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The Initiation of Rehabilitation Therapies and Observed Outcomes in Pediatric Traumatic Brain Injury

doi: 10.1097/RNJ.0000000000000207
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Back to Top | Article Outline


Purpose: To present a study evaluating the relationship between the team, timing, and frequency of rehabilitation care and outcomes for children admitted to a pediatric trauma center with traumatic brain injury (TBI).

Learning Objectives/Outcomes: After completing this continuing education activity, you should be able to:

1. Distinguish the impact of pediatric TBI rehabilitation care in the United States.

2. Specify the methodology used for the study.

3. Identify the results of the study and their clinical implications.

  1. The leading cause of death and disability for children in the United States is
    1. drowning.
    2. poisoning.
    3. TBI.
  2. Bennett et al (2013) found that children admitted to a level 1 trauma center were more likely to receive
    1. advanced diagnostic workup.
    2. TBI care based on adult guidelines.
    3. rehabilitation therapy.
  3. For this study, injury severity was determined using the
    1. diagnosis coding in the electronic health record (EHR).
    2. Glasgow Coma Scale (GCS).
    3. Speech Pathology Neurocognitive-Functional Evaluation (SPNFE).
  4. Which member of the rehabilitation team provided data about the patient's visual tracking?
    1. child life specialist
    2. physical therapist (PT)
    3. occupational therapist (OT)
  5. Which of the following providers was considered a member of the primary rehabilitation team?
    1. child life specialist
    2. otolaryngology
    3. nutritionist
  6. All of the following tools were used to evaluate outcome measures except
    1. GCS.
    2. SPNFE.
    3. Glasgow Outcome Scale-Extended Pediatrics (GOS-E Peds).
  7. Study results showed that for patients with mild TBI, the service that initiated care later than the other services was
    1. (OT).
    2. (PT).
    3. social work (SW).
  8. For patients with severe TBI, which provider initiated services earliest?
    1. nutrition
    2. PT
    3. SW
  9. The study found the greatest improvement in the mean GOS-E Peds and SPNFE scores from discharge to the first follow-up visit in patients with
    1. mild TBI.
    2. moderate TBI.
    3. severe TBI.
  10. The authors concluded that there was a greater tendency toward improvement in neuro-cognitive functional outcome in pediatric patients with moderate TBI when they were treated
    1. promptly in a Level 1 or Level 2 trauma center.
    2. by PT, OT, and speech-language therapy post-discharge.
    3. by a comprehensive interdisciplinary team.
© 2018 Association of Rehabilitation Nurses.