Select Page

Table 16.47 Miscellaneous Outcomes – Rotational Therapy and Prone Positioning for Acute Management Post ABI

by | Dec 13, 2018

Table 16.47 Miscellaneous Outcomes – Rotational Therapy and Prone Positioning for Acute Management Post ABI

 
Author/Year/ Country/ Study Design/N Methods Outcomes
Frazzitta et al. (2016) Italy & Austria RCT PEDro=5 Ninitial=40 NFinal=31 Population: Severe ABI; Early verticalization (n=15): Mean Age=53 yr; Gender: Male=9, Female=6. Controls (n=16): Mean Age=69 yr; Gender: Male=11, Female=5. Intervention: Patients with severe ABI underwent fifteen 30 min sessions of verticalization using a tilt table with a robotic stepping device in addition to conventional physiotherapy. Controls received conventional physiotherapy alone. Outcome Measure: Glasgow Coma Scale (GCS), Disability Rating Scale (DRS), Coma Recovery Scale-Revised (CRSr), Level of Cognitive Functioning (LCF).
  1. All outcome measures improved significantly over the treatment period (p<0.001).
  2. The early verticalization group showed significantly more improvement in the CRSr test compared with controls (p=0.006).
  3. No other outcome measures were significantly different between groups.
Rocca et al. (2016) Switzerland RCT PEDro=3 N=30 Population: ABI ; Mean Age=54.2 yr; Gender: Male=17, Female=13. Intervention: Patients were randomized into 1 of 3 groups. The MOTOmed Letto group utilized an automatic system for leg mobilization in a supine position. The Erigo group utilized a tilting table with an integrated leg movement system, which allows progressive verticalization of the patient. The 3rd group received standard care. Between day(s) 1-7 patient were mobilized in bed, while post day 7 patients were mobilized out of bed, or as soon as able. From the time of admission patients were mobilized every day in bed. Patients were mobilized out of bed after a minimum of 7 days. Outcome Measure: Production of Catecholamines, cardio-respiratory parameters.
  1. There were no significant intra or inter group changes in blood pressure throughout the trial.
  2. Significant within and between group differences were found for increased epinephrine rate both after MOTOmed (both p=0.023) and standard mobilization (both p=0.046). Epinephrine increased more in the MOTOmed group compared to the standard mobilization group.
  3. Plasmametanephrine concentration significantly increased after MOTOmed treatment (p=0.023).
  4. Overall, plasmanormetanephrine concentration significantly increased after standad physiotherapy (p=0.046).
PEDro=Physiotherapy Evidence Database rating scale score (Moseley et al., 2002).