Functional Outcomes of an Interdisciplinary Outpatient Rehabilitation Program for Patients with Malignant Brain Tumors

• DOI: 10.1016/j.pmrj.2018.03.002
• Publication Date: 2018-03-18T17:31:41Z
• Authors: Samman Shahpar; Alex W.K. Wong; Susan Keeshin; Sarah M. Eickmeyer; Patrick Semik; Masha Kocherginsky; Stacy McCarty
• Keywords: Functional Independence Measure; Stroke; Outpatient clinic

Abstract Background Malignant brain tumors cause significant impairments in function because of the nature disease. Nevertheless, patients with malignant can make functional gains equivalent to those stroke and traumatic injury inpatient rehabilitation setting. However, efficacy outpatient this population has received little study. Objective To determine if an interdisciplinary program will improve outcomes tumors. Design Nonrandomized prospective longitudinal Setting Six affiliated sites one institution. Patients Forty‐nine adults were enrolled. Methods therapy services, duration determined by therapist evaluations. The therapists scored Day Rehabilitation Outcome Scale (DayROS) Disability Rating (DRS) on admission discharge. caregivers filled out DRS at discharge, 1 month, 3 months after Main Measurements primary study outcome measure was DayROS, which is a similar Functional Independence Measure. another assessing basic self‐care, dependence others, psychosocial adaptability. Results Forty‐six 49 enrolled (94%) completed day program. average length stay 76.9 days. There improvement total DayROS ( P < .001), mobility Activities Daily Living communication .001) subscores from no changes over time scores. Women had higher = .003) better scores discharge than men .010). Conclusions This level care should be considered patient population. Level Evidence II