Adjusting expectations after spinal cord injury across global settings: a commentary.

Abstract:

PURPOSE:The objective of this paper is to stimulate thought and discussion as to how best to set rehabilitation goals to maximize activities and participation of persons with spinal cord injury, across global settings where circumstances and environments may be widely different. METHOD:A review of literature and commentary are presented. Three points are articulated: (1) rehabilitation professionals need to understand factors that impact upon activities and participation, and need measurement tools that report these factors, in order to better appreciate outcomes in different settings, (2) rehabilitation professionals generally set goals with patients, but current measures of activities and participation do not indicate when or why maximal achievable function is sometimes not chosen, and (3) we need to develop realistic expectations for activities and participation after SCI in settings where current standard outcome chart targets are not feasible, due to socio-economic circumstances. CONCLUSIONS:A standardized approach to reporting measures of activities and participation, along with factors that influence these scores, is required for purposes of comparing rehabilitation outcomes in settings of differing socio-economic environments. In regards to spinal cord injury rehabilitation, an accepted standard of setting achievable rehabilitation goals is required for each level of complete spinal cord injury that could apply in various global settings.

journal_name

Disabil Rehabil

authors

Wee JY

doi

10.1080/09638280500242556

subject

Has Abstract

pub_date

2006-05-30 00:00:00

pages

659-61

issue

10

eissn

0963-8288

issn

1464-5165

pii

L57M236137168171

journal_volume

28

pub_type

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