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Titre : | Predicting Duration of Outpatient Physical Therapy Episodes for Individuals with Spinal Cord Injury Based on Locomotor Training Strategy (2022) |
Auteurs : | Mauricio Garnier-Villarreal ; Daniel Pinto ; Chaithanya Krishna Mummidisetty ; Arun Jayaraman ; Candy Tefertiller ; Susan Charlifue ; Heather B. Taylor ; Shuo-Hsiu Chang ; Nicholas McCombs ; Catherine L. Furbish ; Edelle C. Field-Fote ; Allen W. Heinemann |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 103, n° 4, 2022) |
Article en page(s) : | p. 665-675 |
Note générale : | https://doi.org/10.1016/j.apmr.2021.07.815 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Démarche ; Dispositif d'exosquelette ; Épisode de soins ; Réadaptation ; Services de santé ; Techniques de physiothérapie ; Traumatismes de la moelle épinière |
Résumé : |
Objective
To characterize individuals with spinal cord injuries (SCI) who use outpatient physical therapy or community wellness services for locomotor training and predict the duration of services, controlling for demographic, injury, quality of life, and service and financial characteristics. We explore how the duration of services is related to locomotor strategy. Design Observational study of participants at 4 SCI Model Systems centers with survival. Weibull regression model to predict the duration of services. Setting Rehabilitation and community wellness facilities at 4 SCI Model Systems centers. Participants Eligibility criteria were SCI or dysfunction resulting in motor impairment and the use of physical therapy or community wellness programs for locomotor/gait training. We excluded those who did not complete training or who experienced a disruption in training greater than 45 days. Our sample included 62 participants in conventional therapy and 37 participants in robotic exoskeleton training. Interventions Outpatient physical therapy or community wellness services for locomotor/gait training. Main Outcome Measures SCI characteristics (level and completeness of injury) and the duration of services from medical records. Self-reported perceptions of SCI consequences using the SCI-Functional Index for basic mobility and SCI-Quality of Life measurement system for bowel difficulties, bladder difficulties, and pain interference. Results After controlling for predictors, the duration of services for the conventional therapy group was an average of 63% longer than for the robotic exoskeleton group, however each visit was 50% shorter in total time. Men had an 11% longer duration of services than women had. Participants with complete injuries had a duration of services that was approximately 1.72 times longer than participants with incomplete injuries. Perceived improvement was larger in the conventional group. Conclusions Locomotor/gait training strategies are distinctive for individuals with SCI using a robotic exoskeleton in a community wellness facility as episodes are shorter but individual sessions are longer. Participants preferences and the ability to pay for ongoing services may be critical factors associated with the duration of outpatient services. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999321014829#! |