Abstract:
OBJECTIVE:This study investigated the course and relationship between investigator-determined and patient-reported level of independence within the first year after spinal cord injury (SCI). The authors examined variables that contributed to these scores. METHODS:In this observational cohort study, 73 patients with traumatic SCI were evaluated at 1, 3, and 6 months (and 40 subjects at 1 to 12 months). The investigator-determined independence was quantified using the Spinal Cord Independence Measure (SCIM). The subjective, patient-reported independence was determined by asking how their general restrictions influenced everyday life activities. Several variables were used to explain these 2 scores. RESULTS:The SCIM score was higher than the patient-reported independence and improved significantly more over time (up to about 70/100 at 12 months), whereas the perceived independence remained below 50/100. The correlations between the 2 measures were at most moderate (r(s) ≤ 0.51), but in general somewhat higher for subjects with tetraplegia. Age and muscle strength predicted the SCIM score well. No variable predicted the patient-reported level of independence. CONCLUSIONS:Investigator-determined and patient-reported outcomes can differ considerably and evolve differently. A patient-reported outcome measure may not detect actual functional improvement. It is likely that changes in patient-reported outcomes are influenced by many factors in addition to those associated with functional recovery, including psychological factors.
journal_name
Neurorehabil Neural Repairjournal_title
Neurorehabilitation and neural repairauthors
van Hedel HJ,Dokladal P,Hotz-Boendermaker S,EM-SCI Study Group.doi
10.1177/1545968311407518subject
Has Abstractpub_date
2011-11-01 00:00:00pages
855-64issue
9eissn
1545-9683issn
1552-6844pii
1545968311407518journal_volume
25pub_type
杂志文章abstract:BACKGROUND:Highly challenging exercises have been suggested to induce neuroplasticity in individuals with Parkinson's disease (PD); however, its effect on clinical outcomes remains largely unknown. OBJECTIVE:To evaluate the short-term effects of the HiBalance program, a highly challenging balance-training regimen that...
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