Brain Injuries
Conditions
Keywords
Exercise, Physical activity
Brief summary
The purpose of this observational study is to quantify physical activity patterns in patients with severe acquired brain injury admitted for in-hospital rehabilitation.
Detailed description
Patients admitted for rehabilitation will be included for two periods of one-week monitorization of physical activity. The investigators will include all patients with moderate to severe brain injury. This is an observational cross-sectional study including patients 18 years or above. Patients with conditions such as unstable fractures that restricts mobilisation are excluded. Physical activity is measured continuously during rehabilitation at two separate seven-day periods using a body-worn activity tracker. The first period will be initiated in the early phase of rehabilitation (3 days after admission) and the second at the late phase (10 days before discharge). Baseline variables considered predictors, confounders or modifiers for physical activity will be collected along with registration of variables during the measurement periods and functional outcome variables at discharge.
Interventions
No intervention will be applied. All included patients will be monitored with body-worn physical activity monitors during two periods.
Sponsors
Study design
Eligibility
Inclusion criteria
* 18 years old
Exclusion criteria
* Planned discharge within two weeks * Fractures of lower extremities, pelvis or spine prohibiting weight-bearing * Amputation of lower extremities
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Early physical activity | Continuous measure of physical activity during day three to ten of rehabilitation | Activity data collected in the early phase will be the exposure variable. Amount of minutes patients are physically active. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Late physical activity | Continuous measure of physical activity during day three to ten before discharge from rehabilitation | Activity data collected in the early phase will be the exposure variable. Amount of minutes patients are physically active. |
| Functional Independence Measure (discharge) | Discharge from rehabilitation (3 months) | Functional scale evaluating independence from a score of 18 (worst) to 126 (best) |
| Glasgow Coma Scale (GCS) (admission) | Admission | Coma scale with score between 3 (worst) to 15 (best) |
| Comorbidities at admission | Admission | Number of comorbidities |
| Ranchos Los Amigos Score | Admission | Level of cognitive function. Score between 1 (worst) and 8 (best) |
| Length of stay at intensive care unit | Retrospectively recorded at admission to the rehabilitation department | Number of days at intensive care unit before admission to rehabilitation unit |
| Agitated Behaviour Scale (ABS) | Day three to ten of rehabilitation | Days with ABS above 22. Dichotomised outcome with scores above 22 indicating agitated behaviour. |
| Early Functional Ability (EFA) score | Admission | Early signs of functional ability. Score between 20 (worst) and 100 (best) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Complications during rehabilitation | Rehabilitation period (3 months) | Registration of the number of complications during rehabilitation stay at hospital (e.g. pneumonia, unrinary infection, hydrocephalus etc). Predefined in protocol. |
Countries
Denmark