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Document Type:Latin Dissertation
Language of Document:English
Record Number:52458
Doc. No:TL22412
Call number:‭3293731‬
Main Entry:Tanya G. Loney
Title & Author:The relationship between physical and occupational therapy intensity and rehabilitation outcomes of traumatic brain injury: A comparison of war wounded to non-war wounded personsTanya G. Loney
College:TUI University
Date:2007
Degree:Ph.D.
student score:2007
Page No:163
Abstract:This retrospective cohort study was designed to identify which variables are most associated with therapy intensity and functional clinical outcomes in war wounded traumatic brain injured soldiers from Iraq and Afghanistan. There has been a significant increase in the number of war wounded persons with TBI. A sample of 119 war wounded (n = 47) and non-war wounded (n = 72) men and women aged 18 years and older that were admitted for physical and occupational rehabilitation therapies between January 01, 2004 through December 31, 2005, were studied. Therapy intensity that was defined in terms of duration; Functional Independent Measure (FIM), FIM change and FIM efficiency; severity of injury and TBI polytrauma/blast comorbidities were studied. A statistically significant difference was noted for age, marital status and time interval from initial injury to admission to inpatient rehabilitation (p < .05). The final model for predicting mobility FIM Change consists of admission mobility FIM, interval to rehabilitation, and PT intensity (p < .05). War status did not predict mobility FIM Change (p > .05). The final model for predicting mobility FIM efficiency consists of marital status, admission mobility FIM, and interval to rehabilitation (p < .05). War status did not predict mobility FIM efficiency (p > .05). The final model for predicting OT intensity consists of admission mobility FIM (p < .05). The final model predicting PT intensity consists of admission mobility FIM (p < .05). War status did not predict OT or PT intensity (p > .05). Severity was not a significant predictor of OT or PT intensity after controlling for other variables (p > .05). When assessing the contribution of comorbidities to OT intensity age, ethnicity, admission FIM mobility, and interval to rehabilitation were all predictors (p < .05). For PT none of the factors were predictors when assessing the contribution of comorbidities ( p > .05). This study is unique in its assessment of therapy intensity and functional rehabilitation outcomes comparing war wounded to non-war wounded active duty and veteran persons admitted for inpatient TBI rehabilitation. Findings support the assertion that war status did not play a role in predicting therapy intensity or functional mobility outcomes. PT intensity did predict mobility FIM Change but not OT. When assessing the contribution of comorbidities a number of factors predicted OT but not PT intensity. Key Words: Traumatic Brain Injury, War wounded, Rehabilitation outcomes, Therapy intensity
Subject:Health and environmental sciences; Occupational therapy; Physical therapy; Traumatic brain injury; War-wounded; Rehabilitation; Therapy; 0382:Rehabilitation; 0382:Therapy
Added Entry:E. Silva
Added Entry:TUI University