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Lookup NU author(s): Dr Rob ForsythORCiD
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
Aim:To describe cross-sectional and longitudinal variation in neurorehabilitation content provided to young people recovering after severe paediatric acquired brain injury (pABI) and to relate this to observed functional recovery.Methods:Observational study in a cohort of admissions to a residential neurorehabilitation centre. Recovery was described using the Pediatric Evaluation of Disability – Computer Adaptive Testing (PEDI-CAT) instrument. Rehabilitation content was measured using the recently described Paediatric Rehabilitation Ingredients Measure (PRISM) and examined using multidimensional scaling. Results:PRISM reveals wide variation in rehabilitation content between and during admissions primarily reflecting proportions of child active practice, child emotional support, and other management of body structure and function. Rehabilitation content is predicted by pre-admission recovery suggesting therapist decisions in designing rehabilitation programmes are shaped by initial expectations of recovery. However significant correlations persist between plausibly-related aspects of delivered therapy and observed post-admission recovery after adjusting for such effects.Interpretation:The PRISM approach to the analysis of rehabilitation content shows promise in that it demonstrates significant correlations between plausibly-related aspects of delivered therapy and observed recovery that have been hard to identify with other approaches, however rigorous causal analysis will be required to truly understand the contributions of rehabilitation to recovery after pABI.
Author(s): Forsyth RJ, Roberts L, Henderson R, Wales L
Publication type: Article
Publication status: Published
Journal: Developmental Medicine & Child Neurology
Year: 2022
Volume: 64
Issue: 9
Pages: 1168-1175
Print publication date: 01/09/2022
Online publication date: 09/03/2022
Acceptance date: 11/02/2022
Date deposited: 14/02/2022
ISSN (print): 0012-1622
ISSN (electronic): 1469-8749
Publisher: Wiley-Blackwell Publishing Ltd.
URL: https://doi.org/10.1111/dmcn.15199
DOI: 10.1111/dmcn.15199
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