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Title: Agitated behavior and activities of daily living retraining during posttraumatic amnesia.
Epworth Authors: McKay, Adam
Ponsford, Jennie
Trevena-Peters, Jessica
Keywords: Posttraumatic Amnesia
Activities of Daily Living
Treatment As Usual
Severe Traumatic Brain Injury
Traumatic Brain Injury
Risk of Agitation
Agitated Behaviour
Therapy Participation
Risk of Overstimulation
ADL Retraining
Agitated Behavior Scale
Monash-Epworth Rehabilitation Research Centre, Epworth HealthCare, Melbourne, Australia
Issue Date: Nov-2017
Publisher: Wolters Kluwer
Citation: J Head Trauma Rehabil. 2017 Nov 29
Abstract: BACKGROUND: Patients in posttraumatic amnesia (PTA) may receive limited rehabilitation due to the risk of overstimulation and agitation. This assumption has not been tested. OBJECTIVE: To examine the relationship between agitated behavior and participation in therapy for retraining of activities of daily living (ADL) while in PTA. SETTING: Inpatient rehabilitation center. PARTICIPANTS: A total of 104 participants with severe traumatic brain injury, admitted to rehabilitation, in PTA of more than 7 days. INTERVENTION: ADL retraining during PTA followed errorless and procedural learning principles. DESIGN: Group comparison and regression modeling of patient agitation data from a randomized controlled trial comparing ADL retraining in PTA (treatment) versus no ADL retraining in PTA (treatment as usual, TAU). OUTCOME MEASURES: Agitation using the Agitated Behavior Scale. Therapy participation measured in minutes and missed sessions. RESULTS: There were no group differences in agitated behavior (average scores, peak scores, or number of clinically agitated days) between the treatment and TAU groups. For treated patients, there was no significant relationship between agitation and therapy participation (therapy minutes or missed ADL treatment sessions). CONCLUSIONS: This study demonstrated that agitation is not increased by delivery of structured ADL retraining during PTA and agitation did not limit therapy participation. This supports the consideration of active therapy during PTA.
DOI: 10.1097/HTR.0000000000000363
PubMed URL:
ISSN: 0885-9701
Journal Title: Journal of Head Trauma Rehabilitation
Type: Journal Article
Affiliated Organisations: Monash Institute of Cognitive & Clinical Neurosciences, Monash University, Clayton, Victoria, Australia
School of Psychological Sciences Monash University, Clayton, Victoria, Australia
Type of Clinical Study or Trial: Randomized Controlled Clinical Trial
Appears in Collections:Neurosciences

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