cog/behave/TBI outcomes

Question 1

what is a commonly underreported 1 year consequence of TBI

Answer 1

poor psychosocial well being

Question 2

what are two categories of interventions related to cognitive behavioral rehab

Answer 2

restorative and compensatory

Question 3

restorative interventions: define and give two examples

Answer 3

improving cognitive function (cognitive exercises or VR)

Question 4

compensatory interventions: define and give two examples

Answer 4

adapting to cognitive impairment (alarms and memory books)

Question 5

are restorative and compensatory interventions used in isolation? explain

Answer 5

typically they are used in combination to maximize the effect of cog/behave trainign

Question 6

what is the key to success in behavior modification

Answer 6

consistency of the behavior modification program

Question 7

T/F: cognitive rehab in a group environment is supported in the literature

Answer 7

true

Question 8

post injury employment prevalence after mod-severe TBI at 5 years is ___%; ___% at pre-injury work level

Answer 8

50%; 33%

Question 9

Disability stabilizes in 10-20 years post injury as well as community integration and QoL… comment

Answer 9

false; community integration and QoL continue to normalize even if disability stabilizes

Question 10

What is typical employment status at 20 years post TBI

Answer 10

75% with mod TBI are FT

37% with sev TBI are FT

Question 11

Comment on what you would do during a treatment session with a low level TBI patient

Answer 11

sit him up
lateral reach away from weak side in sitting
deep breath to sit up straighter
look up to sit up straighter

Question 12

a low level TBI patient improves and is discharged from acute rehab to OP rehab.. what are some things you might see a PT working on in OP?

Answer 12

dual tasking
walking endurance
balance

Question 13

what are the five most relevant outcome measures for TBI patients

Answer 13

Agitated Behavior Scale
Coma Recovery Scale Revised
GCS
Moss Attention Rating Scale
RLCF

Question 14

three important categories in the GCS

Answer 14

eye opening response, verbal response, motor response

Question 15

<8 on the GCS means what

Answer 15

coma

Question 16

9-12 on the GCS means what

Answer 16

moderate head injury

Question 17

13-15 on the GCS means what

Answer 17

mild head injury

Question 18

why is the CRSR used?

Answer 18

can help delineate between different low level disorders of consciousness

Question 19

T/F: CRSR can be used for any RLCF rating

Answer 19

false: only good for RLA 1-3

Question 20

CRSR is 23 items broken into 6 subscales:

Answer 20

auditory, arousal, communication, motor, oromotor, visual

Question 21

what does the RLCF outline

Answer 21

a predictable sequence of cognitive and behavioral recovery with TBI

Question 22

T/F: any cognitive level may be paired with any level of physical function

Answer 22

true

Question 23

T/F: RLA levels are for cognitive and physical assistance

Answer 23

false! they are exclusively for cognitive assistance

Question 24

T/F: patient may behave in >1 RLA level at a time depending on the task

Answer 24

true

Question 25

T/F: patients continue to progress linearly through the RLA levels over tiem

Answer 25

false: patients may skip levels and may plateau at any level

Question 26

What is the difference between the 8 and 10 level RLA scale

Answer 26

9-10 delineates level of physical assist for level 8 patients

Question 27

What does it mean that RLA 1-6 have “no new learning”

Answer 27

you may teach them new tasks, but don’t expect them to retain the task

Question 28

what is the HiMAT

Answer 28

nonspecific to TBI, but it is a High level mobility assessment

Question 29

what is required for the HiMAT

Answer 29

independent ambulation without an AD x 20 meters

Question 30

what is the ABS

Answer 30

agitated behavior scale scored by clinician observation

Question 31

what is the MARS

Answer 31

moss attention rating scale scored over 1-3 days of observation scored on a true-false spectrum

Question 32

what is the disability rating scale

Answer 32

used in research to document TBI patient progress over time - addresses eye opening, cognition, motor ability, and employability