Functional Outcomes of an Interdisciplinary Outpatient Rehabilitation Program for Patients with Malignant Brain Tumors

Samman Shahpar*, Alex W.K. Wong, Susan Keeshin, Sarah M. Eickmeyer, Patrick Semik, Masha Kocherginsky, Stacy McCarty

*Corresponding author for this work

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: Malignant brain tumors cause significant impairments in function because of the nature of the disease. Nevertheless, patients with malignant brain tumors can make functional gains equivalent to those with stroke and traumatic brain injury in the inpatient rehabilitation setting. However, the efficacy of outpatient rehabilitation in this population has received little study. Objective: To determine if an interdisciplinary outpatient rehabilitation program will improve functional outcomes in patients with malignant brain tumors. Design: Nonrandomized prospective longitudinal study. Setting: Six affiliated outpatient sites of one institution. Patients: Forty-nine adults with malignant brain tumors were enrolled. Methods: Patients received interdisciplinary therapy services, with duration determined by the therapist evaluations. The therapists scored the Day Rehabilitation Outcome Scale (DayROS) and Disability Rating Scale (DRS) on admission and discharge. The caregivers filled out the DRS at discharge, 1 month, and 3 months after discharge. Main Outcome Measurements: The primary study outcome measure was the DayROS, which is a functional measure similar to the Functional Independence Measure. DRS was another functional outcome measure assessing basic self-care, dependence on others, and psychosocial adaptability. Results: Forty-six of 49 enrolled patients (94%) completed the day rehabilitation program. The average length of stay was 76.9 days. There was a significant improvement in total DayROS (P <.001), mobility (P <.001), Activities of Daily Living (P <.001), and communication (P <.001) DayROS subscores from admission to discharge. There were no significant changes over time in the DRS scores. Women had higher DayROS gains (P =.003) and better therapist DRS scores from admission to discharge than men (P =.010). Conclusions: Patients with malignant brain tumors can make functional gains in an interdisciplinary outpatient rehabilitation program. This level of care should be considered in this patient population. Level of Evidence: II

Original languageEnglish (US)
Pages (from-to)926-933
Number of pages8
JournalPM and R
Volume10
Issue number9
DOIs
StatePublished - Sep 1 2018

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Brain Neoplasms
Outpatients
Rehabilitation
Outcome Assessment (Health Care)
Activities of Daily Living
Self Care
Caregivers
Population
Longitudinal Studies
Inpatients
Length of Stay
Stroke
Communication
Prospective Studies

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Neurology
  • Clinical Neurology

Cite this

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title = "Functional Outcomes of an Interdisciplinary Outpatient Rehabilitation Program for Patients with Malignant Brain Tumors",
abstract = "Background: Malignant brain tumors cause significant impairments in function because of the nature of the disease. Nevertheless, patients with malignant brain tumors can make functional gains equivalent to those with stroke and traumatic brain injury in the inpatient rehabilitation setting. However, the efficacy of outpatient rehabilitation in this population has received little study. Objective: To determine if an interdisciplinary outpatient rehabilitation program will improve functional outcomes in patients with malignant brain tumors. Design: Nonrandomized prospective longitudinal study. Setting: Six affiliated outpatient sites of one institution. Patients: Forty-nine adults with malignant brain tumors were enrolled. Methods: Patients received interdisciplinary therapy services, with duration determined by the therapist evaluations. The therapists scored the Day Rehabilitation Outcome Scale (DayROS) and Disability Rating Scale (DRS) on admission and discharge. The caregivers filled out the DRS at discharge, 1 month, and 3 months after discharge. Main Outcome Measurements: The primary study outcome measure was the DayROS, which is a functional measure similar to the Functional Independence Measure. DRS was another functional outcome measure assessing basic self-care, dependence on others, and psychosocial adaptability. Results: Forty-six of 49 enrolled patients (94{\%}) completed the day rehabilitation program. The average length of stay was 76.9 days. There was a significant improvement in total DayROS (P <.001), mobility (P <.001), Activities of Daily Living (P <.001), and communication (P <.001) DayROS subscores from admission to discharge. There were no significant changes over time in the DRS scores. Women had higher DayROS gains (P =.003) and better therapist DRS scores from admission to discharge than men (P =.010). Conclusions: Patients with malignant brain tumors can make functional gains in an interdisciplinary outpatient rehabilitation program. This level of care should be considered in this patient population. Level of Evidence: II",
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Functional Outcomes of an Interdisciplinary Outpatient Rehabilitation Program for Patients with Malignant Brain Tumors. / Shahpar, Samman; Wong, Alex W.K.; Keeshin, Susan; Eickmeyer, Sarah M.; Semik, Patrick; Kocherginsky, Masha; McCarty, Stacy.

In: PM and R, Vol. 10, No. 9, 01.09.2018, p. 926-933.

Research output: Contribution to journalArticle

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AU - Shahpar, Samman

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AU - Keeshin, Susan

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N2 - Background: Malignant brain tumors cause significant impairments in function because of the nature of the disease. Nevertheless, patients with malignant brain tumors can make functional gains equivalent to those with stroke and traumatic brain injury in the inpatient rehabilitation setting. However, the efficacy of outpatient rehabilitation in this population has received little study. Objective: To determine if an interdisciplinary outpatient rehabilitation program will improve functional outcomes in patients with malignant brain tumors. Design: Nonrandomized prospective longitudinal study. Setting: Six affiliated outpatient sites of one institution. Patients: Forty-nine adults with malignant brain tumors were enrolled. Methods: Patients received interdisciplinary therapy services, with duration determined by the therapist evaluations. The therapists scored the Day Rehabilitation Outcome Scale (DayROS) and Disability Rating Scale (DRS) on admission and discharge. The caregivers filled out the DRS at discharge, 1 month, and 3 months after discharge. Main Outcome Measurements: The primary study outcome measure was the DayROS, which is a functional measure similar to the Functional Independence Measure. DRS was another functional outcome measure assessing basic self-care, dependence on others, and psychosocial adaptability. Results: Forty-six of 49 enrolled patients (94%) completed the day rehabilitation program. The average length of stay was 76.9 days. There was a significant improvement in total DayROS (P <.001), mobility (P <.001), Activities of Daily Living (P <.001), and communication (P <.001) DayROS subscores from admission to discharge. There were no significant changes over time in the DRS scores. Women had higher DayROS gains (P =.003) and better therapist DRS scores from admission to discharge than men (P =.010). Conclusions: Patients with malignant brain tumors can make functional gains in an interdisciplinary outpatient rehabilitation program. This level of care should be considered in this patient population. Level of Evidence: II

AB - Background: Malignant brain tumors cause significant impairments in function because of the nature of the disease. Nevertheless, patients with malignant brain tumors can make functional gains equivalent to those with stroke and traumatic brain injury in the inpatient rehabilitation setting. However, the efficacy of outpatient rehabilitation in this population has received little study. Objective: To determine if an interdisciplinary outpatient rehabilitation program will improve functional outcomes in patients with malignant brain tumors. Design: Nonrandomized prospective longitudinal study. Setting: Six affiliated outpatient sites of one institution. Patients: Forty-nine adults with malignant brain tumors were enrolled. Methods: Patients received interdisciplinary therapy services, with duration determined by the therapist evaluations. The therapists scored the Day Rehabilitation Outcome Scale (DayROS) and Disability Rating Scale (DRS) on admission and discharge. The caregivers filled out the DRS at discharge, 1 month, and 3 months after discharge. Main Outcome Measurements: The primary study outcome measure was the DayROS, which is a functional measure similar to the Functional Independence Measure. DRS was another functional outcome measure assessing basic self-care, dependence on others, and psychosocial adaptability. Results: Forty-six of 49 enrolled patients (94%) completed the day rehabilitation program. The average length of stay was 76.9 days. There was a significant improvement in total DayROS (P <.001), mobility (P <.001), Activities of Daily Living (P <.001), and communication (P <.001) DayROS subscores from admission to discharge. There were no significant changes over time in the DRS scores. Women had higher DayROS gains (P =.003) and better therapist DRS scores from admission to discharge than men (P =.010). Conclusions: Patients with malignant brain tumors can make functional gains in an interdisciplinary outpatient rehabilitation program. This level of care should be considered in this patient population. Level of Evidence: II

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