Abstract

NOWA, Jackson; FRANZSEN, Denise  and  THUPAE, Dineo. Comparison of motor relearning occupation-based and neurodevelopmental treatment approaches in treating patients with traumatic brain injury. S. Afr. j. occup. ther. [online]. 2020, vol.50, n.3, pp.40-51. ISSN 2310-3833.  http://dx.doi.org/10.17159/2310-3833/2020/vol50no3a5.

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 middle income countries (LMICs). The management of TBI requires a multidisciplinary approach which includes rehabilitation. The aim of the study was therefore to evaluate the outcomes of the Neurodevelopmental Treatment (NDT) and motor relearning occupation-based approaches on physical performance and self-care among adults with TBIMETHODS: 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 testsRESULTS: 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 scoresCONCLUSION: 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 performance and self-care

Keywords : Self-care; Neurodevelopmental Treatment approach; Motor relearning occupation-based approach; Traumatic brain injury.

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