A rehabilitation protocol for craniotomy patient after surgery in ICUs.

Phase 2

Completed

• Conditions: Health Condition 1: G998- Other specified disorders of nervous system in diseases classified elsewhere

• Registration Number: CTRI/2020/03/024241
• Lead Sponsor: Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Completion: 2021-02-15
• Last Update Posted: 16 October 2023

Recruitment & Eligibility

• Status: Completed
• Sex: Not specified
• Target Recruitment: 13

Inclusion Criteria

1.Patients who are ventilated mechanically after the procedure of craniotomy.

2.Patients who are on oxygen support, the amount of oxygen being delivered will depend upon the condition of the patient and it’s saturation.

3. Patients who have undergone tracheostomy.

4.Patients who have undergone craniotomy for reasons such as:

a)Cerebral aneurysm

b)Stereotactic aspiration

c)Extended bifrontal craniotomy followed by bone flap replacement.

d)Minimal invasive supra-orbital craniotomy

e)Removal of blood clot from brain vesels.

f)Drainage of brain abcess

g)Repairing of fractures of the skull

Exclusion Criteria

1.Patients who have severe fatal infections following the surgery.

2.Patients who have an unstable vital such as high blood pressure, irregular tachycardia and bradycardia, low saturation level besides proper mechanical ventilation, exaggerated pulse and heart rate monitoring, etc.

3.Patients whose family is not cooperative for the treatment.

4.Patients with secondary infections like ventilator-acquired pneumonia.

5.Patients who have undergone craniotomy for the following reasons:

a)Patients whose brain lobes are removed i.e. lobectomy of the brain segments.

b)Patients who were diagnosed with meningioma.

c)Patients with malignant skull base tumor.

d)Patients who have undergone retro-sigmoid keyhole craniotomy.

e)Patients diagnosed with acoustic neuroma.

f)Patients who have undergone orbitozygomatic craniotomy.

g)Patients with translabryinthine craniotomy.

h)Patients who undergo craniotomy for the process of repair of tear in the duramater.

i)Patients with implanted stimulators.

6.Patients with hearing and visual loss.

7.Patients who are agitated and highly uncooperative post recovery from unconsciousness.

8.Patients who have previous history of any fatal injury.

9. Patients of amputation or amputed extremities before the surgical procedure.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1. Early Functional Ability Scale (EFA)Timepoint: The scale has 4 domains which are further divided into 20 points consisting of 100 scoring marks.It will be take prior to and fter the commencement of the exercsie.

Secondary Outcome Measures

Name	Time	Method
Modified ashworth scaleTimepoint: it will be taken on the first day and last day of the intervention.;Chest X-rayTimepoint: It will be seen before and after treatment intervention of 15 days.;Coma Recovery Scale (CRS)- RevisedTimepoint: it will betaken before and after the intervention i.e. before commencement and after 15 days.;Glasgow Coma Scale (GCS)Timepoint: It will be taken prior to commencement of the study and after completion of 15 days.;Medical research council scaleTimepoint: It will betaken before giving the treatemnt and after the intervention after 15 days.;Montreal cognitive assessment scaleTimepoint: taken before intervention and after the commencement of 15 days intervention.;Sensory modality assessment technique (SMAT)Timepoint: It will be taken before and after the 15 days treatment protocol.