Date of Award
Doctor of Physical Therapy (DPT)
Brain Injuries, Traumatic -- rehabilitation; Early Ambulation; Case Reports
Background: Approximately 2.5 million individuals suffered from a TBI in the year of 2010. Many individuals who suffer a TBI are hospitalized for extended periods of time. Studies have shown that extended intensive care can result in deleterious and long-lasting side effects. Early mobility has been utilized to combat effects and has been shown to be safe and effective.
Purpose: To examine early mobility use as applied with respect to this case, a patient with a severe, acute TBI.
Case Description: The patient was a 26 year old male who sustained a TBI following a boat accident. The patient also sustained multiple fractures, abrasions and contusions. Following successful sedation reduction, the patient was re-examined and he was determined to be appropriate for early mobility interventions.
Outcomes: Following treatments, the patient was discharged from the hospital to an inpatient rehabilitation center. Upon discharge, the patient had achieved and exceeded his goals established during re-examination as he was able to complete supine to sit transfers, sit to stand transfers, and ambulate with minimal to moderate assistance.
Discussion and Conclusion: The primary limitation for this study was no defined Early Mobility Protocol within the facility. The patient's results were respectively good and unexpected as he had suffered a severe TBI with multisystem involvement.
Hickox, Ashley, "Physical therapy interventions following acute traumatic brain injury: early mobility in the acute care setting" (2017). Physical Therapy Scholarly Projects. 534.