Duration and functional outcome of spinal cord injury rehabilitation in the Netherlands

Post, Marcel W M; Dallmeijer, Annet J.; Angenot, Edmond L.; Asbeck, F; Woude, Lucas H V van der

doi:10.1682/jrrd.2004.10.0133

Cited by 60 publications

(76 citation statements)

References 26 publications

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“…272.9 and 240 days respectively. 18 However, persons with motor complete lesions were over-represented in that study.…”

Section: Length Of Staymentioning

confidence: 77%

“…14,18,20 The presence of secondary conditions may also have contributed to the variation of LOS, but this factor could not be examined in this study. In addition, different healthcare systems and cultural differences might explain some of the variation in LOS found in the literature.…”

Section: Length Of Staymentioning

confidence: 99%

“…In addition, different healthcare systems and cultural differences might explain some of the variation in LOS found in the literature. 18 For example, the reimbursement system in the Netherlands offers little pressure to restrict LOS. 21 …”

Section: Length Of Staymentioning

confidence: 99%

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Characteristics, length of stay and functional outcome of patients with spinal cord injury in Dutch and Flemish rehabilitation centres

2008

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Study design: Multi-centre prospective descriptive study. Objective: To establish a profile of the population affected with traumatic and non-traumatic spinal cord injury (SCI) admitted to rehabilitation centres in the Netherlands and Flanders (Belgium) and to describe determinants of length of stay (LOS) and functional outcome. Methods: Information about LOS, functional outcome and personal and injury characteristics was derived from a joint data set developed for this project. Results: A total of 54.7% of patients with SCI had a non-traumatic lesion. The group of patients with non-traumatic SCI showed a more even gender distribution, a more advanced age and less severe lesion characteristics than the group of patients with traumatic SCI. Linear regression models explained 32% of the variance of LOS and 42% of the variance of functional outcome. Functional status on admission was the strongest determinant of LOS and completeness of the lesion was the strongest determinant of functional outcome. Aetiology (traumatic versus non-traumatic) was a weak independent determinant of LOS but was not an independent determinant of functional outcome. Conclusion: Patients with non-traumatic SCI formed a majority in the Dutch and Flemish SCI population. Although the characteristics of patients with traumatic and non-traumatic SCI clearly differed, rehabilitation of patients with non-traumatic SCI appears at least as efficient as rehabilitation of patients with traumatic SCI.

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“…272.9 and 240 days respectively. 18 However, persons with motor complete lesions were over-represented in that study.…”

Section: Length Of Staymentioning

confidence: 77%

Section: Length Of Staymentioning

confidence: 99%

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Characteristics, length of stay and functional outcome of patients with spinal cord injury in Dutch and Flemish rehabilitation centres

2008

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“…In Alberta, length of rehabilitation stay in the period between 1994 and 1999 for a person with a complete spinal cord injury was a median of 139 days 3 as compared to 195 days in the Netherlands, 37 and approximately 71 days in the US. 38 The differential lengths of stays may have a profound effect on the readiness states of individuals with SCI, and the delivery options for information about prevention of secondary conditions.…”

Section: Discussionmentioning

confidence: 99%

Perceptions of issues associated with the maintenance and improvement of long-term health in people with SCI

Manns

May

2006

Spinal Cord

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Study design: Qualitative design using focus groups. Objective: To explore the perceptions of people with SCI and their caregivers about information needs and service delivery options that may assist them to maintain or improve their long-term health. Setting: Province wide project in Alberta, Canada. Methods: Eight focus groups were conducted; five with community dwelling people with SCI and three with unpaid caregivers (family and friends). Content analysis was used to identify categories and themes arising from the data. Results: The findings from the study are broader than the original objective to explore information needs and service delivery options to promote long-term health. The participants more globally discussed factors that contribute to or provide barriers to their long-term health. Those factors are captured in five categories, including readiness, information pathways, community health care, health promotion, and contextual factors. A framework that illustrates the relationships between categories was constructed. Conclusion: The framework identifies areas to target in programmes designed to reduce or prevent secondary conditions in people with SCI.

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“…The Dutch version of the FIM was used for this study. 17 The items were scored on a seven-point scale (1 (completely dependent)À7 (independent)) and the 13 items were added together to obtain an overall FIM motor score, ranging from 13 to 91.…”

Section: Methodsmentioning

confidence: 99%

Upper extremity musculoskeletal pain during and after rehabilitation in wheelchair-using persons with a spinal cord injury

et al. 2005

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Study design: Prospective cohort study. Objectives: To study upper extremity musculoskeletal pain during and after rehabilitation in wheelchair-using subjects with a spinal cord injury (SCI) and its relation with lesion characteristics, muscle strength and functional outcome. Setting: Eight rehabilitation centers with an SCI unit in the Netherlands. Methods: Using a questionnaire, number, frequency and seriousness of musculoskeletal pain complaints of the upper extremity were measured. A pain score for the wrist, elbow and shoulder joints was calculated by multiplying the seriousness by the frequency of pain complaints. An overall score was obtained by adding the scores of the three joints of both upper extremities. Muscle strength was determined by manual muscle testing. The motor score of the functional independence measure provided a functional outcome. All outcomes were obtained at four test occasions during and 1 year after rehabilitation. Results: Upper extremity pain and shoulder pain decreased over time (30%) during the latter part of in-patient rehabilitation (Po0.001). Subjects with tetraplegia (TP) showed more musculoskeletal pain than subjects with paraplegia (PP) (Po0.001). Upper extremity pain and shoulder pain were significantly inversely related to functional outcome (Po0.001). Muscle strength was significantly inversely related to shoulder pain (Po0.001). Musculoskeletal pain at the beginning of rehabilitation and BMI were strong predictors for pain 1 year after in-patient rehabilitation (Po0.001). Conclusions: Subjects with TP are at a higher risk for upper extremity musculoskeletal pain and for shoulder pain than subjects with PP. Higher muscle strength and higher functional outcome are related to fewer upper extremity complaints.Spinal Cord (2006) 44, 152-159.

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Duration and functional outcome of spinal cord injury rehabilitation in the Netherlands

Cited by 60 publications

References 26 publications

Characteristics, length of stay and functional outcome of patients with spinal cord injury in Dutch and Flemish rehabilitation centres

Characteristics, length of stay and functional outcome of patients with spinal cord injury in Dutch and Flemish rehabilitation centres

Perceptions of issues associated with the maintenance and improvement of long-term health in people with SCI

Upper extremity musculoskeletal pain during and after rehabilitation in wheelchair-using persons with a spinal cord injury

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