Observed Recovery Sequence in Neurobehavioral Function After Severe Traumatic Brain Injury

Author:

Lannin Natasha A.1,Cusick Anne2,McLachlan Robyn3,Allaous Jeanine4

Affiliation:

1. Natasha A. Lannin, PhD, is Associate Professor, Occupational Therapy Department, Faculty of Health Sciences, La Trobe University, Melbourne, Victoria, Australia; Associate Professor, Occupational Therapy Department, Alfred Health, 99 Commercial Road, Prahran, 3181, Melbourne, Victoria, Australia; and Honorary Research Fellow, Rehabilitation Studies Unit, Sydney Medical School, University of Sydne

2. Anne Cusick, PhD, is Professor and Head of School of Health Sciences, University of Wollongong, Wollongong, New South Wales, Australia

3. Robyn McLachlan was Honors Graduate, Faculty of Health Science, University of Western Sydney, Penrith, New South Wales, Australia, at the time of the study

4. Jeanine Allaous is Senior Occupational Therapist, Royal Rehabilitation Centre Sydney, Ryde, New South Wales, Australia

Abstract

Abstract OBJECTIVE. The Western Neuro Sensory Stimulation Profile (WNSSP) presents a hierarchy of items suggestive of a sequence of recovery. The aim of this study was to understand the sequence of recovery of neurobehavioral function in patients with brain injury and determine whether this sequence was consistent with the WNSSP test item order. METHOD. We conducted a retrospective clinical chart audit of 37 adult inpatients (mean age = 29 yr; 31 men, 6 women) with a diagnosis of traumatic brain injury and a minimum of two medical record entries on the WNSSP. The sequence of recovery was statistically derived from the content and structure of the WNSSP. RESULTS. Our analysis did not support the current item ordering of the WNSSP as a function of the sequence of recovery from coma, with the exception of the Arousal/Attention subscale. CONCLUSION. WNSSP item performance suggested a sequence of recovery; clinicians may consider a revised item order that reflects this observed order.

Publisher

AOTA Press

Subject

Occupational Therapy

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