Changes in Orientation During Acute Rehabilitation After Traumatic Brain Injury

ABSTRACT. Objective: To examine the profile of scores on a measure of orientation in a sample of patients with traumatic brain injury (TBI) during acute rehabilitation as a means of (a) assessing the extent of neural compromise, (b) assessing recovery of functioning, and (c) determining the relative...

Full description

Saved in:
Bibliographic Details
Published in:Rehabilitation psychology 2000-08, Vol.45 (3), p.284-291
Main Authors: Israelian, Marlyne K, Novack, Thomas A, Glen, Elizabeth T, Alderson, Amy L
Format: Article
Language:English
Subjects:
Female
Human
Inpatient
Male
Neuropsychological Rehabilitation
Perceptual Orientation
Rating Scales
Test Validity
Traumatic Brain Injury
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:ABSTRACT. Objective: To examine the profile of scores on a measure of orientation in a sample of patients with traumatic brain injury (TBI) during acute rehabilitation as a means of (a) assessing the extent of neural compromise, (b) assessing recovery of functioning, and (c) determining the relative difficulty of different indicators of orientation. Design: Repeated measures. Setting: Acute rehabilitation hospital. Participants: Forty-three patients with severe TBI interviewed daily throughout rehabilitation. Measures: The Orientation Log (O-Log) is a 10-item measure of orientation to place, time, and situation. Items are scored 0-3 on the basis of whether they are recalled spontaneously (3), with cueing (2), via recognition (1), or not at all (0). Results: O-Log score was correlated with severity of TBI. Return of orientation followed a consistent trajectory, with initial gains preceding a plateau effect. Patients had relatively more difficulty orienting to hospital name and date than to year, month, and city. Conclusions: The O-Log is sensitive to the severity of TBI. Progress in orientation, on average, occurs at a similar rate across patients, including those who present as severely disoriented, although those with severe disorientation may not achieve orientation by rehabilitation discharge.
ISSN:0090-5550
1939-1544
DOI:10.1037/0090-5550.45.3.284