Occupational, Physical, and Speech Therapy Treatment Activities During Inpatient Rehabilitation for Traumatic Brain Injury.
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.
['Beaulieu|Cynthia L|CL|', 'Dijkers|Marcel P|MP|', 'Barrett|Ryan S|RS|', 'Horn|Susan D|SD|', 'Giuffrida|Clare G|CG|', 'Timpson|Misti L|ML|', 'Carroll|Deborah M|DM|', 'Smout|Randy J|RJ|', 'Hammond|Flora M|FM|']
D000328:Adult D001930:Brain Injuries D002170:Canada D003072:Cognition Disorders D015331:Cohort Studies D015897:Comorbidity D005260:Female D006801:Humans D007297:Inpatients D007902:Length of Stay D008297:Male D008875:Middle Aged D009788:Occupational Therapy D017063:Outcome Assessment, Health Care D026741:Physical Therapy Modalities D011446:Prospective Studies D012047:Rehabilitation Centers D013070:Speech Therapy D014481:United States
Speech therapy Rehabilitation Brain injuries Occupational therapy Physical therapy specialty Therapeutics