Pain anxiety and rehabilitation outcomes after acquired brain injury

Brain Injury ◽  
2020 ◽  
pp. 1-9
Author(s):  
Michael W. Williams ◽  
Lisa J. Rapport ◽  
Angelle M. Sander ◽  
Hillary A. Parker
2019 ◽  
Vol 20 (3) ◽  
pp. 226-239
Author(s):  
Sarah Prescott ◽  
Emmah Doig ◽  
Jennifer Fleming ◽  
Nicole Weir

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.


2013 ◽  
Vol 14 (1) ◽  
pp. 130-138 ◽  
Author(s):  
Leanne Togher

This paper describes the value of collaboration from two perspectives. The first perspective highlights the benefit of teaching communication partners collaborative communication strategies to facilitate the interactions of people with traumatic brain injury (TBI). Collaborative strategies encompass the provision of collaborative intent, emotional and cognitive support, positive questioning styles and collaborative turn taking. Translating research outcomes into accessible resources is described with reference to the TBI Express website which has video demonstrations of conversation strategies for communication partners of people with TBI. The broader meaning of collaboration is also discussed, with particular focus on the advantages collaboration can provide in advancing rehabilitation outcomes for people with acquired brain injury, their families and social networks. Collaboration is described in terms of encompassing all relevant contributors to the development of research advances, including people with acquired brain injury, their families and social networks, stakeholders, clinicians, peak bodies, students and researchers. Two examples of large-scale research collaborations occurring within Australia are described, including the NHMRC Clinical Centre of Research Excellence in Aphasia Rehabilitation and the NHMRC Moving Ahead Centre for Research Excellence in Brain Recovery, also known as Moving Ahead.


PM&R ◽  
2011 ◽  
Vol 3 ◽  
pp. S45-S51 ◽  
Author(s):  
Ellen Whyte ◽  
Elizabeth Skidmore ◽  
Howard Aizenstein ◽  
Joseph Ricker ◽  
Meryl Butters

2021 ◽  
Vol 13 (1) ◽  
pp. 68-76
Author(s):  
Lena Aadal ◽  
Søren Vester Hald ◽  
Ulla Johanna Setterberg ◽  
Lars Ole Bonde

Agitated behavior following a traumatic brain injury is frequent, placing patients and staff at risk of injury. Such behaviors decrease rehabilitation outcomes. This case study explores staff-administered listening to preferred music as an intervention to reduce agitated behavior during sub-acute rehabilitation. The study included seven patients (6♂/1♀, aged 21-74 years) with agitated behaviour and suffering from severe acquired brain injury of different aetiologies. The intervention included 15 minutes of preferred music from a customized playlist created in collaboration between a relative, a music therapist and the staff at the rehabilitation clinic. Agitated Behavior Scale (ABS)-scores, blood pressure and heart rate measurements were obtained pre and post interventions. Two tailed t-test and visual analyses were conducted. Results suggest that listening to personalized playlists of preferred music with a supportive intensity profile may reduce the intensity of agitated behavior following an acquired brain injury in the sub-acute phase. Furthermore, the music listening intervention may have contributed to reduced pulse. Due to the small sample size and few measurements, further research to support the hypothesis is recommended. However, since music listening is an easily administered low-cost intervention with no obvious side-effects, it can be considered as a supplement to usual treatment.  Keywords: Acquired brain injury, neuro-rehabilitation, agitated behaviour,                    music therapy, non-pharmaceutical 


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