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Development and Preliminary Validation of the Acute Brain Injury Physiotherapy Assessment (ABIPA)

Published online by Cambridge University Press:  13 August 2014

Janelle M. Gesch ,
Nancy L. Low Choy ,
Benjamin K. Weeks ,
Leanne L. Passier ,
Margarida Nascimento ,
Terrence P. Haines  and
Suzanne S. Kuys
Janelle M. Gesch*
Affiliation:
Brain Injury Rehabilitation Unit, Physiotherapy Department, Princess Alexandra Hospital, Ipswich Road, Woolloongabba, Brisbane 4102, Australia
Nancy L. Low Choy
Affiliation:
Australian Catholic University, (McAuly Campus), Brisbane, Australia The Prince Charles Hospital, Brisbane, Australia
Benjamin K. Weeks
Affiliation:
Griffith Health Institute, Griffith University, Gold Coast, Australia
Leanne L. Passier
Affiliation:
Brain Injury Rehabilitation Unit, Physiotherapy Department, Princess Alexandra Hospital, Ipswich Road, Woolloongabba, Brisbane 4102, Australia
Margarida Nascimento
Affiliation:
Brain Injury Rehabilitation Unit, Physiotherapy Department, Princess Alexandra Hospital, Ipswich Road, Woolloongabba, Brisbane 4102, Australia
Terrence P. Haines
Affiliation:
Brain Injury Rehabilitation Unit, Physiotherapy Department, Princess Alexandra Hospital, Ipswich Road, Woolloongabba, Brisbane 4102, Australia Southern Physiotherapy Clinical School, Physiotherapy Department, Monash University, Melbourne, Australia
Suzanne S. Kuys
Affiliation:
The Prince Charles Hospital, Brisbane, Australia Griffith Health Institute, Griffith University, Gold Coast, Australia
*
Address for correspondence: Janelle Gesch, Physiotherapy Department, Princess Alexandra Hospital, Ipswich Road, Woolloongabba, Brisbane 4102, Australia. E-mail: Janelle.Gesch@health.qld.gov.au
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Abstract

Background and aims: For patients with a severe brain injury there is no objective physiotherapy assessment tool that is responsive to the incremental changes in motor recovery in the acute stage. The aims of this study were to identify the items of neuro-motor recovery and scoring criteria for the Acute Brain Injury Physiotherapy Assessment (ABIPA) and determine responsiveness to change and concurrent validity against accepted standard measures of consciousness and physical function in the severe brain injury population.

Method: The literature was searched and an expert consensus panel of experienced clinical physiotherapists informed item selection and developed practical assessment guidelines. The ABIPA was investigated for responsiveness to change and concurrent validity against the Glasgow Coma Scale (GCS), Clinical Outcome Variable Scale (COVS) and Motor Assessment Scale (MAS). Eleven patients (9 males; cohort 41 ± 18 years) with moderate/severe brain injury were recruited, and assessed on days 1, 3, 7 and then weekly until discharge.

Results: The ABIPA demonstrated good to excellent correlations overall with the GCS (rho > .76, p ≤ .001), COVS (rho > .82, p ≤ .001) and MAS (rho > 0.66, p ≤ .001). On day 3, the ABIPA showed the greatest responsiveness to change (standardised response means (SRM) > .83) compared to other measures (SRMs < .77). At discharge all tools demonstrated change in neuro-motor recovery.

Conclusions: The ABIPA is a promising tool for detecting incremental changes in neuro-motor recovery early after severe brain injury.

Keywords

severe brain injuriesphysiotherapyassessmentrehabilitationoutcome measures
Type
Articles
Information
Brain Impairment , Volume 15 , Issue 2 , September 2014 , pp. 132 - 145
Copyright
Copyright © Australasian Society for the Study of Brain Impairment 2014 

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