Funcitional Independence of spinal cord injured patients
DOI:
https://doi.org/10.5935/0104-7795.20050004Keywords:
Spinal Cord Injury, Disability, Functional Independency, Activities of Daily Living, RehabilitationAbstract
To know the clinical presentation of spinal cord injured patients in terms of functional independence allows rehabilitation services to organize themselves in order to respond to the needs of these people in a most efficient way. On aiming to describe such standards of functioning, 150 medical charts of spinal cord injured patients discharged from two rehabilitation centers from 2000 to 2003 were reviewed for clinical, demographic and functional data. Male participation was 72% of the sample; mean age was (33.8 ± 14.2 years), being 21.3% of the cases due to non-traumatic injuries. Among traumatic injuries, 30.5% were cervical, 52.5% thoracic and 17.0% lumbar. Mean period between injury and the star of rehabilitation was 22.6 ± 46.7 months. At the begging of the rehabilitation, Stairs (11.9%) and Dressing lower body (24%) presented as the activities in which less patients were independent, while Feeding (68.4%) and Grooming (51.6%) showed more independence. The period from onset of injury was directly associated with motor FIM, confirming the clinical impression that spinal cord injured patients develop some degree of independence even without therapeutic support owing to the demands of daily life. Rehabilitation approach must be as early as possible in order to enable the acquisition of best performance, in the shortest time and the most appropriate way because the independence achieved without professional support may mean a compromise in security and higher energetic costs.
Downloads
References
Granger CV, Hamilton BB, Keith RA, Zielezny M, Sherwin FS. Advances in functional assessment for rehabilitation. In Topics in geriatric rehabilitation. Rockville: Aspen; 1:59-74.
Riberto M, Miyazaki MH, Sakamoto H, Jorge Filho D, Battistella LR. Reprodutibilidade da versao brasileira da medida de independência funcional. Acta Fisiatr. 2001;8(1):45-52. Doi: https://doi.org/10.5935/0104-7795.20010002
Riberto M, Miyazaki MH, Jucá SSH, Sakamoto H, Pinto PPN, Batistella LR. Validação da versão brasileira da medida de independência funcional. Acta Fisiatr. 2004;11(2):72-76. Doi: https://doi.org/10.5935/0104-7795.20040003
Middleton JW, Truman G, Geraghty TJ. Neurological level effect on the discharge functional status of spinal cord injured persons after rehabilitation. Arch Phys Med Rehabil. 1998;79:1428-32
Rede Sarah de Hospitais do Aparelho Locomotor [homepage]. Brasília: Perfil Geral das Internações por Causas Externas. Disponível em: http://www.sarah.br/paginas/prevencao/po/p-2_pesquisas.html
Gaspar AP, Ingham SJM, Vianna PCP, Santos FPE, Chamlian TR, Puertas EB. Avaliação epidemiológica dos pacientes com lesão medular atendidos no Lar Escola São Francisco. Acta Fisiatr. 2003;10(2):73-77.
Jackson AB, Djikers M, Devivo MJ, Poczatec MB. A demographic profile of new traumatic spinal cord injuries: change and stability over 30 years. Arch Phys Med Rehabil. 2004;85(11):1740-8.
Davidoff GN, Roth EJ, Haugton JS, Arder MS Cognitive dysfunction in spinal cord injury patients: sensitivity of the functional independence measure subscales vs neuropsychologic assessment. Arch Phys Med Rehabil. 1990;71:326-9
Ota T, Akaboshi K, Nagata M, Sonoda S, Domen K, Seki M, Chino N Functional assessment of patients with spinal cord injury: measured by the motor score and the Functional Independence Measure. Spinal Cord. 1996;34(9):531-5
Stineman MG, Marino RJ, Deutcsh A, Granger CV, Maislin G. A functional strategy for classifying patients after traumatic spinal cord injury. Spinal Cord. 1999;37(10):717-25.
Marino RJ, Huang M, Knight P, Herbison GJ, Ditunno JF, Segal M. Assessing selfcare status in quadriplegia: comparison of the quadriplegia index of function (QIF) and the functional independence measure. Paraplegia. 1993;31:225-233.
Warschausky S, Kay JB, Kewman DG Hierarchial linear modeling of FIM instrument growth curve characteristics after spinal cord injury. Arch Phys Med Rehabil. 2001;82:329-34.
Stineman MG, Shea JA, Jette A, Tassoni CJ, Ottembacher KJ, Fiedler J, Granger CV. The Functional Independence Measure: test of scaling assumptions, structure and reliability across 20 diverse impairment categories. Arch Phys Med Rehabil. 1996;77:1101-8.
Küçükdeveci AA, Yavuzer G, Elhan AH, Sonel B, Tennant A. Adaptation of the functional independence measure for use in Turkey. Clin Rehabil. 2001;15:311-9.
Bode RK, Heinemann AW. Course of functional improvement after stroke, spinal cord injury and traumatic brain injury. Arch Phys Med Rehabil. 2002;83:100-6.
Dodds TA, Martin DP, Stolov WC, Deyo RA. A validation of the functional independence measure and its performance among rehabilitation inpatients. Arch Phys Med Rehabil. 1993;74:531-6.
Ditunno Jr JF, Ditunno PL, Graziani V, Scivoletto G, Bernardi M, Castellano V, et al. Walking Index for Spinal Cord Injury (WISCI): an international multicenter validity and reliability study. Spinal Cord. 2000;38:234-243.
Downloads
Published
Issue
Section
License
Copyright (c) 2005 Acta Fisiátrica
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
