title: The impact of physical therapy in patients with severe traumatic brain injury during acute and post-acute rehabilitation according to coma duration.
abstract: [Purpose] The aim of study was to evaluate the impact of physical therapy on the recovery of motor and mental status in patients who sustained a severe traumatic brain injury, according to coma duration in acute and post-acute rehabilitation. [Subjects and Methods] The study population comprised patients with levels of consciousness ranging from 3 to 8 according to Glasgow Coma Scale score. The patients were divided into 2 groups based on coma duration as follows: group 1, those who were in a coma up to 1 week, and group 2, those who were in a coma for more than 2 weeks. The recovery of the patients' motor function was evaluated according to the Motor Assessment Scale and the recovery of mental status according to the Mini-Mental State Examination. [Results] The evaluation of motor and mental status recovery revealed that the patients who were in a coma up to 1 week recovered significantly better after physical therapy during the acute rehabilitation than those who were in a coma for longer than 2 weeks. [Conclusion] The recovery of motor and mental status of the patients in acute rehabilitation was significantly better for those in a coma for a shorter period.
authors: Department of Rehabilitation, Medical Academy of Lithuanian University of Health Sciences, Lithuania; Department of Neurorehabilitation, Hospital of Lithuanian University of Health Sciences, Lithuania.
authors: Eglė
authors: E
authors: Lendraitienė
authors: Department of Rehabilitation, Medical Academy of Lithuanian University of Health Sciences, Lithuania.
authors: Daiva
authors: D
authors: Petruševičienė
authors: Department of Rehabilitation, Medical Academy of Lithuanian University of Health Sciences, Lithuania; Department of Neurorehabilitation, Hospital of Lithuanian University of Health Sciences, Lithuania.
authors: Raimondas
authors: R
authors: Savickas
authors: Department of Rehabilitation, Medical Academy of Lithuanian University of Health Sciences, Lithuania.
authors: Ieva
authors: I
authors: Žemaitienė
authors: Department of Rehabilitation, Medical Academy of Lithuanian University of Health Sciences, Lithuania; Department of Neurorehabilitation, Hospital of Lithuanian University of Health Sciences, Lithuania.
authors: Sigitas
authors: S
authors: Mingaila
keywords: Coma duration; Physical therapy; Traumatic brain injury