Functional outcome of patients with spinal cord injury: rehabilitation outcome study

Schönherr, M.C.; Groothoff, Johan W.; Mulder, G. Arnold; Eisma, W.H.

doi:10.1191/026921599666105472

Cited by 37 publications

(32 citation statements)

References 15 publications

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“…These results are in accordance with those of other studies that found age was inversely related to functional status after SCI. 20,41 Many researchers 10,11,17 have shown a relation between lesion level and motor completeness of the lesion and functional outcome after inpatient rehabilitation. In the present study, we found that lesion level was significantly associated with the 3 scores of the Wheelchair Circuit.…”

Section: Relation Between Characteristics (Subject Lesion) Complicamentioning

confidence: 99%

“…Several researchers 8,17,[35][36][37][38][39] have studied changes in functional status during rehabilitation after SCI by using FIM scores or parameters of physical capacity as outcome variables. Most studies 8,17,35,36 only assessed subjects once or twice during their rehabilitation period (ie, at admission, and/or at the time of discharge from the rehabilitation center). Few studies have been published on the course of improvement during rehabilitation and few assess functional status at least 3 times during rehabilitation.…”

Section: Changes In Wheelchair Circuit Scoresmentioning

confidence: 99%

“…14,22 Lesion level and lesion completeness are related to functional outcomes. 10,11,17 Persons with tetraplegia are in general more limited in their ability to propel a wheelchair than are people with paraplegia, and subjects with motor complete lesions are expected to experience more difficulties in wheelchair skill performance than persons with motor incomplete lesions. Subjects who suffer from secondary complications (ie, pressure ulcers, urinary tract infections [UTIs], respiratory tract infections) may also experience a limitation in their daily physical activity.…”

mentioning

confidence: 99%

“…From studies of disability in general or functional limitations or cross-sectional studies, one may deduce that wheelchair skill performance is related to subject and lesion characteristics and the prevalence of secondary complications and upper-extremity pain. [8][9][10][11][12][13][14][15][16][17] Evidence exists for an inverse relation between age and functional outcome measures.…”

mentioning

confidence: 99%

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Subject- and Injury-Related Factors Influencing the Course of Manual Wheelchair Skill Performance During Initial Inpatient Rehabilitation of Persons With Spinal Cord Injury

Kilkens

Dallmeijer

Angenot

et al. 2005

Archives of Physical Medicine and Rehabilitation

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ABSTRACT. Kilkens OJ, Dallmeijer AJ, Angenot E, Twisk JW, Post MW, van der Woude LH. Subject-and injury-related factors influencing the course of manual wheelchair skill performance during initial inpatient rehabilitation of persons with spinal cord injury. Arch Phys Med Rehabil 2005;86:2119-25.Objectives: To study changes in wheelchair skills in subjects with spinal cord injury (SCI) during rehabilitation; to determine whether changes in wheelchair skill performance are related to the subject, lesion characteristics, secondary complications, and upper extremity pain; and to investigate if wheelchair skill performance at discharge can be predicted from these features.Design: Longitudinal. Subjects performed the Wheelchair Circuit 3 times during rehabilitation: at admission (t1), 3 months later (t2), and at discharge (t3).Setting: Eight rehabilitation centers in the Netherlands. Participants: One hundred twenty-one subjects with SCI. Interventions: Not applicable. Main Outcome Measures:The Wheelchair Circuit consists of 8 wheelchair skills and results in 3 test scores: ability, performance time, and physical strain.Results: All the scores of the Wheelchair Circuit improved significantly between t1 and t2, and between t2 and t3. The scores were related to age and lesion level, whereas changes in scores were related to age, sex, lesion level, and secondary complications. The variables age, body mass index, sex, lesion level, motor completeness, and secondary complications contributed significantly to the prediction of the scores at t3.Conclusions: Wheelchair skill performance improved during rehabilitation. Personal and lesion characteristics are most important for improving wheelchair skill performance and predicting wheelchair skill performance.

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Section: Relation Between Characteristics (Subject Lesion) Complicamentioning

confidence: 99%

Section: Changes In Wheelchair Circuit Scoresmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Subject- and Injury-Related Factors Influencing the Course of Manual Wheelchair Skill Performance During Initial Inpatient Rehabilitation of Persons With Spinal Cord Injury

Kilkens

Dallmeijer

Angenot

et al. 2005

Archives of Physical Medicine and Rehabilitation

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“…1,2 With regard to rolling, C5 tetraplegic patients have di culty, but C7 tetraplegic patients are much more capable. 3 Some C6 complete tetraplegics can roll, while some cannot.…”

Section: Introductionmentioning

confidence: 99%

Three-dimensional measurement of rolling in tetraplegic patients

et al. 2000

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Objective: To investigate the di erences between traumatic tetraplegic patients who can roll and those who cannot. Design: Motion analysis using 3-dimensional measurement. Setting: Rehabilitation centers in southwestern Japan. Participants: Nineteen male participants, all of whom had traumatic C6 complete injury. Methods: We used an electromagnetic device to examine the degree of spinal movement in axial rotation during rolling (shifting from supine to side lying). This system (3-Space Win) measures the position and orientation of sensors in space. Two sensors were mounted on a subject over the spinous process of T1 and L5. Results: The spinal rotation of patients who could not roll was signi®cantly lower than that of patients who could roll. (The average rotation of non-rollers was 31.5+17.58, while the average rotation of rollers was 66.3+17.38). In this study, there were no statistically signi®cant di erences in the members of the two groups in terms of age, height, weight or time after injury. Conclusion: Rolling requires greater and adequate¯exibility in the back of tetraplegic patients. Spinal Cord (2000) 38, 683 ± 686

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Trauma Products: Spinal Cord Injury Implants

Gilbert

Zhang

2020

Handbook of Spine Technology

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Functional outcome of patients with spinal cord injury: rehabilitation outcome study

Abstract: The results of this study provided more insight into the functional outcome of a group of patients with traumatic spinal cord injury. More research is needed to evaluate the rehabilitation programmes for these patients.

Cited by 37 publications

References 15 publications

Subject- and Injury-Related Factors Influencing the Course of Manual Wheelchair Skill Performance During Initial Inpatient Rehabilitation of Persons With Spinal Cord Injury

Subject- and Injury-Related Factors Influencing the Course of Manual Wheelchair Skill Performance During Initial Inpatient Rehabilitation of Persons With Spinal Cord Injury

Three-dimensional measurement of rolling in tetraplegic patients

Trauma Products: Spinal Cord Injury Implants

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