Original Research Article
Year: 2018 | Month: March | Volume: 8 | Issue: 3 | Pages: 161-166
Early Mobilisation Improves Conscious Levels, Cognitive Levels and Reduction in Number of Days in Intensive Care Unit Stay in Moderate to Severe Traumatic Brain Injury Patients- A Hospital Based Study
Dr. Annie Thomas1, Belle Shravani2, Lini Poulose3
1Assistant Professor, 2Lecturer, 3Clinical Therapist,
JSS College of physiotherapy, Mysuru-4
Corresponding Author: Dr. Annie Thomas
ABSTRACT
Traumatic brain injury (TBI) is one of the major cause that leads to neurological impairments and physical disability in individuals. It includes both sensory and motor functions which affect the quality of life. The optimal management is a great importance for the early recovery and reduction in mortality. The role of physiotherapist ranges from neurosurgery ICU to the community, in reducing the mortality as well as maximum degree of return to their previous level of functions. There is strong evidence that intensive rehabilitation in early stages has positive effects on patients with TBI.
Methods: All the patients admitted in Neurosurgical ICU (NSICU) of the tertiary care teaching hospital in Mysuru, Karnataka with traumatic brain injury (moderate to severe brain injury) whose GCS score (E & M components) ranging between 1 and 4 were selected for the study for a period of two months. The treatment protocols were considered on the basis of RLA scale (for cognitive rehabilitation) and GCS scoring
Results: The results shows that the length of stay in ICU is of median 10 and Conscious levels are improved at the significance of P=.000 and cognitive levels P=.001
Conclusion: Optimization of physiotherapy management, understanding of basic neurocritical care knowledge as well as incorporation of newer guidelines would certainly improve the outcome of the TBI patients.
Key words: Traumatic brain injury, Moderate to severe head injury, Rehabilitation, ICU, Cognition, Conscious