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Rehabilitation after paediatric acquired brain injury: longitudinal change in content and relationships to domains of recovery

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.

Publication metadata

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.


DOI: 10.1111/dmcn.15199


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