Research in rehabilitation treatment for patients with severe traumatic Brain Injury: Mapping complex therapeutic procedures and developing measures of adherence and treatment outcome. Exemplified by swallowing problems and Facial Oral Tract Therapy

Trine Schow

Research in rehabilitation treatment for patients with severe traumatic Brain Injury: Mapping complex therapeutic procedures and developing measures of adherence and treatment outcome. Exemplified by swallowing problems and Facial Oral Tract Therapy

Trine Schow

Fysio- og Ergoterapiafdeling AHH

Abstract

Den terapeutiske rehabilitering af patienter med traumatisk hjerneskade (TBI) har et begrænset evidensbaseret fundament. De nuværende rehabiliterings tilgange er udviklet primært gennem klinisk praksis. De består ofte af mange metoder som ikke er præcist defineret, hvilket vanskeliggør udførelse af effekt studier. Denne afhandling har beskæftiget sig med en af de udbredte rehabiliterings tilgange for bl.a. synkevanskeligheder: Facio Oral Trakt Terapi (FOTT)^©. Studierne i denne afhandling viser at synkevanskeligheder ofte forekommer hos patienter med svær TBI indlagt til subakut rehabilitering (93%), lungebetændelse blev fundet hos 12%. De mange elementer i FOTT er defineret i en behandlings manual; og der er udviklet og testet en metode som kan måle om FOTT anvendes hensigtsmæssigt. Derudover er der udviklet og testet en FOTT klinisk evaluering af synkevanskeligheder. Disse studier baner vejen mod effekt studier af FOTT og dermed et evidensbaseret fundament for behandling af synkevanskeligheder for TBI patienter.

Originalsprog	Engelsk

Udgave	1
Antal sider	178
Status	Udgivet - 2010

Emneord

Forskning i neurorehabilitering, synkning, ergoterapeutisk behandling

Fingeraftryk

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Citationsformater

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title = "Research in rehabilitation treatment for patients with severe traumatic Brain Injury: Mapping complex therapeutic procedures and developing measures of adherence and treatment outcome. Exemplified by swallowing problems and Facial Oral Tract Therapy",

abstract = " The therapeutic rehabilitation of patients with traumatic brain injury (TBI) has a limited evidence-based foundation. The current rehabilitation approaches have been developed mainly through clinical practice. They often consist of many components that are defined in incomplete ways, making it difficult if not impossible to investigate treatment outcome. This thesis has dealt with one of the widely used rehabilitation approaches used for, among others, swallowing difficulties: Facial Oral Tract Therapy (FOTT) {\textcopyright}. The studies in this thesis show that swallowing difficulties often occur in patients with severe TBI admitted for subacute rehabilitation (93%), pneumonia was found in 12%. The many components of FOTT are defined in a treatment manual; we developed and tested a method that can measure whether therapist uses FOTT appropriately. In addition, we developed and validated a FOTT clinical evaluation of swallowing difficulties. These studies pave the way for effectiveness studies of FOTT and thus an evidence-based foundation for the rehabilitation of swallowing difficulties in TBI patients.",

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TY - BOOK

T1 - Research in rehabilitation treatment for patients with severe traumatic Brain Injury

T2 - Mapping complex therapeutic procedures and developing measures of adherence and treatment outcome. Exemplified by swallowing problems and Facial Oral Tract Therapy

AU - Schow, Trine

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Y1 - 2010

N2 - The therapeutic rehabilitation of patients with traumatic brain injury (TBI) has a limited evidence-based foundation. The current rehabilitation approaches have been developed mainly through clinical practice. They often consist of many components that are defined in incomplete ways, making it difficult if not impossible to investigate treatment outcome. This thesis has dealt with one of the widely used rehabilitation approaches used for, among others, swallowing difficulties: Facial Oral Tract Therapy (FOTT) ©. The studies in this thesis show that swallowing difficulties often occur in patients with severe TBI admitted for subacute rehabilitation (93%), pneumonia was found in 12%. The many components of FOTT are defined in a treatment manual; we developed and tested a method that can measure whether therapist uses FOTT appropriately. In addition, we developed and validated a FOTT clinical evaluation of swallowing difficulties. These studies pave the way for effectiveness studies of FOTT and thus an evidence-based foundation for the rehabilitation of swallowing difficulties in TBI patients.

AB - The therapeutic rehabilitation of patients with traumatic brain injury (TBI) has a limited evidence-based foundation. The current rehabilitation approaches have been developed mainly through clinical practice. They often consist of many components that are defined in incomplete ways, making it difficult if not impossible to investigate treatment outcome. This thesis has dealt with one of the widely used rehabilitation approaches used for, among others, swallowing difficulties: Facial Oral Tract Therapy (FOTT) ©. The studies in this thesis show that swallowing difficulties often occur in patients with severe TBI admitted for subacute rehabilitation (93%), pneumonia was found in 12%. The many components of FOTT are defined in a treatment manual; we developed and tested a method that can measure whether therapist uses FOTT appropriately. In addition, we developed and validated a FOTT clinical evaluation of swallowing difficulties. These studies pave the way for effectiveness studies of FOTT and thus an evidence-based foundation for the rehabilitation of swallowing difficulties in TBI patients.

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KW - Neurorehabilitation, dysphagia, occupational therapy

M3 - Ph.D. thesis

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