About this trial
The goal of this study is to learn if a enhanced environment (Metro Café) with multi model approach (an approach that combines several therapies) in chronic traumatic brain injury improves outcomes of recovery better than traditional therapy. The main questions it aims to answer are:
* Determine the amount of therapy dosage (speech, cognition, arm and leg movements) obtained during the Metro Café therapy session. * Evaluate the connection between environmental enrichment dosage (the Metro Café) and clinical outcome scores.
Researchers will compare Metro Café Treatment to those who do not receive this treatment to see if better improvements in function after a traumatic brain injury are seen in the Metro Café Treatment Participants will train in the Metro Cafe during the 2-month gap between assessments, for a total of 18 training sessions, each up to 2 hours, 3 times per week. Participants will greet and serve customers drinks and snacks, maintain food supplies at the counters and performs housekeeping tasks with advice and assistance from a supervising researcher as needed,
Eligibility criteria
Qualifiers
moderate to severe neurological diagnosis as diagnosed by a clinician,
ability to comprehend multi step instructions,
ability to independently balance with weight support,
physical deficits resulting in need for additional functional goals,
Disqualifiers
Adults unable to consent
Individuals who are not yet adults (infants, children, teenagers)
Non-English speaking
Pregnant women
Trial design
Treatments tested in this trial
- Cafe Therapy