PMID- 17057543
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20070828
LR  - 20061023
IS  - 0898-5669 (Print)
IS  - 0898-5669 (Linking)
VI  - 16
IP  - 3
DP  - 2004 Fall
TI  - The relationship between functional mobility and the intensity of physical 
      therapy intervention in children with traumatic brain injury.
PG  - 157-64
AB  - PURPOSE: The purposes of this study were to describe the types of physical 
      therapy (PT) procedural interventions used during inpatient rehabilitation for 
      children and adolescents with traumatic brain injury (TBI) and to examine the 
      relationship between intensity of intervention and mobility changes. METHODS: We 
      examined a consecutive series of 80 records of children and adolescents (mean age 
      = 10.3 years) with TBI. Intensity of PT was calculated as the number of 15-minute 
      PT units of service per day/length of stay. We used the Pediatric Evaluation of 
      Disability Inventory (PEDI) to calculate mobility change scores between admission 
      and discharge and the achievement of a minimal clinically important difference 
      (MCID) consisting of an 11-point change. We used a series of hierarchical and 
      logistic regression analyses to identify the relationship of PT intensity to 
      mobility changes, while controlling for potential confounding variables. RESULTS: 
      Therapeutic exercise was the most frequently recorded intervention. On average, 
      PT intensity was provided at a level of 3.1 units (46.5 minutes) per day. After 
      controlling for severity and age, intensity was significantly related to change 
      in PEDI mobility scores; this effect was removed when controlling for admission 
      scores. The MCID was related to PT intensity, even when controlling for initial 
      status. CONCLUSIONS: Although the magnitude of the correspondence is small, the 
      intensity of PT intervention in an inpatient rehabilitation hospital is related 
      to positive changes in functional mobility scores and the achievement of an MCID. 
      However, initial mobility status is an essential factor in the interpretation of 
      change scores. Future studies are needed to determine whether controlled 
      variations of PT service intensity have a differential effect on mobility 
      recovery during inpatient rehabilitation.
FAU - Dumas, Helene M
AU  - Dumas HM
AD  - The Research Center for Children with Special Health Care Needs, Franciscan 
      Hospital for Children, Boston, MA 02135, USA. hdumas@fchrc.org
FAU - Haley, Stephen M
AU  - Haley SM
FAU - Carey, Tara M
AU  - Carey TM
FAU - Ni, Peng Shen
AU  - Ni PS
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Pediatr Phys Ther
JT  - Pediatric physical therapy : the official publication of the Section on 
      Pediatrics of the American Physical Therapy Association
JID - 8912748
EDAT- 2006/10/24 09:00
MHDA- 2006/10/24 09:01
CRDT- 2006/10/24 09:00
PHST- 2006/10/24 09:00 [pubmed]
PHST- 2006/10/24 09:01 [medline]
PHST- 2006/10/24 09:00 [entrez]
AID - 00001577-200401630-00004 [pii]
AID - 10.1097/01.PEP.0000136004.69289.01 [doi]
PST - ppublish
SO  - Pediatr Phys Ther. 2004 Fall;16(3):157-64. doi: 
      10.1097/01.PEP.0000136004.69289.01.