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It is reported that the thesis section is available, to publish abstracts of postgraduate theses in the disciplinary field. Who submits your thesis, must present the title, abstract, key words (include Occupational Therapy), and a summary of 2 to 3 pages of your thesis. And `present it in Spanish, English and / or Portuguese.
Approaches and foundations for a model of ambulatory rehabilitation in people with acquired brain injury
Abstract
Introduction: A significant percentage of people who acquire a Brain Injury need outpatient rehabilitationprograms. In Chile the rehabilitation field is in a transitional stage. Even though the biomedical model
is predominant in rehabilitation, the clinical guidelines have begun to recommend an interdisciplinary
approach that considers patients needs and their families. Now-a-days, there is a gap on how to
operationalize effective interventions responding to this paradigm.
Objectives: To find evidence that sustains the development and assessment of outpatient neurorehabilitation
approaches of people with brain injury and, to describe the possible operationalization methodologies of these.
Methodology: Inductive and conceptual review of literature.
Results: In Chilean Literature does not exist empirical evidence nor systematic developments on the
foundations and effectiveness of outpatient rehabilitation programs for people with brain injury.
International Literature describes three approaches: holistic, client centered, and goal-based. While such
approaches can guide the team actions, the evidence of their effectiveness, based on expert criteria and
small longitudinal studies and single case studies is still limited.
Conclusions: For the development of a rehabilitation team identity, it is essential to determine the
principles and approaches that support their work. Due to complexity and diversity of patients in the
ambulatory phase, it is crucial that teams have clear foundations to guide the constant decision making.
The evaluation of the effectiveness of ambulatory programs in Chile is a necessity; also it is to develop
methodologies according to the nature of the phenomenon.
