| Titre : | Patient Effort in Traumatic Brain Injury Inpatient Rehabilitation: Course and Associations With Age, Brain Injury Severity, and Time Postinjury (2015) |
| Auteurs : | Ronald T. Seel ; John D. Corrigan ; Marcel P. Dijkers |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2015/8 suppl., 2015) |
| Article en page(s) : | p. S235–S244 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Rééducation et réadaptation ; Traumatismes cranioencéphaliques |
| Mots-clés: | Amnesia ; anterograde ; Amnésie antérograde ; Craniocerebral trauma ; Psychomotor agitation ; Agitation psychomotrice |
| Résumé : |
Objective To describe patients' level of effort in occupational, physical, and speech therapy sessions during traumatic brain injury (TBI) inpatient rehabilitation and to evaluate how age, injury severity, cognitive impairment, and time are associated with effort. Design Prospective, multicenter, longitudinal cohort study. Setting Acute TBI rehabilitation programs. Participants Patients (N=1946) receiving 138,555 therapy sessions. Interventions Not applicable. Main Outcome Measures Effort in rehabilitation sessions rated on the Rehabilitation Intensity of Therapy Scale, FIM, Comprehensive Severity Index brain injury severity score, posttraumatic amnesia (PTA), and Agitated Behavior Scale (ABS). Results The Rehabilitation Intensity of Therapy Scale effort ratings in individual therapy sessions closely conformed to a normative distribution for all 3 disciplines. Mean Rehabilitation Intensity of Therapy Scale ratings for patients' therapy sessions were higher in the discharge week than in the admission week (P<.001 for patients who completed or weeks of rehabilitation differences in effort ratings were observed between subgroups stratified by admission fim cognitive scores and over time. linear mixed-effects modeling age comprehensive severity index brain injury score at days from to daily pta abs predictors level> Conclusions Patients' level of effort can be observed and reliably rated in the TBI inpatient rehabilitation setting using the Rehabilitation Intensity of Therapy Scale. Patients who sustain TBI show varying levels of effort in rehabilitation therapy sessions, with effort tending to increase over the stay. PTA and agitated behavior are primary risk factors that substantially reduce patient effort in therapies. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999315003792 |
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