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Factors associated with gains in performance during rehabilitation following pediatric brain injury: growth curve analysis.

Abstract

OBJECTIVE

Predicting recovery of functional performance within pediatric rehabilitation following brain injury is important for health professionals and families, but information regarding factors associated with change in functional skills ('what the child can do') and functional independence ('what the child does') is limited. This study examined change in functional skills and independence over time in children with moderate-severe brain injury during prolonged inpatient rehabilitation.

DESIGN

Retrospective cohort design. Longitudinal data from N=139 children (age 1.6-20.6y), hospitalized for 115.4±72 days, were examined. Growth curve analysis was used to examine factors associated with change in the Pediatric Evaluation of Disability Inventory (functional skills and caregiver assistance, i.e. functional independence) in mobility and self-care. Typical estimates for change per hospitalization day were obtained.

RESULTS

Traumatic brain injury and older age at injury, but not sex, were associated with faster recovery. Length of stay was associated with rate of change in functional skills but not in functional independence, suggesting that improvement in functional independence during rehabilitation may be associated with other factors.

CONCLUSION

Identifying the factors associated with individual profiles of functional improvement can provide valuable information for clinicians and decision-makers in order to optimize performance following prolonged inpatient rehabilitation.

Authors+Show Affiliations

Department of Physical Therapy, University of Haifa, Haifa, Israel. Department of Pediatric Rehabilitation, the Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Ramat-Gan, Israel.Department of Pediatric Rehabilitation, the Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Ramat-Gan, Israel. Joint Distribution Committee-Eshel, Jerusalem, Israel. Kaye Academic College of Education, M.Ed Programs and Physical Education Program, Beer-Sheva, Israel.Department of Pediatric Rehabilitation, the Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Ramat-Gan, Israel. Department of Psychology, Bar-Ilan University, Ramat-Gan, Israel.Department of Pediatric Rehabilitation, the Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Ramat-Gan, Israel.Department of Pediatric Rehabilitation, the Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Ramat-Gan, Israel.Department of Pediatric Rehabilitation, the Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Ramat-Gan, Israel. Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31634206

Citation

Krasovsky, Tal, et al. "Factors Associated With Gains in Performance During Rehabilitation Following Pediatric Brain Injury: Growth Curve Analysis." American Journal of Physical Medicine & Rehabilitation, 2019.
Krasovsky T, Barak S, Silberg T, et al. Factors associated with gains in performance during rehabilitation following pediatric brain injury: growth curve analysis. Am J Phys Med Rehabil. 2019.
Krasovsky, T., Barak, S., Silberg, T., Yissar, T., Brezner, A., & Landa, J. (2019). Factors associated with gains in performance during rehabilitation following pediatric brain injury: growth curve analysis. American Journal of Physical Medicine & Rehabilitation, doi:10.1097/PHM.0000000000001329.
Krasovsky T, et al. Factors Associated With Gains in Performance During Rehabilitation Following Pediatric Brain Injury: Growth Curve Analysis. Am J Phys Med Rehabil. 2019 Oct 18; PubMed PMID: 31634206.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Factors associated with gains in performance during rehabilitation following pediatric brain injury: growth curve analysis. AU - Krasovsky,Tal, AU - Barak,Sharon, AU - Silberg,Tamar, AU - Yissar,Tamar, AU - Brezner,Amichai, AU - Landa,Jana, Y1 - 2019/10/18/ PY - 2019/10/22/pubmed PY - 2019/10/22/medline PY - 2019/10/22/entrez JF - American journal of physical medicine & rehabilitation JO - Am J Phys Med Rehabil N2 - OBJECTIVE: Predicting recovery of functional performance within pediatric rehabilitation following brain injury is important for health professionals and families, but information regarding factors associated with change in functional skills ('what the child can do') and functional independence ('what the child does') is limited. This study examined change in functional skills and independence over time in children with moderate-severe brain injury during prolonged inpatient rehabilitation. DESIGN: Retrospective cohort design. Longitudinal data from N=139 children (age 1.6-20.6y), hospitalized for 115.4±72 days, were examined. Growth curve analysis was used to examine factors associated with change in the Pediatric Evaluation of Disability Inventory (functional skills and caregiver assistance, i.e. functional independence) in mobility and self-care. Typical estimates for change per hospitalization day were obtained. RESULTS: Traumatic brain injury and older age at injury, but not sex, were associated with faster recovery. Length of stay was associated with rate of change in functional skills but not in functional independence, suggesting that improvement in functional independence during rehabilitation may be associated with other factors. CONCLUSION: Identifying the factors associated with individual profiles of functional improvement can provide valuable information for clinicians and decision-makers in order to optimize performance following prolonged inpatient rehabilitation. SN - 1537-7385 UR - https://www.unboundmedicine.com/medline/citation/31634206/Factors_associated_with_gains_in_performance_during_rehabilitation_following_pediatric_brain_injury:_growth_curve_analysis L2 - http://dx.doi.org/10.1097/PHM.0000000000001329 DB - PRIME DP - Unbound Medicine ER -