Neurological level effect on the discharge functional status of spinal cord injured persons after rehabilitation

Middleton, James; Truman, George; Geraghty, Timothy

doi:10.1016/s0003-9993(98)90239-8

Cited by 63 publications

(61 citation statements)

References 19 publications

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“…[8][9][10][11][12] Others have studied the relationship between motor and sensory scores and bladder recovery, 13 the recovery patterns of muscle strength and sensation in vascular injuries, 14 and the relationship between muscle strength/ motor scores and functional recovery. [15][16][17][18][19][20] The ISCSCI motor and sensory exams have also been used as inclusion criteria for entry into drug and device trials. [21][22][23][24][25][26][27][28] While the work by Bracken 21 added additional upper extremity muscles and variation in the scoring technique, the study used neurological motor level as the primary outcome in the study on high-dose methylprednisolone.…”

Section: Introductionmentioning

confidence: 99%

The International Standards for Neurological Classification of Spinal Cord Injury: reliability of data when applied to children and youths

et al. 2006

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Study design: Intra-rater reliability study, cross-sectional design. Objectives: To determine reliability of the International Standards for Neurological Classification of Spinal Cord Injury (ISCSCI) motor and sensory exam in children. Setting: Nonprofit pediatric hospital. Methods: In all, 74 subjects had two trials of the motor and sensory exams. Intraclass correlation coefficients (ICC), 95% confidence intervals (CI) were generated for total motor (TM), pin prick (PP) and light touch (LT) scores for the entire sample, four age groups, severity and type of injury.

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Section: Introductionmentioning

confidence: 99%

The International Standards for Neurological Classification of Spinal Cord Injury: reliability of data when applied to children and youths

et al. 2006

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“…8 Patients who present either with the highest level complete lesions or with the most severe disabilities tend to recover only in activities, such as eating and grooming, that depend on function of the most cephalad spinal cord segments. In contrast, those with the lowest level lesions or the least severe disabilities tend to recover all motor-FIM activities except those such as stair climbing and tub transfers that rely on the most caudal segments of the cord.…”

Section: Discussionmentioning

confidence: 99%

“…7 Spinal cord injury at di erent neurological levels has been associated with clear di erences in FIM functioning at discharge from inpatient rehabilitation. 8,9 Physical disabilities, as measured by the FIM motor sub-score, increase systematically with more cephalad neurological lesions. 8 The purpose of this study was to present a functionbased strategy for classifying SCI patients as a complement to the impairment-based ASIA standards.…”

Section: Introductionmentioning

confidence: 99%

“…8,9 Physical disabilities, as measured by the FIM motor sub-score, increase systematically with more cephalad neurological lesions. 8 The purpose of this study was to present a functionbased strategy for classifying SCI patients as a complement to the impairment-based ASIA standards. The function-based approach addresses the question: assuming patients' functional performances fall within particular ranges at admission to inpatient rehabilitation as established by the Discharge Motor FIM-Function Related Groups (DMF-FRGs), 10 what are expected performance levels at discharge?…”

Section: Introductionmentioning

confidence: 99%

“…We anticipated that patterns of FIM achievement across groups of SCI patients with higher and lower initial FIM scores would be similar to patterns of recovery associated with injury to the more caudal and cephalad segments of the spinal cord, respectively. 8 The approach presented here is similar to that previously developed for stroke. 11 …”

Section: Introductionmentioning

confidence: 99%

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A functional strategy for classifying patients after traumatic spinal cord injury

et al. 1999

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Objectives: To present a function-based strategy for classifying patients by expected functional outcomes measured as patients' performances at discharge on each of the 18 component items of the FIM 2 instrument (previously known as the Functional Independence Measure). Methods: Data included records from 3604 inpatients with traumatic spinal cord injury discharged from 358 rehabilitation units or hospitals in 1995. The function-based strategy assigned patients to four Discharge Motor-FIM-Function Related Groups de®ned by patients' admission performance on the motor-FIM items. Results: The majority of patients whose motor-FIM scores at admission were above 30 were able to groom, dress the upper body, manage bladder function, use a wheelchair, and transfer from bed to chair, either independently or with supervision, by the time of discharge from inpatient rehabilitation. Most patients whose scores were above 52 attained independence in all but the most di cult FIM tasks, such as bathing, tub transfers, and stair climbing. Conclusions: This classi®cation scheme can be used to determine the degree to which patients' actual FIM outcomes compare to other individuals who had similar levels of disabilities at the time of admission to rehabilitation. The clinician can apply these`FIM item attainment benchmarks' retrospectively in quality improvement, in guideline development, and in anticipating the types of post-discharge care required by clinically similar groups.

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Coping Strategies, Physical Function, and Social Adjustment in People with Spinal Cord Injury

Song

Nam

2010

Rehabilitation Nursing

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This descriptive study examined the role of coping strategies as predictors of physical function and social adjustment in people with spinal cord injury (SCI). A sample of 128 community-residing individuals with SCI completed the structured questionnaire that included demographic characteristics and the Ways of Coping Questionnaire (WCQ), Modified Barthel Index (MBI), and Social Adjustment Scale (SAS) to measure participants' coping, physical function, and social adjustment, respectively. Among the eight factors of the WCQ, planful problem solving was used most frequently by the participants. The remaining coping strategies, except escape-avoidance, were positively correlated with social adjustment, whereas no significant correlations were found between coping and physical function. Positive reappraisal, accepting responsibility, and distancing accounted for 33.5% of the social adjustment for people with SCI. Results highlight the importance of considering coping strategies in designing interventions to facilitate social adjustment and rehabilitation in this population.

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Neurological level effect on the discharge functional status of spinal cord injured persons after rehabilitation

Cited by 63 publications

References 19 publications

The International Standards for Neurological Classification of Spinal Cord Injury: reliability of data when applied to children and youths

The International Standards for Neurological Classification of Spinal Cord Injury: reliability of data when applied to children and youths

A functional strategy for classifying patients after traumatic spinal cord injury

Coping Strategies, Physical Function, and Social Adjustment in People with Spinal Cord Injury

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