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  4. Impact of motor therapy with dynamic body-weight support on Functional Independence Measures in traumatic brain injury: An exploratory study

Impact of motor therapy with dynamic body-weight support on Functional Independence Measures in traumatic brain injury: An exploratory study

NeuroRehabilitation, 2019 · DOI: 10.3233/NRE-192898 · Published: January 1, 2019

Assistive TechnologyRehabilitationBrain Injury

Simple Explanation

This study investigates whether using dynamic body-weight support (DBWS) during inpatient rehabilitation can improve functional recovery in adults with traumatic brain injury (TBI) compared to standard-of-care (SOC) therapy. The study found that both DBWS and SOC groups showed significant improvement in total Functional Independence Measures (FIM) scores from admission to discharge. The DBWS group had greater improvement in total FIM score and FIM subscales compared to the SOC group, suggesting that DBWS may allow for more intensive therapy and better outcomes.

Study Duration
Not specified
Participants
12 adults with TBI (6 DBWS, 6 SOC)
Evidence Level
Level 3: Retrospective cohort study

Key Findings

  • 1
    Both the DBWS and SOC groups showed significant improvement in total FIM scores at discharge compared to admission.
  • 2
    The DBWS group showed significantly greater improvement on both the motor and cognitive subscales than the SOC group.
  • 3
    DBWS was found to produce significant improvements in FIM motor components: self-care, mobility, and locomotion compared to SOC.

Research Summary

This retrospective study evaluated the impact of dynamic body-weight support (DBWS) on functional recovery in adults with traumatic brain injury (TBI) during inpatient rehabilitation, comparing it to standard-of-care (SOC) therapy. The results indicated that both DBWS and SOC groups experienced significant improvement in total FIM scores, but the DBWS group showed greater improvement in total FIM score and FIM subscales. The study suggests that DBWS has the potential to allow a greater intensity of therapy during inpatient rehabilitation and yield better outcomes compared to SOC in patients with TBI.

Practical Implications

Intensified Therapy

DBWS enables therapists to administer more challenging and intensive therapy safely, potentially leading to greater neuroplastic changes and functional improvements.

Improved Cognitive and Motor Outcomes

The use of DBWS may lead to decreased cognitive and motor impairments in TBI patients, possibly due to increased brainstem stimulation, blood flow, and improved attention to tasks.

Targeting Multiple Impairments

DBWS offers a novel approach to target both cognitive and motor impairments simultaneously, which is beneficial for TBI patients who often experience deficits in both domains.

Study Limitations

  • 1
    Small sample size
  • 2
    Retrospective nature of the study
  • 3
    Lack of monitoring for therapy intensity

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