact factor: 3.966
Authors: David X Cifu; Jeffrey S Kreutzer; Stephanie A Kolakowsky-Hayner; Jennifer H Marwitz; Jeffrey Englander Journal: Arch Phys Med Rehabil Date: 2003-10 Impact factor: 3.966
Authors: Susan D Horn; John D Corrigan; Cynthia L Beaulieu; Jennifer Bogner; Ryan S Barrett; Clare G Giuffrida; David K Ryser; Kelli Cooper; Deborah M Carroll; Daniel Deutscher Journal: Arch Phys Med Rehabil Date: 2015-08 Impact factor: 3.966