Occupational, Physical, and Speech Therapy Treatment Activities During Inpatient Rehabilitation for Traumatic Brain Injury

Cynthia L. Beaulieu, Marcel P. Dijkers, Ryan S. Barrett, Susan D. Horn, Clare G. Giuffrida, Misti L. Timpson, Deborah M. Carroll, Randy J. Smout, Flora Hammond

Research output: Contribution to journalArticle

13 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)S222-S34.
JournalArchives of Physical Medicine and Rehabilitation
Volume96
Issue number8
DOIs
StatePublished - Aug 1 2015

Fingerprint

Speech Therapy
Occupational Therapy
Inpatients
Rehabilitation
Therapeutics
Evidence-Based Practice
Observational Studies
Traumatic Brain Injury
Cohort Studies

Keywords

  • Brain injuries
  • Occupational therapy
  • Physical therapy specialty
  • Rehabilitation
  • Speech therapy
  • Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Occupational, Physical, and Speech Therapy Treatment Activities During Inpatient Rehabilitation for Traumatic Brain Injury. / Beaulieu, Cynthia L.; Dijkers, Marcel P.; Barrett, Ryan S.; Horn, Susan D.; Giuffrida, Clare G.; Timpson, Misti L.; Carroll, Deborah M.; Smout, Randy J.; Hammond, Flora.

In: Archives of Physical Medicine and Rehabilitation, Vol. 96, No. 8, 01.08.2015, p. S222-S34.

Research output: Contribution to journalArticle

Beaulieu, Cynthia L. ; Dijkers, Marcel P. ; Barrett, Ryan S. ; Horn, Susan D. ; Giuffrida, Clare G. ; Timpson, Misti L. ; Carroll, Deborah M. ; Smout, Randy J. ; Hammond, Flora. / Occupational, Physical, and Speech Therapy Treatment Activities During Inpatient Rehabilitation for Traumatic Brain Injury. In: Archives of Physical Medicine and Rehabilitation. 2015 ; Vol. 96, No. 8. pp. S222-S34.
@article{f8ac298f944c4411947cd5c40b361ae9,
title = "Occupational, Physical, and Speech Therapy Treatment Activities During Inpatient Rehabilitation for Traumatic Brain Injury",
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.",
keywords = "Brain injuries, Occupational therapy, Physical therapy specialty, Rehabilitation, Speech therapy, Therapeutics",
author = "Beaulieu, {Cynthia L.} and Dijkers, {Marcel P.} and Barrett, {Ryan S.} and Horn, {Susan D.} and Giuffrida, {Clare G.} and Timpson, {Misti L.} and Carroll, {Deborah M.} and Smout, {Randy J.} and Flora Hammond",
year = "2015",
month = "8",
day = "1",
doi = "10.1016/j.apmr.2014.10.028",
language = "English (US)",
volume = "96",
pages = "S222--S34.",
journal = "Archives of Physical Medicine and Rehabilitation",
issn = "0003-9993",
publisher = "W.B. Saunders Ltd",
number = "8",

}

TY - JOUR

T1 - Occupational, Physical, and Speech Therapy Treatment Activities During Inpatient Rehabilitation for Traumatic Brain Injury

AU - Beaulieu, Cynthia L.

AU - Dijkers, Marcel P.

AU - Barrett, Ryan S.

AU - Horn, Susan D.

AU - Giuffrida, Clare G.

AU - Timpson, Misti L.

AU - Carroll, Deborah M.

AU - Smout, Randy J.

AU - Hammond, Flora

PY - 2015/8/1

Y1 - 2015/8/1

N2 - 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.

AB - 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.

KW - Brain injuries

KW - Occupational therapy

KW - Physical therapy specialty

KW - Rehabilitation

KW - Speech therapy

KW - Therapeutics

UR - http://www.scopus.com/inward/record.url?scp=84964698608&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84964698608&partnerID=8YFLogxK

U2 - 10.1016/j.apmr.2014.10.028

DO - 10.1016/j.apmr.2014.10.028

M3 - Article

C2 - 26212399

AN - SCOPUS:84964698608

VL - 96

SP - S222-S34.

JO - Archives of Physical Medicine and Rehabilitation

JF - Archives of Physical Medicine and Rehabilitation

SN - 0003-9993

IS - 8

ER -