PREDICTIVE MODELS OF FUNCTIONAL PERFORMANCE FOLLOWING STROKE
Issue Date
2018-08-31Author
Jaber, Ala'a Fayez
Publisher
University of Kansas
Format
288 pages
Type
Dissertation
Degree Level
Ph.D.
Discipline
Occupational Therapy Education
Rights
Copyright held by the author.
Metadata
Show full item recordAbstract
Acquired Brain Injury (ABI) is defined as damage to the brain that occurs after birth and is not related to congenital or degenerative diseases. ABI is a serious health care concern due to the functional disability and psychosocial maladjustment it causes. Studying factors influencing recovery following ABI offers valuable information for improving the evaluation process, intervention planning, and care implementation. This dissertation work includes four components exploring factors associated with favorable functional outcomes following traumatic and non-traumatic forms of brain injury. The first component encompassed a narrative review of personal and environmental factors influencing recovery following a Traumatic Brain Injury (TBI). This review provides an overall perspective on the course of functional recovery after TBI. The next part was more focused on mild forms of TBI known as Post-Concussion Syndrome (PCS) which adversely influences participation in activities of daily living. The second component encompassed a systematic review of different interventions addressing physical, cognitive, and emotional functioning in adults with PCS. The third component evaluated how non-traumatic brain injury affects participation in daily activities in the long-term. More specifically, it assessed the relation among personal characteristics, perceived performance, and impact of injury on daily participation of community-dwelling adults with stroke who have had this condition for years. This led to the fourth and final component which explored factors predicting functional performance of individuals with stroke following inpatient rehabilitation. This component included two predictive models identifying distinct demographic and health characteristics that predicted motor and cognitive domains of functional performance after discharge from rehabilitation. Examples of these factors included age, comorbidities, and motor/cognitive status on admission. This dissertation presents several factors influencing recovery after brain injury and affirms the importance of individualized interventions for serving clients with ABI.
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