scholarly journals Spinal cord injury rehabilitation in Riyadh, Saudi Arabia: time to rehabilitation admission, length of stay and functional independence

Spinal Cord ◽  
2017 ◽  
Vol 55 (5) ◽  
pp. 509-514 ◽  
Author(s):  
H Mahmoud ◽  
H Qannam ◽  
D Zbogar ◽  
B Mortenson
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Saudi Arabia ◽  
Length Of Stay ◽  
Functional Independence ◽  
Injury Rehabilitation ◽  
Cord Injury

scholarly journals Reliability and validity of daily physical activity measures during inpatient spinal cord injury rehabilitation

2016 ◽  
Vol 4 ◽  
pp. 205031211666694 ◽  
Author(s):  
Dominik Zbogar ◽  
Janice J Eng ◽  
William C Miller ◽  
Andrei V Krassioukov ◽  
Mary C Verrier
Keyword(s):  
Physical Activity ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Functional Independence ◽  
Daily Physical Activity ◽  
Injury Rehabilitation ◽  
Retest Reliability ◽  
Cord Injury ◽  
Activity Measures ◽  
Test Retest Reliability

Objectives: To assess the test–retest reliability and convergent validity of daily physical activity measures during inpatient spinal cord injury rehabilitation. Design: Observational study. Setting: Two inpatient spinal cord injury rehabilitation centres. Subjects: Participants ( n = 106) were recruited from consecutive admissions to rehabilitation. Methods: Physical activity during inpatient spinal cord injury rehabilitation stay was recorded on two days via (1) wrist accelerometer, (2) hip accelerometer if ambulatory, and (3) self-report (Physical Activity Recall Assessment for People with Spinal Cord Injury questionnaire). Spearman’s correlations and Bland–Altman plots were utilized for test–retest reliability. Correlations between physical activity measures and clinical measures (functional independence, hand function, and ambulation) were performed. Results: Correlations for physical activity measures between Day 1 and Day 2 were moderate to high (ρ = 0.53–0.89). Bland–Altman plots showed minimal bias and more within-subject differences in more active individuals and wide limits of agreement. None of these three physical activity measures correlated with one another. A moderate correlation was found between wrist accelerometry counts and grip strength (ρ = 0.58) and between step counts and measures of ambulation (ρ = 0.62). Functional independence was related to wrist accelerometry (ρ = 0.70) and step counts (ρ = 0.56), but not with self-report. Conclusion: The test–retest reliability and convergent validity of the instrumented measures suggest that wrist and hip accelerometers are appropriate tools for use in research studies of daily physical activity in the spinal cord injury rehabilitation setting but are too variable for individual use.

Epidemiology, neurological and functional outcome of concomitant traumatic brain and spinal cord injury: An Oswestry experience

Trauma ◽  
2017 ◽  
Vol 19 (1_suppl) ◽  
pp. 30-32
Author(s):  
Poornashree Ramamurthy ◽  
Naveen Kumar ◽  
Aheed Osman
Keyword(s):  
Traumatic Brain Injury ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Brain Injury ◽  
Length Of Stay ◽  
Severe Traumatic Brain Injury ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Functional Independence Measure Score ◽  
Cord Injury

Background Concomitant traumatic brain injury with spinal cord injury is likely to worsen prognosis and increase hospital length of stay. This study assessed the duration of in-patient rehabilitation and outcome in patients with both traumatic brain injury and spinal cord injury. Methods Retrospective study of all patients with concomitant traumatic brain injury and spinal cord injury over a 3-year period who had 5 years of subsequent follow-up at the Midlands Centre for Spinal Injuries. Results Twenty-seven patients had concomitant injuries of which five had severe traumatic brain injury, nine had moderate traumatic brain injury and the remaining thirteen had mild traumatic brain injury with spinal cord injury of grades A–D; commonest mechanisms of injury were motor vehicle collision (55%) and falls (37%). Thirteen (48%) had tetraplegia and 14 (52%) had paraplegia. Mean functional independence measure score at admission was 52.1 and 103.4 at 5 years. Patients with mild traumatic brain injury gained a mean functional independence measure score of 67.1; the moderate and severe traumatic brain injury patients gained mean functional independence measure score of 60.1 and 69.2, respectively. The mean length of stay was 138.3, 139.4 and 153.4 days for mild, moderate and severe traumatic brain injury, respectively. Conclusion Hospital length of stay and patient’s functioning at 5 years were not affected by traumatic brain injury severity in this subgroup; however, functional independence measure on its own may not be very sensitive to cognitive deficits.

Cognitive-behavioral pain management during pediatric spinal cord injury rehabilitation

2013 ◽  
Author(s):  
Kimberly P. Raghubar ◽  
Adrianna Amari ◽  
Meg Nicholl ◽  
Valerie Paasch ◽  
Daniel Becker ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Pain Management ◽  
Cognitive Behavioral ◽  
Injury Rehabilitation ◽  
Cord Injury ◽  
Pediatric Spinal Cord Injury

scholarly journals The SCIRehab project: analyzing multidisciplinary inpatient spinal cord injury rehabilitation treatment — second phase

2011 ◽  
Vol 34 (2) ◽  
pp. 131-132 ◽  
Author(s):  
Gale Whiteneck ◽  
Julie Gassaway ◽  
Marcel P. Dijkers ◽  
Flora M. Hammond ◽  
Daniel P. Lammertse
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Second Phase ◽  
Injury Rehabilitation ◽  
Rehabilitation Treatment ◽  
Cord Injury
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