An Observation Based Intervention Study: Clinical Changes in Interaction Behaviour as Response to Guided Tactual Interaction Therapy in 5 Adults with Acquired, Severe Brain Injury
|Lone Blak Lund1*, Anna Birthe Andersen2, Karen Hastrup Arentsen1 and Tove Kristensen1|
|1Physiotherapists, Hammel Neurorehabilitation and Research Centre, Hammel, Denmark|
|2Occupational Therapist, Hammel Neurorehabilitation and Research Centre, Hammel, Denmark|
|Corresponding Author :||Lone Blak Lund
Hammel Neurorehabilitation and Research Centre 8450 Hammel, Denmark
Tel: +45 7841 9285
Fax: +45 7841 9679
|Received October 24, 2013; Accepted December 05, 2013; Published December 10, 2013|
|Citation: Lund LB, Andersen AB, Arentsen KH, Kristensen T (2013) An Observation Based Intervention Study: Clinical Changes in Interaction Behaviour as Response to Guided Tactual Interaction Therapy in 5 Adults with Acquired, Severe Brain Injury. J Nov Physiother 4:188. doi: 10.4172/2165-7025.1000188|
|Copyright: © 2013 Lund LB, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Purpose: To identify and explore possible clinical changes in behaviour, elicited by Guided Tactual Interaction Therapy (GTIT), in patients with very low level of function following severe brain injury.
Methods: 5 adults with acquired, severe brain injury, scoring Rancho Los Amigos Scale (RLAS) 2-4, received GTIT three times. The interventions were video recorded, analysed and interpreted. Clinical changes in behaviour were identified by 4 different investigators, through individual and more consensus analyses.
Results: 4 main types of clinical changes in behaviour elicited by GTIT were identified, represented by 34 differentiated subtypes, which all appeared in pattern formations.
Conclusion: Clinical changes in behaviour were identified during application of GTIT. The changes included positive impacts on motor hyperactivities, tone alterations, eye directions and-expressions, and they revealed several active adjustments to or participations in ADL activities in the patients scoring RLAS 3-4. The clinical changes represent each individual patient’s ability to rise in response level in an individually tailored GTIT treatment situation, and they may reflect different levels of perceptual organisation. More studies on individual response behaviours elicited by GTIT in persons with acquired, severe brain injury are suggested.