title: Occupational, Physical, and Speech Therapy Treatment Activities During Inpatient Rehabilitation for Traumatic Brain Injury.
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.
  
  
  METHODS
  Multisite prospective observational cohort study.
  
  
  METHODS
  Inpatient rehabilitation settings.
  
  
  METHODS
  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.
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  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.
authors.affiliation: Brooks Rehabilitation Hospital, Jacksonville, FL. Electronic address: cynthia.beaulieu@brooksrehab.org.
authors.forename: Cynthia L
authors.initials: CL
authors.lastname: Beaulieu
authors.affiliation: Icahn School of Medicine at Mount Sinai, New York, NY.
authors.forename: Marcel P
authors.initials: MP
authors.lastname: Dijkers
authors.affiliation: Institute for Clinical Outcomes Research, Salt Lake City, UT.
authors.forename: Ryan S
authors.initials: RS
authors.lastname: Barrett
authors.affiliation: Institute for Clinical Outcomes Research, Salt Lake City, UT.
authors.forename: Susan D
authors.initials: SD
authors.lastname: Horn
authors.affiliation: Rush University Medical Center, Chicago, IL.
authors.forename: Clare G
authors.initials: CG
authors.lastname: Giuffrida
authors.affiliation: Intermountain Medical Center, Salt Lake City, UT; Rocky Mountain University of Health Professions, Provo, UT.
authors.forename: Misti L
authors.initials: ML
authors.lastname: Timpson
authors.affiliation: Intermountain Medical Center, Salt Lake City, UT.
authors.forename: Deborah M
authors.initials: DM
authors.lastname: Carroll
authors.affiliation: Institute for Clinical Outcomes Research, Salt Lake City, UT.
authors.forename: Randy J
authors.initials: RJ
authors.lastname: Smout
authors.affiliation: Carolinas Rehabilitation, Charlotte, NC; Indiana University School of Medicine, Indianapolis, IN.
authors.forename: Flora M
authors.initials: FM
authors.lastname: Hammond
mesh_terms: D000328:Adult; D001930:Brain Injuries / Q000145:classification / Q000453:epidemiology / Q000534:rehabilitation*; D002170:Canada; D003072:Cognition Disorders / Q000453:epidemiology / Q000534:rehabilitation; D015331:Cohort Studies; D015897:Comorbidity; D005260:Female; D006801:Humans; D007297:Inpatients / Q000706:statistics & numerical data; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009788:Occupational Therapy / Q000379:methods / Q000706:statistics & numerical data*; D017063:Outcome Assessment, Health Care; D026741:Physical Therapy Modalities / Q000706:statistics & numerical data*; D011446:Prospective Studies; D012047:Rehabilitation Centers / Q000706:statistics & numerical data; D013070:Speech Therapy / Q000379:methods / Q000706:statistics & numerical data*; D014481:United States
keywords: Brain injuries; Occupational therapy; Physical therapy specialty; Rehabilitation; Speech therapy; Therapeutics