Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Dec 2016
Social Support and Actual Versus Expected Length of Stay in Inpatient Rehabilitation Facilities.
To describe impairment-specific patterns in shorter- and longer-than-expected lengths of stay in inpatient rehabilitation, and examine the independent effects of social support on deviations from expected lengths of stay. ⋯ Inpatient rehabilitation experiences and outcomes can be substantially affected by a patient's level of social support. More research is needed to better understand these relationships and possible unintended consequences in terms of patient access issues and provider-level quality measures.
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Arch Phys Med Rehabil · Oct 2016
Multicenter StudyDeveloping Artificial Neural Network Models to Predict Functioning One Year After Traumatic Spinal Cord Injury.
To develop mathematical models for predicting level of independence with specific functional outcomes 1 year after discharge from inpatient rehabilitation for spinal cord injury. ⋯ After further prospective validation, such predictive models may allow clinicians to use data available at the time of admission to inpatient spinal cord injury rehabilitation to accurately predict longer-term ambulation status, and whether individual patients are likely to perform various self-care activities with or without assistance from another person.
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Arch Phys Med Rehabil · Oct 2016
Changing Demographics and Injury Profile of New Traumatic Spinal Cord Injuries in the United States, 1972-2014.
To document trends in the demographic and injury profile of new spinal cord injury (SCI) over time. ⋯ Study findings call for geriatrics expertise and intercultural competency of the clinical team in the acute and rehabilitation care for SCI. This study also highlights the need for a multidimensional risk assessment and multifactorial intervention, especially to reduce falls and SCI in older adults.
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Arch Phys Med Rehabil · Oct 2016
Multicenter StudyPatterns of Sacral Sparing Components on Neurologic Recovery in Newly Injured Persons With Traumatic Spinal Cord Injury.
To assess the patterns of sacral sparing and recovery in newly injured persons with traumatic spinal cord injury (SCI). ⋯ The components of initial and follow-up sacral sparing indicated differential patterns of neurologic outcome in persons with traumatic SCI. The more sacral components initially spared, the greater the potential for recovery; and the more sacral components gained, the greater the chance of motor recovery. Consideration of whether VAC should remain a diagnostic criterion sufficient for motor incomplete classification in the absence of other qualifying sublesional motor sparing is recommended.
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Arch Phys Med Rehabil · Oct 2016
Multicenter StudyInfluence of Age Alone, and Age Combined With Pinprick, on Recovery of Walking Function in Motor Complete, Sensory Incomplete Spinal Cord Injury.
To determine if age, pinprick scores in the lower extremities, and neurologic severity of injury influence recovery of ambulation in persons with motor complete, sensory incomplete (American Spinal Injury Association Impairment Scale [AIS] grade B) spinal cord injury (SCI) 1 year after initial injury. ⋯ Compared with younger individuals, participants age ≥50 years with AIS grade B SCI are less likely to achieve walking function 1 year postinjury. Likewise, preservation of pinprick sensation postinjury in the majority of lower-extremity dermatomes L2-S1 increases the chances of walking in individuals age <50 years.