Cognitive and Functional Outcomes following Inpatient Rehabilitation in Patients with Acquired Brain Injury: A Prospective Follow-up Study

Patil, Maitreyi; Gupta, Anupam; Khanna, Meeka; Taly, Arun B.; Soni, Amit; Kumar, J. Keshav; Thennarasu, K.

doi:10.4103/jnrp.jnrp_53_17

Cited by 17 publications

(9 citation statements)

References 35 publications

(35 reference statements)

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“…A survey by Koh et al (2008) found a particularly high prev-alence of MMSE in Australia, and a different study reported it to be the most frequently mentioned assessment among clinicians in Canada [11]. A high prevalence of MMSE and MoCA assessments was also found in other studies [11,21]. The aims of the MMSE and MoCA approaches are comparable as both are routine cognitive screening tests rated on a 30point scale that attempt to detect mild cognitive impairment.…”

Section: Discussionmentioning

confidence: 93%

Cognitive Assessments Used in Occupational Therapy Practice: A Global Perspective

Manee

Nadar

Alotaibi

et al. 2020

Occupational Therapy International

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This exploratory study was aimed at evaluating the current status of global occupational therapy practice on the use of assessments for clients with cognitive impairments and providing recommendations for ongoing evidence. We targeted international occupational therapy clinicians working with clients experiencing neurocognitive impairments. 323 occupational therapists from a wide range of clinical practice areas participated in the study. A large number of therapists used noncognitive specific assessments with a focus on functional approaches. The most commonly used standardized assessments were the COPM (56.7%), followed by MMSE (54.2%) and MoCA (45.5%), while the nonstandardized assessments were clinical observation (38.4%) and generic ADL assessment (34.1%). The use of main assessments was significantly different across world regions (p<0.05), as were the reasons for choosing them (p<0.05). The occupational therapists’ use of assessment tools with clients suffering from neurocognitive impairments is inconsistent across the globe. The identification of international best practices for selecting and implementing proper outcome measures is warranted. It is essential to promote the development of an occupational therapy initiative to support the use of appropriate assessments at the international levels to facilitate consistent best practice.

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Section: Discussionmentioning

confidence: 93%

Cognitive Assessments Used in Occupational Therapy Practice: A Global Perspective

Manee

Nadar

Alotaibi

et al. 2020

Occupational Therapy International

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“…It can be used in patients who are intubated and can be used to recognize locked-in syndrome. FIM-COG™ Scale 26 The FIM scale is a clinical tool with 7 sections that is used to determine the level of assistance a patient requires to complete activities of daily living. The FIM-COG™ is a subscale of the FIM scale, which focuses on social cognition and communication.…”

Section: Appendix Amentioning

confidence: 99%

Evaluation of Outcomes in Patients Receiving Amantadine to Improve Alertness After Traumatic Brain Injury

Hadgu

Borghol

et al. 2020

Hosp Pharm

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Background: Amantadine has been used off-label to improve alertness after traumatic brain injury (TBI). The goal of this study is to assess the mean change at 72 hours and in course of therapy (COT) Glasgow Coma Scale (GCS) score after amantadine initiation and to correlate the change in GCS score with participation in physical therapy (PT) and occupational therapy (OT) among patients with TBI receiving amantadine during the first hospitalization. Methods: This single-center, retrospective, cohort study included patients ≥18 years old hospitalized for a TBI from August 2012 to February 2018 and received ≥1 dose of amantadine to increase alertness. The primary endpoint is the mean change in 72-hour GCS score after amantadine initiation. The secondary endpoint is the mean change in COT GCS score after amantadine initiation and the correlation between the change in GCS score and percent PT and OT participation at 72 hours and during the COT. Results: Seventy-nine patients were included. The mean age of patients was 41 years, and 79.8% of the patients were men. The mean change in 72-hour GCS score was +0.75 (95% confidence interval [CI] = 0.09-1.42, P = .027), and the mean change in COT GCS score was +2.29 (95% CI = 1.68-2.90, P < .001). There was no significant correlation between the increase in GCS score and percent PT/OT session participation at 72 hours and during the COT, r = −0.15 ( P = .24) and r = −0.02 ( P = .74), respectively. The percent PT/OT session participation at 72-hour post-amantadine initiation was 61.3% compared with 65.9% during the COT. Conclusion: There were small but statistically significant increases in the mean change at 72 hours and in COT GCS score; however, they were not correlated with percent PT/OT participation. Other studies are needed to determine the appropriate time and GCS score to initiate amantadine along with the optimal dose in the inpatient setting.

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“…Acquired brain injury (ABI), including traumatic brain injury (TBI) and stroke, is the leading cause of disability worldwide [1][2][3]. According to the World Health Organization, the global incidence of all-severity TBI is estimated at 69 million people, while 15 million people suffer a stroke worldwide each year [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Quality of mobility measures among individuals with acquired brain injury: an umbrella review

et al. 2022

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Background and objective While several mobility measures exist, there is large variability across measures in how mobility is conceptualized, the source of information and the measurement properties making it challenging to select relevant mobility measures for individuals with acquired brain injury (ABI). Therefore, the objective was to conduct a comprehensive synthesis of existing evidence on the measurement properties, the interpretability and the feasibility of mobility measures from various sources of information (patients, clinicians, technology) using an umbrella review of published systematic reviews among individuals with ABI. Methods Ovid MEDLINE, CINHAL, Cochrane Library and EMBASE electronic databases were searched from 2000 to March 2020. Two independent reviewers appraised the methodological quality of the systematic reviews using the Joanna Briggs Institute critical appraisal checklist. Measurement properties and quality of evidence were applied according to COnsensus-based Standards for the Selection of Health Measurement Instrument (COSMIN) guidelines. Mobility measures were categorized using international standards with the international classification of functioning, disability and health (ICF). Results Thirty-five systematic reviews were included covering 147 mobility measures, of which 85% were mapped to the ICF Activity and Participation component. Results showed an acceptable overall "sufficient" rating for reliability, construct validity and responsiveness for 132 (90%), 127 (86%) and 76 (52%) of the measures, respectively; however, among these measures, ≤ 25% of the methods for evaluating these properties were rated as ‘high’ quality of evidence. Also, there was limited information that supports measure feasibility and scoring interpretability. Conclusions Future systematic reviews should report measures’ content validity to support the use of the measure in clinical care and research. More evaluations of the minimal important difference and floor and ceiling effects are needed to help guide clinical interpretation. Registration information International Prospective Register of Systematic Reviews (PROSPERO); ID: CRD42018100068.

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Cognitive and Functional Outcomes following Inpatient Rehabilitation in Patients with Acquired Brain Injury: A Prospective Follow-up Study

Cited by 17 publications

References 35 publications

Cognitive Assessments Used in Occupational Therapy Practice: A Global Perspective

Cognitive Assessments Used in Occupational Therapy Practice: A Global Perspective

Evaluation of Outcomes in Patients Receiving Amantadine to Improve Alertness After Traumatic Brain Injury

Quality of mobility measures among individuals with acquired brain injury: an umbrella review

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