Improving quality of ADL performance after rehabilitation among people with acquired brain injury.

The aim of this study was to evaluate whether people with brain injury show improvements in quality of performance of activities of daily living (ADL) after rehabilitation. A retrospective pre- and post-test design with no control group was used. Subjects received interdisciplinary rehabilitation co...

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Publicado en:Scandinavian Journal of Occupational Therapy Vol. 14; no. 4; pp. 250 - 258
Autores principales: Wæhrens EE, Fisher AG
Formato: research tables/charts Journal Article
Publicado: Springer Nature Dec2007
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2007
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      pub: Springer Nature
      place: New York, New York
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        atl: Improving quality of ADL performance after rehabilitation among people with acquired brain injury.
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          Wæhrens EE
          Fisher AG
        affil: Department of Community Medicine and Rehabilitation, Division of Occupational Therapy, Umeå University, Umeå, Sweden; waehrens@post8.tele.dk
      sug:
        subj:
          Activities of Daily Living
          Brain Injuries Rehabilitation
          Task Performance and Analysis
          Adolescence
          Adult
          Aged
          Clinical Assessment Tools
          Confidence Intervals
          Denmark
          Descriptive Statistics
          Female
          Inpatients
          Length of Stay
          Male
          Middle Age
          Multidisciplinary Care Team
          Occupational Therapy Assessment
          Paired T-Tests
          Pretest-Posttest Design
          Prospective Studies
          Rehabilitation Centers
          Rehabilitation Patients
          Retrospective Design
          Scales
          Severity of Disability
          Summated Rating Scaling
          Human
          Adolescent: 13-18 years
          Adult: 19-44 years
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: The aim of this study was to evaluate whether people with brain injury show improvements in quality of performance of activities of daily living (ADL) after rehabilitation. A retrospective pre- and post-test design with no control group was used. Subjects received interdisciplinary rehabilitation consisting of restorative and compensatory strategies. Thirty-six adults with moderate to severe disability following acquired brain injury were evaluated using the Assessment of Motor and Process Skills (AMPS), an observational evaluation of the quality of ADL task performance. Paired t-tests revealed significant increase in ADL ability after intervention; effect sizes were medium. Improvements occurred across ages, within all diagnostic groups, and with no relation to time post-injury. It was concluded that people with moderate to severe disability following acquired brain injury improved in ADL ability after participating in an intensive, interdisciplinary rehabilitation programme. Although lack of a control group prevented a conclusively conclusion that the changes were due to the intervention provided, the fact that the subjects had shown slow spontaneous recovery and minimal improvements before the study was implemented supports the likelihood that their gains were largely the result of the intervention.
      pubtype: Academic Journal
      doctype:
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        tables/charts
        Journal Article
      ougenre: Article
    language: English
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