| Titre : | Efficacy of Activities of Daily Living Retraining During Posttraumatic Amnesia: A Randomized Controlled Trial (2018) |
| Auteurs : | Jessica Trevena-Peters ; Adam McKay ; Gershon Spitz |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 2, 2018) |
| Article en page(s) : | p. 329-337 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Activités de la vie quotidienne ; Neuropsychologie ; Rééducation et réadaptation |
| Mots-clés: | Activities of daily living ; Brain injuries ; traumatic ; Lésions traumatiques de l'encéphale ; Occupational therapy ; ErgothérapieNeuropsychology |
| Résumé : |
Objective To assess the efficacy of activities of daily living (ADL) retraining during posttraumatic amnesia (PTA) compared with ADL retraining commencing after emergence from PTA. Design Randomized controlled trial. Setting Inpatient rehabilitation center. Participants Participants with severe TBI (N=104), admitted to rehabilitation and remaining in PTA for >7 days, were randomized to receive either treatment as usual (TAU) with daily ADL retraining (treatment), or TAU alone (physiotherapy and/or necessary speech therapy) during PTA. Interventions ADL retraining was manualized, followed errorless and procedural learning principles, and included individualized goals. Both groups received occupational therapy as usual after PTA. Main Outcome Measures Primary outcome was the FIM completed at admission, PTA emergence, discharge, and 2-month follow-up. Secondary outcomes included length of rehabilitation inpatient stay, PTA duration, Agitated Behavior Scale scores, and Community Integration Questionnaire (CIQ) scores at follow-up. Groups did not significantly differ in baseline characteristics. Results On the primary outcome, FIM total change, random effects regression revealed a significant interaction of group and time (P<.01 the treatment group had greater improvement in fim scores from baseline to pta emergence which was maintained at discharge but not follow-up. twenty-seven percent more of reliably changed on emergence. differences length stay duration agitation and ciq were significant however tau trended toward longer duration.> Conclusions Individuals in PTA can benefit from skill retraining. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999317310985 |
Bibliothèques HE Vinci
