An evaluation of health-related quality of life of patients aroused from prolonged coma when treated by physiotherapists with or without training in the ‘Academy of Life’ programme
Wiesław Tomaszewski 1, Grzegorz Mańko 2, Artur Ziółkowski 3, Maria Pąchalska 4 1 - College of Physiotherapy, Wroclaw, Poland 2 - Department of Ergonomics and Exertion Physiology, Institute of Physiotherapy, Faculty
of Allied Health Sciences, College of Medicine, Jagiellonian University, Cracow, Poland
3 - Academy of Physical Education and Sport in Gdańsk, Poland 4 - Chair of Neuropsychology, Andrzej Frycz Modrzewski Cracow Univeristy, Cracow, Poland Ann Agric Environ Med 2013; 20 (2): ICID: 1052346 Article type: Original article
Objective: To evaluate the health-related quality of life (HRQOL) in patients aroused from prolonged coma after a severe traumatic brain injury (TBI) treated by physiotherapists trained in the ‘Academy of Life’ programme. It was assumed that physiotherapists who acquired this knowledge and experience would create a better therapeutic milieu, and would be more effective than physiotherapists who had not received this training.
Material and methods: 40 patients who had suffered a severe TBI in a motor vehicle accident and had been aroused from prolonged coma were examined. All the patients underwent long-term rehabilitation according to a standard, phased programme. They were divided into two numerically even groups: an experimental group, treated by therapists trained in the ‘Academy of Life’ programme, and a control group, treated by physiotherapists who were not trained in this programme. The research instruments included an analysis of documentation, a structured clinical interview, and the Quality of Life Scale.
Results: As hypothesized, the experimental group showed significant improvement in HRQOL, whereas in the control group improvement was statistically non-significant.
Conclusions: The patients from the experimental group, treated by physiotherapists trained in the ‘Academy of Life’, obtained a significantly greater improvement in physical and social functioning, and thus in HRQOL, than patients from the control group.
PMID 23772592 - click here to show this article in PubMed