The Use of Virtual Cues in Acquired Brain Injury Rehabilitation. Meaningful Evidence

2019 ◽  
pp. 785-794
Author(s):  
Sergio Albiol-Pérez ◽  
Alvaro-Felipe Bacca-Maya ◽  
Erika-Jissel Gutierrez-Beltran ◽  
Sonsoles Valdivia-Salas ◽  
Ricardo Jariod-Gaudes ◽  
...  
Keyword(s):  
Brain Injury ◽  
Acquired Brain Injury ◽  
Injury Rehabilitation

scholarly journals Sharing stories of lived experience: A qualitative analysis of the intersection of experiences between storytellers with acquired brain injury and storytelling facilitators

2020 ◽  
Vol 83 (9) ◽  
pp. 576-584 ◽  
Author(s):  
Kate D’Cruz ◽  
Jacinta Douglas ◽  
Tanya Serry
Keyword(s):  
Brain Injury ◽  
Lived Experience ◽  
Interpersonal Relationships ◽  
Social Connectedness ◽  
Acquired Brain Injury ◽  
Theory Approach ◽  
Injury Rehabilitation ◽  
Building Relationships ◽  
Severe Acquired Brain Injury ◽  
Story Sharing

Introduction Narrative storytelling is a relational process. While interest in storytelling in brain injury rehabilitation is increasing, little attention has been directed to the interpersonal relationships experienced through storytelling. As part of a larger study exploring narrative storytelling, this paper reports on the intersection of experiences between those sharing their story and those listening to the story. Method A qualitative grounded theory approach informed all stages of the study. In-depth interviews were conducted with adult storytellers with severe acquired brain injury and facilitators of a storytelling advocacy programme. Findings Analysis of the intersection of data from 28 transcripts of interviews with eight storytellers and six facilitators was conducted. Two key relationships emerged to be central to the storytelling experience: (1) a collaborative partnership between the storytellers and the advocacy organisation, and (2) an intentional story-sharing relationship between the storytellers and facilitators. The advocacy context of helping others through story-sharing was central to the meaningfulness of the experience. Conclusion Narrative storytelling is a social relationship experience with much potential for building relationships in rehabilitation. Sharing stories of lived experience of disability presents an opportunity for meaningful occupational engagement, enabling social connectedness and contribution to society.

Goal statements in brain injury rehabilitation: A cohort study of client-centredness and relationship with goal outcome

2019 ◽  
Vol 20 (3) ◽  
pp. 226-239
Author(s):  
Sarah Prescott ◽  
Emmah Doig ◽  
Jennifer Fleming ◽  
Nicole Weir
Keyword(s):  
Brain Injury ◽  
Goal Setting ◽  
Acquired Brain Injury ◽  
Community Dwelling ◽  
Outpatient Rehabilitation ◽  
Injury Rehabilitation ◽  
Rehabilitation Outcomes ◽  
Cohort Design ◽  
Specific Goal ◽  
Goal Specificity

AbstractBackground:Currently, there is increasing recognition of the need to use a client-centred approach to goal setting in rehabilitation. However, there is limited research to guide practice with community-dwelling clients with acquired brain injury. An understanding of the characteristics of client-centred goals and the extent to which client-centeredness influences goal outcomes is required.Objective:To examine the relationships between the client-centredness of goals and their characteristics, content, recall and outcomes of client-centred goals in brain injury rehabilitation.Methods:A prospective cohort design study was employed. Participants were 45 clients with brain injury receiving outpatient rehabilitation, who completed measures of client-centredness after goal setting. Each goal was classified according to whether it was specific, measurable, non-jargonistic, and participation-focussed, included a timeframe and was recalled by participants.Results:Participants set 223 goals with 20 clinicians from multiple disciplines. Levels of client-centredness did not differ according to the characteristics, content and recall of goals, with the exception of goal specificity (p< 0.01). Client-centredness was significantly and positively correlated with goal outcomes (p< 0.05).Conclusions:The use of client-centred goals is recommended for improved rehabilitation outcomes. Applying goal documentation criteria does not necessarily mean that goals will be client-centred, and highly specific goal statements may not reflect what is important and meaningful to clients.

The reproducibility and responsiveness of subjective assessment of upper limb associated reactions in people with acquired brain injury during walking

2019 ◽  
Vol 34 (2) ◽  
pp. 252-262 ◽  
Author(s):  
Michelle B Kahn ◽  
Ross A Clark ◽  
Kelly J Bower ◽  
Benjamin F Mentiplay ◽  
Pua Yong Hao ◽  
...  
Keyword(s):  
Brain Injury ◽  
Upper Limb ◽  
Acquired Brain Injury ◽  
Elbow Flexion ◽  
Subjective Assessment ◽  
Flexion Angle ◽  
International Classification Of Functioning ◽  
Post Injury ◽  
Rehabilitation Centre ◽  
Injury Rehabilitation

Objective: The aim of this study is to determine inter-rater, test–retest and intra-rater reproducibility and responsiveness of subjective assessment of upper limb associated reactions in people with acquired brain injury using (1) the ‘Qualifiers Scale’ of the International Classification of Functioning, Disability and Health Framework, and (2) visually estimated elbow flexion angle during walking. Design: Observational study. Setting: A brain injury rehabilitation centre, Melbourne, Australia. Subjects: People with acquired brain injury and upper limb associated reactions and experienced neurological physiotherapists. Main measures: The Qualifiers Scale applied to individual upper limb joints and global associated reaction on a 5-point scale (0–4), a summed upper limb severity score and visually estimated elbow flexion angle. Results: A total of 42 people with acquired brain injury (mean age: 48.4 ± 16.5 years) were videoed walking at self-selected and fast speeds. A subset of 30 chronic brain injury participants (mean time post injury: 8.2 ± 9.3 years) were reassessed one week later for retest reproducibility. Three experienced neurological physiotherapists (mean experience: 22.7 ± 9.1 years) viewed these videos and subjectively rated the upper limb associated reactions. Strong-to-very strong test–retest, intra- and inter-rater reproducibility was found for elbow flexion angle (ICC > 0.86) and the Qualifiers Scale applied to global and individual upper limb joints (ICC > 0.60). Responsiveness of change from self-selected to fast walking speed (mean increase 0.46 m/s) was highest for elbow flexion angle (effect size = 0.83) and low-to-moderate for the Qualifiers Scale. Conclusion: Subjectively rated associated reactions during walking demonstrated strong reproducibility and moderate responsiveness to speed change. The Qualifiers Scale and elbow flexion angle can both subjectively quantify associated reactions during walking in a clinical setting.

scholarly journals Interventions for Depression: Combining the Stroke and Acquired Brain Injury Rehabilitation Literature

2014 ◽  
Vol 95 (10) ◽  
pp. e17-e18
Author(s):  
Danielle Brittany Rice ◽  
Mona Madady ◽  
Marina Richardson ◽  
Swati Mehta ◽  
Robert William Teasell
Keyword(s):  
Brain Injury ◽  
Acquired Brain Injury ◽  
Injury Rehabilitation
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