Impact of intensive, multidisciplinary neurorehabilitation on functional independence following pediatric acquired brain injury (ABI): A matched cohort study.

Only 38 children were analysed after matching, and all came from one facility, so the findings may not generalise. Intensity was not randomly assigned. Therapy time was shaped by individual goals and clinical judgement, so associations may reflect patient progress rather than dose. Only billable OT, PT, and SLP minutes were counted. Neuropsychology, recreational therapy, art counseling therapy, and school were not included in intensity. The study did not measure the type or complexity of activities during therapy. No minimal clinically important difference was available for WeeFIM, so the clinical meaning of small differences could not be judged. Time spent in therapy may not capture true intensity.

The authors received no financial support and declared no conflicts of interest.

Do not read OT minutes as a proven cause of better independence or PT minutes as a proven cause of worse independence. The study was a small matched cohort, not a randomised dose trial, and children also received PT, SLP, neuropsychology, recreational therapy, art counseling therapy, and school, so the contribution of any single service cannot be separated.