Comparison of motor relearning occupation-based and neurodevelopmental treatment approaches in treating patients with traumatic brain injury
DOI:
https://doi.org/10.17159/2310-3833/2020/vol50no3a5Abstract
Introduction: Traumatic Brain Injury (TBI) is caused by trauma related to motor vehicle accidents (MVAs), accidental falls and violence.
Around the world, approximately 69 million people annually suffer a TBI due to various causes with the majority of cases affecting low and middel-income countries (LMICs). The management of TBI requires a multidisciplinary approach which includes rehabilitation. The aim of the study was therefore to evaluated the outcomes of the Neuro-developmental Treatment (NDT) and motor relearning, occupation-based approaches on physical performance and self-care among adults with TBI.
Methods: An experimental research design comparing two groups was used in the study. The Fugl Meyer Assessment (FMA)
was used to evaluate the motor performance and a Modified Barthel Index (MBI) was used to ascertain the functional
independence of the study participants before and after interventions. Data were analysed using descriptive statistics and non-parametric tests.
Results: The motor relearning occupation-based approach showed greater improvement in the FMA total, upper extremity
and wrist, and most of the MBI scores. The NDT approach showed greater improvement in pain scores.
Conclusion: The findings of the current study indicate that both motor relearning occupation-based and NDT treatment
approaches show clinically significant improvement in physical performance and self-care. The study also shows that the motor relearning occupation-based approach is more preferable to the NDT for improvement of physical persormance and self-care.
Keywords: Self-care, Neurodevelopmental Treatment approach, Motor relearning occupation-based approach, Traumatic brain injury
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