| Titre : | Gait Training in Acute Spinal Cord Injury Rehabilitation—Utilization and Outcomes Among Nonambulatory Individuals: Findings From the SCIRehab Project (2018) |
| Auteurs : | Stephanie Rigot ; Lynn Worobey ; Michael L. Boninger |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 8, 2018) |
| Article en page(s) : | p. 1591-1598 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Rééducation et réadaptation ; Traumatismes de la moelle épinière |
| Mots-clés: | Early ambulation ; Lever précoce ; Gait ; Démarche ; Spinal cord injuries |
| Résumé : |
Objectives To investigate the relation of gait training (GT) during inpatient rehabilitation (IPR) to outcomes of people with traumatic spinal cord injury (SCI). Design Prospective observational study using the SCIRehab database. Setting Six IPR facilities. Participants Patients with new SCI (N=1376) receiving initial rehabilitation. Interventions Patients were divided into groups consisting of those who did and did not receive GT. Patients were further subdivided based on their primary mode of mobility as measured by the FIM. Main Outcome Measures Pain rating scales, Patient Health Questionnaire Mood Subscale, Satisfaction With Life Scale, and Craig Handicap Assessment and Reporting Technique (CHART). Results Nearly 58% of all patients received GT, including 33.3% of patients who were primarily using a wheelchair 1 year after discharge from IPR. Those who used a wheelchair and received GT, received significantly less transfer and wheeled mobility training (P<.001 chart physical independence mobility and occupation scores were significantly worse in patients who used a wheelchair at year received gt compared with those did not receive ipr. older age was also significant predictor of participation as measured by the chart.> Conclusions A significant percentage of individuals who are not likely to become functional ambulators are spending portions of their IPR stays performing GT, which is associated with less time allotted for other functional interventions. GT in IPR was also associated with participation deficits at 1 year for those who used a wheelchair, implying the potential consequences of opportunity costs, pain, and psychological difficulties of receiving unsuccessful GT. Clinicians should consider these data when deciding to implement GT during initial IPR. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999318301515 |
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