271 résultat(s) recherche sur le mot-clé 'Spinal cord injuries'    

Measurement Characteristics and Clinical Utility of the Spinal Cord Independence Measure-III Among Individuals With Spinal Cord Injury / Kristian P Nitsch in Archives of Physical Medicine and Rehabilitation, 2016/9 (2016)  

[article]  inArchives of Physical Medicine and Rehabilitation > 2016/9 (2016) . - pp. 1601–1603 Titre : Measurement Characteristics and Clinical Utility of the Spinal Cord Independence Measure-III Among Individuals With Spinal Cord Injury Type de document : Article Auteurs : Kristian P Nitsch ; Kelsey L. Stipp Article en page(s) : pp. 1601–1603 Langues : Anglais (eng) Descripteurs : HE Vinci Traumatismes de la moelle épinière Mots-clés : Spinal Cord Injuries  Spinal Cord Independence Measure-III Résumé : The Spinal Cord Independence Measure–III (SCIM-III) was specifically developed for use in patients with spinal cord injuries to assess their ability to complete routine daily tasks and activities of daily living.1 The SCIM-III is a clinician-rated instrument comprised of 19 items across 3 subscales: (1) self-care, (2) respiration and sphincter management, and (3) mobility, with items being weighted according to assumed clinical importance. The SCIM-III has shown to be a reliable and valid instrument for the functional evaluation of individuals with spinal cord injuries2; 3 ; 4 and has been endorsed by relevant stakeholders and outcomes assessment experts for use in clinical and research contexts.5; 6 ; 7 This measure has been shown to be responsive to functional change from admission to discharge and has demonstrated excellent concurrent validity with FIM scores.8 Minimal detectable change and minimal important difference scores for the SCIM-III have been established,9 and expected scores for various neurologic levels in spinal cord injury have been reported.10 Floor and ceiling effects have been noted across all 3 subscales; these effects have been shown to vary according to patients' American Spinal Injury Association motor neurologic grade.11 The SCIM-III has been translated and validated in multiple languages,12; 13; 14 ; 15 and self-report16 and youth17 versions have been developed. DOI : https://doi.org/10.1016/j.apmr.2016.02.002 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117971 [article]

Additive Effect of Age on Disability for Individuals With Spinal Cord Injuries / Juleen Rodakowski in Archives of Physical Medicine and Rehabilitation, 2014/6 (2014)  

[article]  inArchives of Physical Medicine and Rehabilitation > 2014/6 (2014) . - p. 1076-1082 Titre : Additive Effect of Age on Disability for Individuals With Spinal Cord Injuries Type de document : Article Auteurs : Juleen Rodakowski ; Elizabeth R. Skidmore ; Stewart J. Anderson Article en page(s) : p. 1076-1082 Langues : Anglais (eng) Descripteurs : HE Vinci Rééducation et réadaptation ; Traumatismes de la moelle épinière ; Vieillissement Mots-clés : Aging  Spinal cord injuries Résumé : Objective To examine the additive effect of age on disability for adults with spinal cord injury (SCI). Design Prospective cohort study. Setting SCI Model Systems. Participants Individuals with SCI (median age at injury, 32y; range, 6–88y) with a discharge motor FIM score and at least 1 follow-up motor FIM score who also provided measures of other covariates (N=1660). Of the total sample, 79% were men, 72% were white, 16% had incomplete paraplegia, 33% had complete paraplegia, 30% had incomplete tetraplegia, and 21% had complete tetraplegia. Interventions Not applicable. Main Outcome Measures The primary study outcome was the motor subscale of the FIM. A mixed-models approach was used to examine the additive effect of age on disability for individuals with SCI. Results When controlling for motor FIM at discharge from rehabilitation, level and severity of injury, age at injury, sex, race, and the age * time interaction were not significant (P=.07). Age at the time of SCI was significantly associated with motor FIM (F1,238=22.49, P<.001 two sensitivity analyses found significant interactions for both age time p=".02)" and time-square models. trajectory of motor fim scores is moderated slightly by at the injury. older participants were injury greater curvature more rapid decline in later years.> Conclusions These findings indicate that age moderately influences disability for some individuals with SCI: the older the age at the time of injury, the greater the influence age has on disability. The findings serve as an important empirical foundation for the evaluation and development of interventions designed to augment accelerated aging experienced by individuals with SCI. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119006 [article]

Changing Demographics and Injury Profile of New Traumatic Spinal Cord Injuries in the United States, 1972–2014 / Yuying Chen in Archives of Physical Medicine and Rehabilitation, 2016/10 (2016)  

[article]  inArchives of Physical Medicine and Rehabilitation > 2016/10 (2016) . - pp. 1610–1619 Titre : Changing Demographics and Injury Profile of New Traumatic Spinal Cord Injuries in the United States, 1972–2014 Type de document : Article Auteurs : Yuying Chen ; Yin He ; Michael J. DeVivo Article en page(s) : pp. 1610–1619 Langues : Anglais (eng) Descripteurs : HE Vinci Croissance démographique ; Épidémiologie ; Rééducation et réadaptation ; Traumatismes de la moelle épinière Mots-clés : Epidemiology  Spinal cord injuries  Population Growth Résumé : Objective To document trends in the demographic and injury profile of new spinal cord injury (SCI) over time. Design Cross-sectional analysis of longitudinal data by injury years (1972–1979, 1980–1989, 1990–1999, 2000–2009, 2010–2014). Setting Twenty-eight Spinal Cord Injury Model Systems centers throughout the United States. Participants Persons with traumatic SCI (N=30,881) enrolled in the National Spinal Cord Injury Database. Interventions Not applicable. Main Outcome Measures Age, sex, race, education level, employment, marital status, etiology, and severity of injury. Results Age at injury has increased from 28.7 years in the 1970s to 42.2 years during 2010 to 2014. This aging phenomenon was noted for both sexes, all races, and all etiologies except acts of violence. The percentage of racial minorities expanded continuously over the last 5 decades. Virtually among all age groups, the average education levels and percentage of single/never married status have increased, which is similar to the trends noted in the general population. Although vehicular crashes continue to be the leading cause of SCI overall, the percentage has declined from 47.0% in the 1970s to 38.1% during 2010 to 2014. Injuries caused by falls have increased over time, particularly among those aged ≥46 years. Progressive increases in the percentages of high cervical and motor incomplete injuries were noted for various age, sex, race, and etiology groups. Conclusions Study findings call for geriatrics expertise and intercultural competency of the clinical team in the acute and rehabilitation care for SCI. This study also highlights the need for a multidimensional risk assessment and multifactorial intervention, especially to reduce falls and SCI in older adults. DOI : https://doi.org/10.1016/j.apmr.2016.03.017 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117920 [article]

Clinical Implications of Assisted Peak Cough Flow Measured With an External Glottic Control Device for Tracheostomy Decannulation in Patients With Neuromuscular Diseases and Cervical Spinal Cord Injuries: A Pilot Study / Seong-Woong Kang in Archives of Physical Medicine and Rehabilitation, 2016/9 (2016)  

[article]  inArchives of Physical Medicine and Rehabilitation > 2016/9 (2016) . - pp. 1509–1514 Titre : Clinical Implications of Assisted Peak Cough Flow Measured With an External Glottic Control Device for Tracheostomy Decannulation in Patients With Neuromuscular Diseases and Cervical Spinal Cord Injuries: A Pilot Study Type de document : Article Auteurs : Seong-Woong Kang ; Won Ah Choi ; Yu Hui Won Article en page(s) : pp. 1509–1514 Langues : Anglais (eng) Descripteurs : HE Vinci Rééducation et réadaptation ; Toux ; Trachéostomie ; Traumatismes de la moelle épinière Mots-clés : Cough  Glottis  Glotte  Neuromuscular diseases  Maladies neuromusculaires  Spinal cord injuries  Tracheostomy Résumé : Objective To investigate the clinical usefulness and significance of an external control device substituting for glottic function in determining the feasibility of decannulation in tracheostomized patients with neuromuscular diseases and cervical spinal cord injuries whose assisted peak cough flow (APCF) was unmeasurable or Design Before-after trial. Setting Inpatient setting in a university hospital. Participants Tracheostomized patients (N=16; 11 with neuromuscular diseases and 5 with cervical spinal cord injuries) were recruited. Interventions Unassisted peak cough flow (UPCF) and APCF were measured with and without an external glottic control device. Among patients whose APCF without the device was Main Outcome Measures APCF with and without an external glottic control device as well as APCF after decannulation. Results After successful decannulation, APCFs were greater than or equal to those measured with the device before decannulation. No patients underwent intubation or retracheostomy, and there were no respiratory complications. Conclusions The external glottic control device substituting for innate glottic function is beneficial for determining tracheostomy decannulation. It provides an objective and accurate APCF. It is particularly helpful for patients whose APCF is ≥160L/min while using the device, even if APCF is DOI : https://doi.org/10.1016/j.apmr.2016.02.023 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117960 [article]

Cost-Effectiveness of Supported Employment for Veterans With Spinal Cord Injuries / Patricia L. Sinnott in Archives of Physical Medicine and Rehabilitation, 2014/7 (2014)  

[article]  inArchives of Physical Medicine and Rehabilitation > 2014/7 (2014) . - p. 1254-1261 Titre : Cost-Effectiveness of Supported Employment for Veterans With Spinal Cord Injuries Type de document : Article Auteurs : Patricia L. Sinnott ; Vilija Joyce ; Lisa Ottomanelli Article en page(s) : p. 1254-1261 Langues : Anglais (eng) Descripteurs : HE Vinci Analyse coût-bénéfice ; Rééducation et réadaptation ; Traumatismes de la moelle épinière Mots-clés : Cost-benefit analysis  Spinal cord injuries  Vocational  Réadaptation professionnelle Résumé : Objective To estimate the cost-effectiveness of a supported employment (SE) intervention that had been previously found effective in veterans with spinal cord injuries (SCIs). Design Cost-effectiveness analysis, using cost and quality-of-life data gathered in a trial of SE for veterans with SCI. Setting SCI centers in the Veterans Health Administration. Participants Subjects (N=157) who completed a study of SE in 6 SCI centers. Subjects were randomly assigned to the intervention of SE (n=81) or treatment as usual (n=76). Intervention A vocational rehabilitation program of SE for veterans with SCI. Main Outcome Measures Costs and quality-adjusted life years, which were estimated from the Veterans Rand 36-Item Health Survey, extrapolated to Veterans Rand 6 Dimension utilities. Results Average cost for the SE intervention was $1821. In 1 year of follow-up, estimated total costs, including health care utilization and travel expenses, and average quality-adjusted life years were not significantly different between groups, suggesting the Spinal Cord Injury Vocational Integration Program intervention was not cost-effective compared with usual care. Conclusions An intensive program of SE for veterans with SCI, which is more effective in achieving competitive employment, is not cost-effective after 1 year of follow-up. Longer follow-up and a larger study sample will be necessary to determine whether SE yields benefits and is cost-effective in the long run for a population with SCI. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118957 [article]

Effectiveness of Supported Employment for Veterans With Spinal Cord Injuries: Results From a Randomized Multisite Study / Lisa Ottomanelli in Archives of Physical Medicine and Rehabilitation, 2012/5 (2012)  

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Functional Motor Preservation Below the Level of Injury in Subjects With American Spinal Injury Association Impairment Scale Grade A Spinal Cord Injuries / José Zariffa in Archives of Physical Medicine and Rehabilitation, 2012/5 (2012)  

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Wheelchair Breakdowns Are Associated With Pain, Pressure Injuries, Rehospitalization, and Self-Perceived Health in Full-Time Wheelchair Users With Spinal Cord Injury / Nathan S. Hogaboom in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 10 (2018)  

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Balance Control and Energetics of Powered Exoskeleton-Assisted Sit-to-Stand Movement in Individuals With Paraplegic Spinal Cord Injury / Hui-Fen Mao in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 10 (2018)  

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Comorbid Traumatic Brain Injury and Spinal Cord Injury: Screening Validity and Effect on Outcomes / Charles H. Bombardier in Archives of Physical Medicine and Rehabilitation, 2016/10 (2016)  

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Comparing Rehabilitation Services and Outcomes Between Older and Younger People With Spinal Cord Injury / Ching-Hui Hsieh in Archives of Physical Medicine and Rehabilitation, 2013/4 suppl. 2 (2013)  

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Complications of Spinal Cord Injury Over the First Year After Discharge From Inpatient Rehabilitation / Michael D. Stillman in Archives of Physical Medicine and Rehabilitation, 2017/9 (2017)  

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Describing Functioning in People Living With Spinal Cord Injury in Switzerland: A Graphical Modeling Approach / Cristina Ehrmann in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 10 (2018)  

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Differences in Quality of Life Outcomes Among Depressed Spinal Cord Injury Trial Participants / Denise G. Tate in Archives of Physical Medicine and Rehabilitation, 2015/2 (2015)  

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Effectiveness of Telephone Counseling in Managing Psychological Outcomes After Spinal Cord Injury / Diana Dortsyn in Archives of Physical Medicine and Rehabilitation, 2012/11 (2012)  

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Effects of Intramuscular Trunk Stimulation on Manual Wheelchair Propulsion Mechanics in 6 Subjects With Spinal Cord Injury / Ronald Triolo in Archives of Physical Medicine and Rehabilitation, 2013/10 (2013)  

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Effects of Stimulating Hip and Trunk Muscles on Seated Stability, Posture, and Reach After Spinal Cord Injury / Ronald Triolo in Archives of Physical Medicine and Rehabilitation, 2013/9 (2013)  

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Evaluation of 3 Pushrim-Activated Power-Assisted Wheelchairs in Patients With Spinal Cord Injury / Bruno Guillon in Archives of Physical Medicine and Rehabilitation, 2015/5 (2015)  

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Factors Associated With Recurrent Falls in Individuals With Traumatic Spinal Cord Injury: A Multicenter Study / Vivien Jørgensen in Archives of Physical Medicine and Rehabilitation, 2016/11 (2016)  

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Health Conditions: Effect on Function, Health-Related Quality of Life, and Life Satisfaction After Traumatic Spinal Cord Injury. A Prospective Observational Registry Cohort Study / Carly S. Rivers in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 3 (2018)  

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Impact of the Clinical Practice Guideline for Preservation of Upper Limb Function on Transfer Skills of Persons With Acute Spinal Cord Injury / Laura Rice in Archives of Physical Medicine and Rehabilitation, 2013/7 (2013)  

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Latent Structural Analysis of Health Outcomes in People Living With Spinal Cord Injury / Chao Li in Archives of Physical Medicine and Rehabilitation, 2017/12 (2017)  

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Longitudinal Performance of a Surgically Implanted Neuroprosthesis for Lower-Extremity Exercise, Standing, and Transfers After Spinal Cord Injury / Ronald Triolo in Archives of Physical Medicine and Rehabilitation, 2012/5 (2012)  

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Patterns of Sacral Sparing Components on Neurologic Recovery in Newly Injured Persons With Traumatic Spinal Cord Injury / Steven C. Kirshblum in Archives of Physical Medicine and Rehabilitation, 2016/10 (2016)  

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Pressure Changes Under the Ischial Tuberosities During Gluteal Neuromuscular Stimulation in Spinal Cord Injury: A Comparison of Sacral Nerve Root Stimulation With Surface Functional Electrical Stimulation / Liang Qin Liu in Archives of Physical Medicine and Rehabilitation, 2015/4 (2015)  

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