Archives of physical medicine and rehabilitation
-
Arch Phys Med Rehabil · Jun 2007
Perceived and actual memory, concentration, and attention problems after whiplash-associated disorders (grades I and II): prevalence and predictors.
To evaluate neuropsychologic test performance of people with whiplash-associated disorders (WADs) and to compare the performance of those who report cognitive symptoms (CS+) with those who do not (CS-). ⋯ Reports of memory or concentration problems appear to be indicators of heightened somatic vigilance rather than indicators of actual neuropsychologic deficits. Our results suggest that it is reasonable for physicians to defer neuropsychologic testing or advanced imaging studies on WAD patients who report cognitive symptoms but no other indicators of brain injuries and instead to rely on reassurance and education about the normal aftermath of motor vehicle collisions.
-
Arch Phys Med Rehabil · Jun 2007
Predicting walking at discharge from inpatient rehabilitation after a traumatic spinal cord injury.
To investigate how injury level and American Spinal Injury Association Impairment Scale (AIS) grade at rehabilitation admission are related to walking at discharge after traumatic spinal cord injury (SCI). ⋯ Admission AIS grades give information about walking for treatment and discharge planning during acute inpatient rehabilitation, including the following: (1) patients admitted with AIS grade C injuries should not be considered functionally complete when predicting walking (FIM score > or = 3; no more than moderate assistance) at discharge, (2) level of injury does not affect walking for those with AIS grade C or D injuries, and (3) being 50 years or older has a significant negative affect on walking in subjects with AIS grade D but not AIS grade C injuries.
-
Arch Phys Med Rehabil · Jun 2007
Social determinants of discharge destination for patients after stroke with low admission FIM instrument scores.
To investigate the effects of immigrant status (via country of birth), marital status, and area-based socioeconomic status (SES) on discharge destination after stroke for those with low admission scores on the FIM instrument. ⋯ Marital status is a significant determinant of discharge destination. Immigrant status and area-based SES were not significant predictors of discharge disposition.