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Rigshospitalet - a part of Copenhagen University Hospital
E-pub ahead of print

Rehabilitation interventions after traumatic brain injury: a scoping review

Research output: Contribution to journalReviewResearchpeer-review

  1. Patterns of sedentary time and ambulatory physical activity in a Danish population of girls and women with Rett syndrome

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  2. Ambivalence in rehabilitation: thematic analysis of the experiences of lower limb amputated veterans

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  3. Patient perspectives on navigating the field of traumatic brain injury rehabilitation: a qualitative thematic analysis

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  4. Building the repertoire of measures of walking in Rett syndrome

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  1. Cognitive training for prevention of cognitive impairment in adult intensive care unit (ICU) patients

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  2. Does rocking motion calm delirious patients in ICU? A multicentre randomised clinical trial protocol (RockingICU)

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  3. Iatrogenic withdrawal syndrome frequently occurs in paediatric intensive care without algorithm for tapering of analgosedation

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  4. Socioeconomic inequality in telephone triage on triage response, hospitalization and 30-day mortality

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Purpose: To (1) identify interventional research topics in traumatic brain injury (TBI) rehabilitation, (2) describe potential knowledge gaps, and (3) uncover further needs for interventional TBI rehabilitation research for patients and families.Method: We searched three databases (2006-2019) and screened 1552 non-duplicate articles. Titles and abstracts were screened for relevance, yielding 754 articles for full-text review. Of these, 425 were included, as relevant to the purpose of the scoping review.Findings: Among articles on TBI rehabilitation, the majority (71.8%) applied quantitative methodology; of these only 19.7% were randomized controlled trials. Severe TBI was described more often than mild/moderate TBI populations. Hospital vs community/home rehabilitation was 55.1% vs 37.2%; rehabilitation at workplace/school was described in only 4.5% articles, while in 7.2% the setting was undisclosed. Of 83 articles describing work/education, only 14 were in a work/school context. An additional focus in the work/education articles was activities of daily living (n = 28), cognition (n = 33) and emotions (n = 23), few targeted family or network.Conclusion: The main attention of interventional TBI rehabilitation studies has been on severe TBI and long-term rehabilitation. Gaps identified were rehabilitation of mild/moderate TBI populations, older populations, acute/sub-phase rehabilitation, return to work issues and studies including the family.Implications for rehabilitationA substantial number of interventional studies exist to guide long-term rehabilitation after traumatic brain injury with focus on daily life, physical, emotional and cognitive functioning.We recommend a stronger focus in the clinic on the following groups; people with mild/moderate traumatic brain injury, people in the acute and sub-acute phase, and older people with traumatic brain injury.Issues that target challenges returning to work should be addressed, while they are of importance to patients and families.Emphasis should be put on continuity of care and peer-support.

Original languageEnglish
JournalDisability and rehabilitation
ISSN1464-5165
DOIs
Publication statusE-pub ahead of print - 2021

    Research areas

  • interventions, rehabilitation, rehabilitation setting, scope, Traumatic brain injury

ID: 60132302