Evaluation of functional outcomes of physical rehabilitation and medical complications in spinal cord injury victims of the Sichuan earthquake
| Autor: | James E. Gosney, Jianan Li, Mingpu Ding, Xia Zhang, Sijing Chen, Yongqiang Li, Jan D. Reinhardt, Xiaorong Hu |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Activities of daily living Adolescent medicine.medical_treatment Population Psychological intervention Poison control Physical Therapy Sports Therapy and Rehabilitation Occupational safety and health Disability Evaluation Young Adult Physical medicine and rehabilitation Activities of Daily Living Injury prevention Confidence Intervals Earthquakes medicine Humans Prospective Studies Mobility Limitation Child education Spinal cord injury Spinal Cord Injuries Aged education.field_of_study Rehabilitation business.industry General Medicine Middle Aged Relief Work medicine.disease Treatment Outcome Physical therapy Female business Program Evaluation |
| Zdroj: | Journal of Rehabilitation Medicine. 44:534-540 |
| ISSN: | 1650-1977 |
| DOI: | 10.2340/16501977-1005 |
| Popis: | Objectives: To characterize a spinal cord injury (SCI) population from the 2008 Sichuan earthquake in China; to evaluate functional outcomes of physical rehabilitation interventions; to assess potential determinants of rehabilitation effectiveness; and to assess medical complications and management outcomes. Methods: A total of 51 earthquake victims with SCI were enrolled and underwent rehabilitation programming. Functional rehabilitation outcomes included ambulation ability, wheelchair mobility and activities of daily living (ADL) assessed with the Modified Barthel Index at the beginning and end of rehabilitation. Effectiveness of rehabilitation and the effect of other predictors were evaluated by mixed effects regression. Outcomes of medical complication management were determined by comparison of the incidence of respective complications at the beginning and end of rehabilitation. Results: Ambulation, wheelchair mobility and ADL were significantly improved with rehabilitation programming. Both earlier rescue and earlier onset of rehabilitation were significant positive predictors of rehabilitation effective ness, whereas delayed onset of rehabilitation combined with prolonged time to rescue resulted in a lesser positive effect. Medical complications were managed effectively in 63% (pressure ulcers) to 85% (deep vein thrombosis) of patients during rehabilitation. Conclusion: Earthquake victims with SCI may achieve significantly improved functional rehabilitation functional outcomes on a formal, institutional-based physical rehabilitation programme. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|