Comprehensive rehabilitation programmes in the chronic phase after severe brain injury: A systematic review

Geurtsen, Gert J.; Heugten, Caroline van; Martina, Juan D; Geurts, Alexander C. H.

doi:10.2340/16501977-0508

Cited by 65 publications

(43 citation statements)

References 29 publications

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“…Geurtsen and colleagues [9] stated that comprehensive rehabilitation in the chronic phase of severe brain injury was effective, and that day-treatment programmes had the highest level of evidence. Many of these were performed as group programmes and lasted several weeks, sometimes months, and often targeted behavioural problems.…”

Section: Acquired Brain Injury (Abi) Includes Traumatic Brain Injuriementioning

confidence: 99%

“…However, few studies have explored the effects of such programmes [7]. Furthermore, even though there is a demand for more rigorous studies that evaluate the effects of such rehabilitation for ABI [9], not all questions regarding rehabilitation can be addressed by randomised controlled trials or a rigorous design [10]. It is also crucial to elucidate how pwABI experience different interventions, and how they themselves perceive their process 4 of rehabilitation.…”

Section: Acquired Brain Injury (Abi) Includes Traumatic Brain Injuriementioning

confidence: 99%

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The group rehabilitation helped me adjust to a new life: Experiences shared by persons with an acquired brain injury

2013

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The group rehabilitation helped me adjust to a new life: Experiences shared by persons with an acquired brain injury.Månsson Lexell, Eva; Alkhed, Ann-Kristin; Olsson, Kerstin General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain women with an acquired brain injury who had participated in an out-patient group rehabilitation programme were performed. Data was analysed with qualitative content analysis.Findings: The findings formed the theme "The group rehabilitation helped me adjust to a new life" that revealed experiences related to the content and outcome of the programme, as well as the process they went through during the programme. The participants described how the rehabilitation gave them the tools they needed to change their everyday lives, especially in relation to improved knowledge, and learning new routines and habits. They perceived their rehabilitation as a long-term, individual, but also collaborative process, where professionals as well as family and friends had crucial roles. Conclusion:Learning how persons with acquired brain injury experience participation in a group rehabilitation program can help to unravel parts of the 'black box of rehabilitation', and can support professionals to better understand the effective components of such programmes.3

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Section: Acquired Brain Injury (Abi) Includes Traumatic Brain Injuriementioning

confidence: 99%

Section: Acquired Brain Injury (Abi) Includes Traumatic Brain Injuriementioning

confidence: 99%

The group rehabilitation helped me adjust to a new life: Experiences shared by persons with an acquired brain injury

2013

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“…The percentage of pressure sores on admission and upon discharge showed that although there were large numbers on admission, an appropriate medical rehabilitation treatment and good nursing led to the discharge percentage being very low. 13,14 The findings in the present survey are compared with newly analyzed information for three previous large series: the International Data Bank involving the United Kingdom, the Netherlands, and the United States; the North American Traumatic Coma Data Bank; and data from four centers in the United Kingdom. The comparisons showed substantial similarities and also differences that may reflect variations in policies of admission of head injury to TBI rehabilitation units and the evolution in methods of assessment, investigation, and management.…”

Section: Editor's Notementioning

confidence: 98%

The Role of the European Physiatrist in Traumatic Brain Injury

Sale¹,

Zampolini²,

Juocevičius³

et al. 2011

American Journal of Physical Medicine &Amp; Rehabilitation

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Sale P, Zampolini M, Juocevicius A, Lains JM, Giustini A, Negrini S, Franceschini M: The Role of the European Physiatrist in Traumatic Brain Injury. Am J Phys Med Rehabil 2011;90:83Y86.The purpose of this commentary was to show the role of the physiatrist and the organization of the rehabilitation of patients with traumatic brain injury (TBI) in Europe. TBI is a heterogeneous condition that encompasses a broad spectrum of disorders and remains one of the most difficult and challenging problems facing many clinicians, particularly neurosurgeons, physiatrists, and critical care specialists. The World Health Organization publishes an International Classification of Diseases, where trauma and head injury are included in the chapter ''Injury and poisoning.'' 1 A TBI from a road accident, fall, or sportsrelated incident can lead to a variety of sensorimotor, behavioral, and cognitive impairments, depending on the areas of the brain that are injured. The last 20 yrs has seen major advances in the prevention and treatment of head injury, resulting in a substantial decrease in mortality. An estimated 1.5 million Americans sustain a TBI each year, which is 8 times the number of people diagnosed with breast cancer and 34 times the number of new cases of HIV or AIDS, according to the Centers for Disease Control and Prevention. 2 TBI is also a major public health problem in Europe, with an estimated annual incidence of up to 500 per 100,000 population and more than 200 hospital admissions per 100,000 admissions each year. 3 The long-term disabilities can be severe, and specific difficulties are experienced in social functions and family lives. 4Y6 Most of the literature on mild TBI has been based on patients treated in single national clinics or hospitals. 7 A review by Tagliaferri et al. 3 showed how difficult it was to reach a consensus on all epidemiologic findings across 23 published European studies because of critical differences in methods used across the reports. He highly recommended the development of research guidelines to standardize definitions, case finding, and data reporting parameters to help establish a more precise description and enhance the utility of the studies on the epidemiology of TBI in Europe. 3 The review identified 23 reports with data on epidemiologic parameters of TBI in the published literature. Six reports were of

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“…30,31 The following study characteristics were extracted from the articles: design of the study, number of patients, type of intervention, effects on the awareness, and functional outcome measures. The overall effect of each intervention was summarized as positive (+), no effect (0), or negative (−).…”

Section: Data Extractionmentioning

confidence: 99%

Treatment of Unawareness of Deficits in Patients With Acquired Brain Injury

Schrijnemaekers

Smeets

Ponds

et al. 2014

Journal of Head Trauma Rehabilitation

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Patients with ABI may improve their awareness of their disabilities and possibly attain a level at which they personally experience problems when they occur. At present, because of lack of evidence, no recommendation can be made for treatment approaches for persons with severe impairment of self-awareness in the chronic phase of ABI. We recommended developing and evaluating theory-driven interventions specifically focused on disentangling the components of treatment that are successful in improving awareness. High-quality intervention studies are urgently needed using controlled designs (eg, single-case experimental designs, randomized controlled trials) based on a theoretic perspective with a detailed description of the content of the intervention and suitable outcome measures.

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Comprehensive rehabilitation programmes in the chronic phase after severe brain injury: A systematic review

Cited by 65 publications

References 29 publications

The group rehabilitation helped me adjust to a new life: Experiences shared by persons with an acquired brain injury

The group rehabilitation helped me adjust to a new life: Experiences shared by persons with an acquired brain injury

The Role of the European Physiatrist in Traumatic Brain Injury

Treatment of Unawareness of Deficits in Patients With Acquired Brain Injury

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