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Feasibility of an Interdisciplinary Early Intervention for Patients with Low Levels of Responsiveness Following an Acquired Brain Injury

Published online by Cambridge University Press:  22 August 2013

Treena Seeto ,
Suzanne Kuys ,
Cassandra Budden ,
Erin Griffin ,
Haylee Kajewski  and
Steven McPhail
Treena Seeto
Affiliation:
Princess Alexandra Hospital, Brisbane, Australia
Suzanne Kuys
Affiliation:
The Prince Charles Hospital, Brisbane, Australia Griffith Health Institute, Griffith University, Gold Coast, Australia
Cassandra Budden
Affiliation:
Princess Alexandra Hospital, Brisbane, Australia
Erin Griffin
Affiliation:
Princess Alexandra Hospital, Brisbane, Australia Jacana Acquired Brain Injury Service, Brisbane, Australia
Haylee Kajewski
Affiliation:
Princess Alexandra Hospital, Brisbane, Australia Jacana Acquired Brain Injury Service, Brisbane, Australia
Steven McPhail*
Affiliation:
Centre for Functioning and Health Research, Metro South Health, Brisbane, Australia Institute of Health and Biomedical Innovation and School of Public Health, Queensland University of Technology, Brisbane, Australia
*
Address for correspondence: Dr Steven McPhail, Centre for Functioning and Health Research, Princess Alexandra Hospital, c/o PO Box 6053, Buranda, QLD, 4102, Australia. E-mail: [email protected]
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Abstract

There is a scarcity of research investigating interdisciplinary early rehabilitation intervention models for people with low levels of responsiveness following acquired brain injury. This is particularly problematic for service models in acute hospital settings where early rehabilitation of such patients may be assigned a low priority in comparison to other competing demands. This pilot study investigated the feasibility of implementing an interdisciplinary early rehabilitation intervention in an acute neurosciences ward within existing staffing, and describes clinical changes among intervention participants. A prospective longitudinal study, with a matched historical control (individually matched by Glasgow Coma Scale) was undertaken. Prospective intervention participants (n = 13) received up to twice-weekly interdisciplinary intervention in addition to usual care. Matched historical controls (n = 13) received only usual care. Implementing an interdisciplinary early intervention proved feasible in this acute care setting. Significant improvement (alpha = .05) among the patients receiving the interdisciplinary intervention was observed across all clinical outcomes, including: Coma Recovery Scale-Revised, Glasgow Coma Scale, Mental Status Questionnaire, Royal Brisbane Hospital Outcome Measure for Swallowing, selected subtests of the Functional Independence Measure, Acquired Brain Injury Physiotherapy Assessment and the Clinical Outcomes Variable Scale. A future randomised clinical trial is warranted.

Keywords

interdisciplinarylow levels of responsivenessbrain injuryrehabilitationimpaired consciousness
Type
Articles
Information
Brain Impairment , Volume 14 , Issue 2 , September 2013 , pp. 213 - 221
Copyright
Copyright © The Author(s), published by Cambridge University Press on behalf of Australian Academic Press Pty Ltd 2013 

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