scholarly journals The Effect of Age on Ambulation and Activities of Daily Living of Motor Incomplete Spinal Cord Injury Patients

2014 ◽  
Vol 29 (2) ◽  
pp. 265-269
Author(s):  
Kazunori KOSEKI ◽  
Kenichi YOSHIKAWA ◽  
Takayuki MAEZAWA ◽  
Yasutsugu ASAKAWA ◽  
Masafumi MIZUKAMI
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Incomplete Spinal Cord Injury ◽  
Cord Injury ◽  
Effect Of Age

Longitudinal Change in Activities of Daily Living for Persons With Spinal Cord Injury Across 20 Years

2017 ◽  
Vol 71 (4_Supplement_1) ◽  
pp. 7111500010p1
Author(s):  
Chih-Ying (Cynthia) Li ◽  
Craig Velozo ◽  
Ickpy Hong ◽  
Jill Newman
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Longitudinal Change ◽  
Cord Injury

scholarly journals Inflammatory Myelopathies and Traumatic Spinal Cord Lesions: Comparison of Functional and Neurological Outcomes

2008 ◽  
Vol 88 (4) ◽  
pp. 471-484 ◽  
Author(s):  
Giorgio Scivoletto ◽  
Elena Cosentino ◽  
Alessia Mammone ◽  
Marco Molinari
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Physical Dependence ◽  
Neurological Status ◽  
Spinal Cord Lesions ◽  
Use Of Resources ◽  
Associated Lesions ◽  
Cord Injury

Background and Purpose Outcomes knowledge is essential to answer patients' questions regarding function, to plan the use of resources, and to evaluate treatments to enhance recovery. The purpose of this study was to compare the outcomes of patients with traumatic spinal cord injury (SCI) with those of patients with inflammatory spinal cord lesions (ISCLs). Subjects and Methods The authors evaluated 181 subjects with traumatic SCI and 67 subjects with ISCLs. Using a matching cohorts procedure, 38 subjects were selected from each group. The measures used were the American Spinal Injury Association (ASIA) Impairment Scale (motor function), the Barthel Index (BI), the Rivermead Mobility Index (RMI), and the Walking Index for Spinal Cord Injury (WISCI). Results The subjects in the ISCL group were older than those in the SCI group, with a longer interval from onset of lesion to rehabilitation admission and more incomplete lesions. In the matching cohorts, at admission, the traumatic SCI group had RMI and WISCI scores comparable to those of the ISCL group, but the traumatic SCI group had lower scores on the BI (greater dependence on assistance for activities of daily living). At discharge, the 2 groups had comparable functional outcomes. The neurological status of the 2 groups was comparable at admission and discharge. Discussion and Conclusion The results indicate that, at admission, patients with SCI have a greater physical dependence for assistance with activities of daily living than patients with ISCLs who have comparable neurological status. Such a difference depends on factors not related to the spinal cord lesion, such as the presence of associated lesions, the need to wear an orthotic device, or the sequelae of surgery. The outcomes of patients with SCI are determined more by factors such as lesion level and severity and age than by etiology. This finding could have implications for health care planning and rehabilitation research.

scholarly journals Reliability and Validity of Longshi Scale in Assessing the Activities of Daily Living of Patients with Spinal Cord Injury

2020 ◽  
Vol 30 (6) ◽  
pp. 484-488
Author(s):  
妙玲 陈 ◽  
甫兵 查 ◽  
芳 刘 ◽  
明超 周 ◽  
玉龙 王 ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Reliability And Validity ◽  
Cord Injury

scholarly journals Physical Activity and the Health of Wheelchair Users: A Systematic Review in Multiple Sclerosis, Cerebral Palsy, and Spinal Cord Injury

2021 ◽  
Author(s):  
Shelly S. Selph ◽  
Andrea C. Skelly ◽  
Ngoc Wasson ◽  
Joseph R. Dettori ◽  
Erika D. Brodt ◽  
...  
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cerebral Palsy ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Treadmill Training ◽  
Randomized Controlled ◽  
Cord Injury

Objectives. Although the health benefits of physical activity are well described for the general population, less is known about the benefits and harms of physical activity in people dependent upon, partially dependent upon, or at risk for needing a wheelchair. This systematic review summarizes the evidence for physical activity in people with multiple sclerosis, cerebral palsy, and spinal cord injury regardless of current use or nonuse of a wheelchair. Data sources. We searched MEDLINE®, CINAHL®, PsycINFO®, Cochrane CENTRAL, Embase®, and Rehabilitation and Sports Medicine Source from 2008 through November 2020, reference lists, and clinical trial registries. Review methods. Predefined criteria were used to select randomized controlled trials, quasiexperimental nonrandomized trials, and cohort studies that addressed the benefits and harms of observed physical activity (at least 10 sessions on 10 different days of movement using more energy than rest) in participants with multiple sclerosis, cerebral palsy, and spinal cord injury. Individual study quality (risk of bias) and the strength of bodies of evidence for key outcomes were assessed using prespecified methods. Dual review procedures were used. Effects were analyzed by etiology of impairment and physical activity modality, such as treadmill, aquatic exercises, and yoga, using qualitative, and when appropriate, quantitative synthesis using random effects meta-analyses. Results. We included 146 randomized controlled trials, 15 quasiexperimental nonrandomized trials, and 7 cohort studies (168 studies in 197 publications). More studies enrolled participants with multiple sclerosis (44%) than other conditions, followed by cerebral palsy (38%) and spinal cord injury (18%). Most studies were rated fair quality (moderate risk of bias). The majority of the evidence was rated low strength. • In participants with multiple sclerosis, walking ability may be improved with treadmill training and multimodal exercise regimens that include strength training; function may be improved with treadmill training, balance exercises, and motion gaming; balance is likely improved with postural control exercises (which may also reduce risk of falls) and may be improved with aquatic exercises, robot-assisted gait training, treadmill training, motion gaming, and multimodal exercises; activities of daily living may be improved with aquatic therapy; sleep may be improved with aerobic exercises; aerobic fitness may be improved with multimodal exercises; and female sexual function may be improved with aquatic exercise. • In participants with cerebral palsy, balance may be improved with hippotherapy and motion gaming, and function may be improved with cycling, treadmill training, and hippotherapy. • In participants with spinal cord injury, evidence suggested that activities of daily living may be improved with robot-assisted gait training. • When randomized controlled trials were pooled across types of exercise, physical activity interventions were found to improve walking in multiple sclerosis and likely improve balance and depression in multiple sclerosis. Physical activity may improve function and aerobic fitness in people with cerebral palsy or spinal cord injury. When studies of populations with multiple sclerosis and cerebral palsy were combined, evidence indicated dance may improve function. • Evidence on long-term health outcomes was not found for any analysis groups. For intermediate outcomes such as blood pressure, lipid profile, and blood glucose, there was insufficient evidence from which to draw conclusions. There was inadequate reporting of adverse events in many trials. Conclusions. Physical activity was associated with improvements in walking ability, general function, balance (including fall risk), depression, sleep, activities of daily living, female sexual function, and aerobic capacity, depending on population enrolled and type of exercise utilized. No studies reported long-term cardiovascular or metabolic disease health outcomes. Future trials could alter these findings; further research is needed to examine health outcomes, and to understand the magnitude and clinical importance of benefits seen in intermediate outcomes.

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