Ability to detect history of falls among individuals with spinal cord injury using upper limb loading during a seated push-up test

Autor:	Arpassanan, Wiyanad, Narongsak, Khamnon, Thiwabhorn, Thaweewannakij, Pipatana, Amatachaya, Thanat, Sooknuan, Sugalya, Amatachaya
Rok vydání:	2022
Předmět:	Upper Extremity Hand Strength Rehabilitation COVID-19 Humans Physical Therapy Sports Therapy and Rehabilitation Pandemics Spinal Cord Injuries Article Retrospective Studies
Zdroj:	Eur J Phys Rehabil Med
ISSN:	1973-9095 1973-9087
DOI:	10.23736/s1973-9087.22.07224-0
Popis:	BACKGROUND: A history of falls is an important risk factor for future falls, including for individuals with spinal cord injury (SCI) who often experience falls and subsequent injuries. This may be even more pronounced during the current COVID-19 pandemic because of the extreme shortage of hospital admission and restricted access to important services. Therefore, the ability of detecting a history of falls that can be applied to wheelchair users and ambulatory individuals with SCI in various settings are essential. AIM: To investigate the discriminative ability of three clinical measures—the handgrip (HG) test, Spinal Cord Independence Measure (SCIM) III and Upper Limb Loading During a Seated Push-Up Test (ULL-SPUT)—in discriminating individuals with SCI with and without a history of falls over the past six months. DESIGN: A 6-month retrospective observational cohort study. SETTING: Inpatient tertiary rehabilitation center. POPULATION: One hundred and fourteen wheelchair users and ambulatory individuals with SCI. METHODS: The participants were interviewed and assessed for their demographics, SCI characteristics and fall data over the past six months, with data confirmation from related events, their caregivers and medical records. Subsequently, they were assessed using the HG test, SCIM III, and ULL-SPUT. RESULTS: In total, 29 participants (25%) fell during the past six months (with the number of falls ranging from 1-20, with minor consequences after the falls). Among the three clinical measures assessed in this study, the ULL-SPUT data of faller participants were significantly higher than those of non-fallers (P
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2670c4894c70b357fa5ee24d71d5855d https://doi.org/10.23736/s1973-9087.22.07224-0 Zobrazit plný text záznamu