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 : | Impact of the Clinical Practice Guideline for Preservation of Upper Limb Function on Transfer Skills of Persons With Acute Spinal Cord Injury (2013) |
Auteurs : | Laura Rice ; Ian Smith ; Annemarie Kelleher ; et al. |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2013/7, 2013) |
Article en page(s) : | pp. 1230-1236 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Education ; Rééducation et réadaptation ; Traumatismes de la moelle épinière |
Mots-clés: | Medical ; Enseignement médical ; Spinal cord injuries ; Wheelchairs ; Fauteuils roulants |
Résumé : |
Objectives To describe the development of a strict education protocol to implement the clinical practice guideline Preservation of Upper Limb Function Following Spinal Cord Injury into a clinical setting, and evaluate the effect of the protocol on transfer quality. Design Randomized controlled trial. Setting Acute Model Spinal Cord Injury Systems rehabilitation facility and community. Participants Volunteer sample of full-time wheelchair users (N=70) with new spinal cord injuries randomized (1:1) to an intervention and standard-of-care group. Intervention The intervention group was educated on transfer skills with a structured protocol implemented by a physical and occupational therapist who were extensively educated on the clinical practice guidelines and current transfer research. The standard-of-care group received standard therapy services. Main Outcome Measures Comparison of transfer quality evaluated by the Transfer Assessment Instrument at 4 time points during first year after injury. Results No significant differences were found between study groups. Secondary analysis based on type of transfer performed found that participants in the intervention group who performed assisted sitting pivot transfers performed higher-quality transfers (mean + SE: 9.43+.55) compared with the standard-of-care group (mean + SE: 7.81+.46) (P=.026) at 1 year after discharge. Also, participants who performed a dependent transfer had a higher average score across all 4 time points (mean + SE: 9.14+.34) compared with the standard-of-care group (mean + SE: 8.09+.29) (P=.019). Conclusions For participants who perform assisted or dependent transfers, use of an evidenced-based, structured education program during acute inpatient rehabilitation has the potential to significantly improve the quality of transfers. Further follow-up testing is necessary with a larger sample size to determine the long-term effects. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |