Hierarchical linear modeling of FIM instrument growth curve characteristics after spinal cord injury

Warschausky, Seth; Kay, Joshua B.; Kewman, Donald G.

doi:10.1053/apmr.2001.21510

Cited by 36 publications

(15 citation statements)

References 18 publications

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“…† The positive ␤ for t2-t3 for the ability score, for instance, indicates a 1-point improvement over this time interval (1.02ϫ1) at t3. schausky et al 20 examined the recovery of the FIM motor scores in 142 subjects with SCI during inpatient rehabilitation. As we did, Warschausky found that the rate of change over time was significantly influenced by sex.…”

Section: Relation Between Characteristics (Subject Lesion) Complicamentioning

confidence: 99%

“…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%

“…14,18-21 Warschausky et al 20 found that sex was a significant predictor for changes in functional outcome during rehabilitation, whereas Greenwald et al 19 stated that sex did not influence the functional outcome of rehabilitation of patients with SCI. Reports on the relation between wheelchair mobility and body mass index (BMI) are lacking, but it is plausible to hypothesize that wheelchair skill performance and BMI are related because activities that require moving or lifting the whole body, which are the essence of wheelchair mobility, are more difficult with a higher body weight.…”

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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: Relation Between Characteristics (Subject Lesion) Complicamentioning

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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“…In high (C5 ± C8) tetraplegics a small e ect of level of education on rate of change was noted, in which a higher level of education was associated with a more rapid rate of recovery. 75 Warschauski et al 75 noticed an e ect of length of stay on FIM motor scores in paraplegics, but not in tetraplegics.…”

Section: Name: Modi®ed Barthel Index (Mbi)mentioning

confidence: 99%

“…73 FIM scores appeared to reach a plateau in most SCI persons. 74,75 Hall et al 73 de®ned scores 6 and 7 as`ceiling' score, and a score of 1 as`¯oor' score. High tetraplegics (C1 ± C4) appeared to have 86%¯oor scores at admission on the motor FIM.…”

Section: Name: Modi®ed Barthel Index (Mbi)mentioning

confidence: 99%

Evaluation of upper extremity motor function tests in tetraplegics

Tuijl¹,

Janssen-Potten²,

Seelen³

2002

Spinal Cord

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Objective: To provide an overview of arm±hand function tests useful in tetraplegic subjects. Considerations for selection of an appropriate test are also provided. Data sources: A Medline literature search was conducted covering the period from 1967 to March 2001. Relevant references cited in the selected papers were also considered, regardless of the year of publication. Study selection: This review was restricted to strength tests, functional and ADL tests. Only general tests and tests designed speci®cally to test tetraplegic persons written in English, or in Dutch were included in the review. Results: Information is provided on four types of strength tests, 10 general and ®ve speci®c functional tests and eight ADL tests. Conclusion: Many tests are available to measure upper extremity motor function in tetraplegics. Selection of a test is at ®rst determined by the outcome value in which the investigator is interested. When the type of outcome value has been determined, the most suitable test has to be selected from the range of available tests. When two tests appear to be equally suitable, the availability of information on psychometric properties of the test when used in tetraplegic patients is a decisive factor. When information on the reliability, validity and sensitivity of a test is missing, it should be gathered before using the test. Sponsorship: The present study was written with ®nancial assistance provided by the Health Research and Development Council of the Netherlands.

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Spinal Cord Injury

Elliott

Rivera

2003

Handbook of Psychology

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Spinal cord injury is a high‐cost, low‐incidence neurological disability. This condition has a significant impact on the individual, the family, health care service delivery systems, and society in general. Medical advancements have improved the likelihood of survival following spinal cord injury, and estimated life spans for persons with this condition now approach life expectancies of other people. Unfortunately, the costs associated with ongoing care and assistance escalate as financial support for these services decline. In this chapter, we review the major aspects of spinal cord injury and current information about the condition and its concomitants. We will then provide a model of adjustment and present evidence concerning the major components of the model. We consider the alternative views of adjustment, assistance and service delivery espoused by health care programs, professionals, and by consumers and their families. We conclude with an overview of intervention strategies and issues in health and public policy that affect persons with SCI.

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Hierarchical linear modeling of FIM instrument growth curve characteristics after spinal cord injury

Cited by 36 publications

References 18 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

Evaluation of upper extremity motor function tests in tetraplegics

Spinal Cord Injury

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