Relationship of physical therapy inpatient rehabilitation interventions and patient characteristics to outcomes following spinal cord injury: the SCIRehab project.

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

Abstract

Examine associations of type and quantity of physical therapy (PT) interventions delivered during inpatient spinal cord injury (SCI) rehabilitation and patient characteristics with outcomes at the time of discharge and at 1 year post-injury.

Related collections

Most cited references 54

Record: found
Abstract: found
Article: not found

Neuroplasticity after spinal cord injury and training: an emerging paradigm shift in rehabilitation and walking recovery.

Kamal Nair, Mark Bowden, A Behrman (2006)

Physical rehabilitation after spinal cord injury has been based on the premise that the nervous system is hard-wired and irreparable. Upon this assumption, clinicians have compensated for irremediable sensorimotor deficits using braces, assistive devices, and wheelchairs to achieve upright and seated mobility. Evidence from basic science, however, demonstrates that the central nervous system after injury is malleable and can learn, and this evidence has challenged our current assumptions. The evidence is especially compelling concerning locomotion. The purpose of this perspective article is to summarize the evidence supporting an impending paradigm shift from compensation for deficits to rehabilitation as an agent for walking recovery. A physiologically based approach for the rehabilitation of walking has developed, translating evidence for activity-dependent neuroplasticity after spinal cord injury and the neurobiological control of walking. Advanced by partnerships among neuroscientists, clinicians, and researchers, critical rehabilitation concepts are emerging for activity-based therapy to improve walking recovery, with promising clinical findings.

0 comments Cited 59 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Physical capacity in wheelchair-dependent persons with a spinal cord injury: a critical review of the literature.

Anine H Stam, Cees A M Bergen, Henriëtte E. van der Horst … (2006)

Review of publications. To assess the level of physical capacity (peak oxygen uptake, peak power output, muscle strength of the upper extremity and respiratory function) in wheelchair-dependent persons with a spinal cord injury (SCI). Erasmus MC, University Medical Centre Rotterdam, The Netherlands. Pubmed (Medline) search of publications from 1980 onwards. Studies were systematically assessed. Weighted means were calculated for baseline values. In tetraplegia, the weighted mean for peak oxygen uptake was 0.89 l/min for the wheelchair exercise test (WCE) and 0.87 l/min for arm-cranking or hand-cycling (ACE). The peak power output was 26 W (WCE) and 40 W (ACE). In paraplegia, the peak oxygen uptake was 2.10 l/min (WCE) and 1.51 l/min (ACE), whereas the peak power output was 74 W (ACE) and 85 W (WCE). In paraplegia, muscle strength of the upper extremity and respiratory function were comparable to that in the able-bodied population. In tetraplegia muscle strength varied greatly, and respiratory function was reduced to 55-59% of the predicted values for an age-, gender- and height-matched able-bodied population. Physical capacity is reduced and varies in SCI. The variation between results is caused by population and methodological differences. Standardized measurement of physical capacity is needed to further develop comparative values for clinical practice and rehabilitation research.

0 comments Cited 46 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Falls in individuals with incomplete spinal cord injury.

S. Brotherton, Paul Nietert, Sabine Krause (2006)

Mail survey of participants with incomplete spinal cord injury (SCI). To describe the incidence, circumstances, consequences, and perceived contributory factors associated with falls among ambulatory individuals with incomplete SCI. Southeast region of the United States. A survey instrument was developed largely from existing measures and mailed to individuals with incomplete SCI to collect self-reported information on participant characteristics and fall-related variables. Seventy-five percent of study participants sustained at least one fall over the previous year. Even though most injuries were minor, 18% of fallers sustained a fracture and 45% reported reduced ability to get out into the community and engage in productive activity. Factors perceived to contribute to falls most often were decreased strength in the trunk and lower extremities, loss of balance, and hazards in the environment. Falls occur frequently and often have significant consequences among ambulatory individuals with SCI. These data may assist rehabilitation professionals to identify those at risk and implement fall prevention strategies. This project was supported by a grant from the South Carolina Spinal Cord Injury Research Fund Grant # 0703.