Symposium

Clinical Practice (assessment, diagnosis, treatment, knowledge translation/EBP, implementation science, program development)

Brain Injury

Spinal Cord Injury

Stroke

Technology (e.g. robotics, assistive technology, mHealth)

Intensity of Usual Care Physical Therapy Activities During Inpatient Rehabilitation: An Observational Pilot Study (824181)

Presenter(s)

• 

  Molly Kate Trammell, PT

  Physical Therapy Supervisor
  Baylor Scott & White Institute for Rehabilitation
  Frisco, Texas
• 

  Jaime L. Gillespie, PT, DPT

  Physical Therapist
  Baylor Scott & White Institute for Rehabilitation
  Dallas, Texas
• 

  Chad Swank, n/a

  Research Scientist
  Baylor Scott & White Institute for Rehabilitation
  Dallas, Texas

  Presentation Slides Presentation + Audio

Non-presenting Author(s)

• HF

  Hayden M. Fowler, DPT

  Resident Physical Therapist
  Baylor Scott & White Institute for Rehabilitation
  Dallas, Texas
• KC

  Kelly M. Clark, DPT

  Resident Physical Therapist
  Baylor Scott & White Institute for Rehabilitation
  Dallas, Texas
• JD

  Jake A. DiPasquale, MS

  Research Intern
  Baylor Scott & White Institute for Rehabilitation
  Dallas, Texas

Stroke, spinal cord injury (SCI), and traumatic brain injury (TBI) patient's admit to inpatient rehabilitation to maximize independence. Interventions targeting higher cardiovascular intensity have demonstrated quantitative improvements in, blood pressure, cardiovascular health, increased gait speed, and endurance. This observational pilot study was to investigate the cardiorespiratory intensity associated with usual physical therapy activities performed in an inpatient rehabilitation facility for patients with stroke, SCI, and TBI. Physiological cardiovascular intensity was determined with the heart rate reserve (HRR) approach, intensity zones, and perceived intensity assessed by the Rate of Perceived Exertion scale. We enrolled 16 patients with stroke, 15 with SCI, TBI ongoing. Results concluded that: Patients have the ability to achieve moderate-to-vigorous intensity thresholds, intensity achieved appears to vary according to diagnosis and type of activity, gait training elicited the most time spent in moderate-to-vigorous intensity. However, patient perception of intensity appears to be dissimilar to physiological response.

 

Learning Objectives:

• 1. Upon completion, participant will be able to understand current literature on cardiovascular intensity in an inpatient rehabilitation
• Describe importance of intensity on recovery for CVA, TBI, and SCI in an impatient rehabilitation setting
• 3. Upon completion participates will be able to describe the methods utilized to assess baseline cardiovascular intensity with CVA, TBI, and SCI during physical therapy in an inpatient rehabilitation hospital
• Discuss data retrieved from a pilot study on cardiovascular intensity during physical therapy in CVA, TBI, SCI in an inpatient rehabilitation hospital