Results show systematic review ing of OTIs on RTW was challenging due to varying population s , different outcome measures , and poor descriptions of methodology .
There is evidence that OTIs as part of rehabilitation programs , increase RTW rates , although the method ological evidence of most studies is weak .
Background The primary aim of this review study was to gather evidence on the effectiveness in terms of return to work ( RTW ) of occupational therapy interventions ( OTIs ) in rehabilitation patients with non-congenital disorders .
A secondary aim was to be able to select the most efficient OTI .
Rehabilitation of traumatic brain injury in active duty military personnel and veterans: Defense and Veterans Brain Injury Center randomized controlled trial of two rehabilitation approaches.
OBJECTIVES To determine the relative efficacy of 2 different acute traumatic brain injury ( TBI )  rehabilitation approaches : cognitive didactic versus functional-experiential , and secondarily to determine relative efficacy for different patient sub population s. DESIGN R and omized , controlled , intent-to-treat trial comparing 2 alternative TBI treatment approaches . SETTING Four Veterans Administration acute inpatient TBI rehabilitation programs . PARTICIPANTS Adult veterans or active duty military service members ( N=360 ) with moderate to severe TBI . INTERVENTIONS One and a half to 2.5 hours of protocol -specific cognitive-didactic versus functional-experiential rehabilitation therapy integrated into interdisciplinary acute Commission for Accreditation of Rehabilitation Facilities-accredited inpatient TBI rehabilitation programs with another 2 to 2.5 hours daily of occupational and physical therapy . Duration of protocol treatment varied from 20 to 60 days depending on the clinical needs and progress of each participant . MAIN OUTCOME MEASURES The 2 primary outcome measures were functional independence in living and return to work and /or school assessed by independent evaluators at 1-year follow-up . Secondary outcome measures consisted of the FIM , Disability Rating Scale score , and items from the Present State Exam , Apathy Evaluation Scale , and Neurobehavioral Rating Scale . RESULTS The cognitive-didactic and functional-experiential treatments did not result in overall group differences in the broad 1-year primary outcomes . However , analysis of secondary outcomes found differentially better immediate posttreatment cognitive function ( mean+/-SD cognitive FIM ) in participants r and omized to cognitive-didactic treatment ( 27.3+/-6.2 ) than to functional treatment ( 25.6+/-6.0 , t332=2.56 , P=.01 ) . Exploratory subgroup analyses found that younger participants in the cognitive arm had a higher rate of returning to work or school than younger patients in the functional arm , whereas participants older than 30 years and those with more years of education in the functional arm had higher rates of independent living status at 1 year posttreatment than similar patients in the cognitive arm . CONCLUSIONS Results from this large multicenter r and omized controlled trial comparing cognitive-didactic and functional-experiential approaches to brain injury rehabilitation indicated improved but similar long-term global functional outcome . Participants in the cognitive treatment arm achieved better short-term functional cognitive performance than patients in the functional treatment arm . The current increase in war-related brain injuries provides added urgency for rigorous study of rehabilitation treatments . ( http:// Clinical Trials.gov ID # NCT00540020 . )
Results show systematic review ing of OTIs on RTW was challenging due to varying population s , different outcome measures , and poor descriptions of methodology .
There is evidence that OTIs as part of rehabilitation programs , increase RTW rates , although the method ological evidence of most studies is weak .
Background The primary aim of this review study was to gather evidence on the effectiveness in terms of return to work ( RTW ) of occupational therapy interventions ( OTIs ) in rehabilitation patients with non-congenital disorders .
A secondary aim was to be able to select the most efficient OTI .