The SRS describes amount and type of supervision and frequency of monitoring received by an individual following TBI.
1 item
13 rating levels
Less than 5 minutes
Initially reviewed by Karen McCulloch, PT, PhD, NCS and the TBI taskforce of the Neurology Section of the APTA in 6/2012.
Recommendations for use of the instrument from the Neurology Section of the American Physical Therapy Association’s Multiple Sclerosis Taskforce (MSEDGE), Parkinson’s Taskforce (PD EDGE), Spinal Cord Injury Taskforce (PD EDGE), Stroke Taskforce (StrokEDGE), Traumatic Brain Injury Taskforce (TBI EDGE), and Vestibular Taskforce (Vestibular EDGE) are listed below. These recommendations were developed by a panel of research and clinical experts using a modified Delphi process.
For detailed information about how recommendations were made, please visit:
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Abbreviations: |
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HR |
Highly Recommend |
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R |
Recommend |
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LS / UR |
Reasonable to use, but limited study in target group / Unable to Recommend |
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NR |
Not Recommended |
Recommendations based on level of care in which the assessment is taken:
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Acute Care |
Inpatient Rehabilitation |
Skilled Nursing Facility |
Outpatient Rehabilitation |
Home Health |
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TBI EDGE |
NR |
NR |
NR |
NR |
NR |
Recommendations for use based on ambulatory status after brain injury:
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Completely Independent |
Mildly dependant |
Moderately Dependant |
Severely Dependant |
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TBI EDGE |
N/A |
N/A |
N/A |
N/A |
Recommendations for entry-level physical therapy education and use in research:
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Students should learn to administer this tool? (Y/N) |
Students should be exposed to tool? (Y/N) |
Appropriate for use in intervention research studies? (Y/N) |
Is additional research warranted for this tool (Y/N) |
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TBI EDGE |
No |
No |
No |
Not reported |
Support for this scale is based on a single article and has not been widely studied.
5 level SRS may be more useful than 13 point SRS because of advantages in communication with non specialists (Boake, 1996)
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Traumatic Brian Injury: (Boake 1996; a subsample of 19 patients from a larger pool of 114 of individuals with moderate to severe TBI who were living in the community, on average were 3.8 years post injury)
Traumatic Brain Injury: (Boake 1996)
Boake, C. (1996). "Supervision rating scale: a measure of functional outcome from brain injury." Arch Phys Med Rehabil 77(8): 765-772.
We have reviewed more than 500 instruments for use with a number of diagnoses including stroke, spinal cord injury and traumatic brain injury among several others.