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

14 Scopus citations

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

Keywords

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

ASJC Scopus subject areas

  • Medicine(all)

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    Beaulieu, C. L., Dijkers, M. P., Barrett, R. S., Horn, S. D., Giuffrida, C. G., Timpson, M. L., Carroll, D. M., Smout, R. J., & Hammond, F. (2015). Occupational, Physical, and Speech Therapy Treatment Activities During Inpatient Rehabilitation for Traumatic Brain Injury. Archives of Physical Medicine and Rehabilitation, 96(8), S222-S34.. https://doi.org/10.1016/j.apmr.2014.10.028