Login
Communauté Vinci
Extérieur
Si votre nom d'utilisateur ne se termine pas par @vinci.be ou @student.vinci.be, utilisez le formulaire ci-dessous pour accéder à votre compte de lecteur.
Titre : | Physical Function Recovery Trajectories After Spinal Cord Injury (2022) |
Auteurs : | David S. Tulsky ; Aaron J. Boulton ; Pamela A. Kisala ; Allen W. Heinemann ; Susan Charlifue ; Claire Z. Kalpakjian ; Allan J. Kozlowski ; Elizabeth R. Felix ; Denise C. Fyffe ; Mary D. Slavin ; Denise G. Tate |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 103, n° 2, 2022) |
Article en page(s) : | p. 215-223 |
Note générale : | https://doi.org/10.1016/j.apmr.2021.09.012 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Autosoins ; Évaluation de résultat (soins) ; Mobilité réduite ; Réadaptation ; Récupération fonctionnelle ; Traumatismes de la moelle épinière |
Résumé : |
Objective
To explore trajectories of functional recovery that occur during the first 2 years after spinal cord injury (SCI). Design Observational cohort study. Setting Eight SCI Model System sites. Participants A total of 479 adults with SCI completed 4 Spinal Cord InjuryFunctional Index (SCI-FI) item banks within 4 months of injury and again at 2 weeks, 3, 6, 12, and 24 months after baseline assessment (N=479). Intervention None. Main Outcome Measures SCI-FI Basic Mobility/Capacity (C), Fine Motor Function/C, Self-care/C, and Wheelchair Mobility/Assistive Technology (AT) item banks. Results Growth mixture modeling was used to identify groups with similar trajectory patterns. For the Basic Mobility/C and Wheelchair Mobility/AT domains, models specifying 2 trajectory groups were selected. For both domains, a majority class exhibited average functional levels and gradual improvement, primarily in the first 6 months. A smaller group of individuals made gradual improvements but had greater initial functional limitations. The Self Care/C domain exhibited a similar pattern; however, a third, small class emerged that exhibited substantial improvement in the first 6 months. Finally, for individuals with tetraplegia, trajectories of Fine Motor Function/C scores followed 2 patterns, with individuals reporting generally low initial scores and then making either modest or large improvements. In individual growth curve models, injury/demographic factors predicted initial functional levels but less so regarding rates of recovery. Conclusions Trajectories of functional recovery followed a small number of change patterns, although variation around these patterns emerged. During the first 2 years after initial hospitalization, SCI-FI scores showed modest improvements; however, substantial improvements were noted for a small number of individuals with severe limitations in fine motor and self-care function. Future studies should further explore the personal, medical, and environmental characteristics that influence functional trajectories during these first 2 years and beyond. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999321014921#! |