Abstract:
BACKGROUND:The Spinal Cord Independence Measure (SCIM III) is a scale of independence in the activities of daily life, specifically designed for spinal cord injury subjects. AIM:The aim of this study was to calculate the minimal clinically important difference (MCID) of the SCIM III according to distribution and anchor based approach. DESIGN:Prospective study. SETTING:Four Spinal Cord Units in Italy. POPULATION:Patients with acute/subacute spinal cord injury/lesion. METHODS:The scores of the total SCIM and of the four subscale was recorded at admission and discharge. Clinical significance was calculated according to anchor based methodology using a global rating of change questionnaire. The accuracy of MCID values in predicting a judgment of small improvement by the patients has been assessed by means of the area under the receiving operating curves (aROC). RESULTS:Total SCIM MCID values varied from 12 for patients with complete tetraplegia to 45.3 for those with incomplete thoracic lesions. The MCID of self-care varied from 3.3 to 8.5 and from 10 to 18 for respiration and sphincter management, depending on the level and severity of the lesion. With regard to mobility (room and toilet), the MCID varied from 1 to 3 and from 2.5 to 7.26 for mobility (indoors and outdoors). The aROC was between good and excellent for all these values. CONCLUSIONS:The results provide benchmarks for clinicians and researchers to interpret whether patients' change score on the SCIM III can be interpreted as true or clinically meaningful and to make clinical judgments about the patients' progress. CLINICAL REHABILITATION IMPACT:Our data could be useful for both clinicians and researchers. At the beginning of rehabilitation clinicians may have an idea of the minimal improvement of the patient (based on his neurological status) that could have an impact on patient's life. At the end of rehabilitation process, it is possible to control if the patient achieved an improvement that is true and significant. Researchers could also use these criteria to evaluate the clinical significance of an intervention by calculating the number of subjects in the treatment and control groups (or in two different treatment groups) who achieved a change calculated as the natural recovery plus the MCID.
journal_name
Eur J Phys Rehabil Medjournal_title
European journal of physical and rehabilitation medicineauthors
Corallo V,Torre M,Ferrara G,Guerra F,Nicosia G,Romanelli E,Lopopolo A,Onesta MP,Fiore P,Falcone R,Bonavita J,Molinari M,Scivoletto Gdoi
10.23736/S1973-9087.17.04240-Xsubject
Has Abstractpub_date
2017-08-01 00:00:00pages
508-515issue
4eissn
1973-9087issn
1973-9095pii
S1973-9087.17.04240-Xjournal_volume
53pub_type
杂志文章,多中心研究abstract:BACKGROUND:Critical illness polyneuropathy and myopathy (CIPNM) frequently occur in intensive care unit (ICU) critically ill subjects; about 55-70% of subjects achieve full recovery. CIPNM can occur in ICU subjects with severe acquired brain injury (sABI), but no data have been reported regarding their outcome. AIM:Th...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.17.04595-6
更新日期:2017-12-01 00:00:00
abstract:BACKGROUND:Studies investigating depression and anxiety levels in mothers of children with CP and related factors are limited, and controversial findings are reported in these studies. AIM:The study was aimed to determine depression and anxiety levels in mothers of children with cerebral palsy (CP) and to define facto...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND:Lumbar spinal stenosis (LSS) is the leading cause of spinal surgery in people over 65-years old. In people with LSS, generic self-administered questionnaires are the most commonly used PROs to assess health-related quality of life, global activity limitation, and low back pain-located activity limitation. A...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.20.06189-4
更新日期:2020-10-28 00:00:00
abstract:BACKGROUND:Coronavirus disease 2019 (COVID-19) pandemic is quickly spreading, putting under heavy stress health systems worldwide and especially Intensive Care Units (ICU). Rehabilitation Units have a crucial role in reducing disability in order to reintroduce patients in the community. AIM:The aim of this study is to...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.20.06339-X
更新日期:2020-10-01 00:00:00
abstract::Community-based rehabilitation (CBR) is an accepted model to improve the delivery of rehabilitation in the community. It includes the access to health care, education, labor and accessible environments. The role of Specialists in Physical and Rehabilitation Medicine in this strategy (SPRM) is not very well defined. On...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:10.23736/S1973-9087.16.04530-5
更新日期:2018-02-01 00:00:00
abstract:AIM:The assessment of major obstacles to community integration which may result from an acquired brain injury (ABI) is needed for rational planning and effective management of ABI patients' social adjustment. Currently, such a generally acceptable measure is not available for the Italian population. This paper reports ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:Patellofemoral pain syndrome (PFPS) is a common musculoskeletal pain condition, especially in females. Decreased hip muscle strength has been implicated as a contributing factor. Isolated open kinetic chain hip abductors and lateral rotators exercises were added by many authors to the rehabilitation program....
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2013-10-01 00:00:00
abstract::Pain is very common in neurorehabilitation, where it may be a target for treatment and have a negative effect on rehabilitation procedures and outcomes. Promising preliminary preclinical data support certain therapeutic approaches to pain, but there is a strong need of adequate preclinical models, experimental setting...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:
更新日期:2016-10-01 00:00:00
abstract:AIM:The aim of the study was to evaluate the proportion of left and right congenital muscular torticollis (CMT) in both genders and age groups of the patients as well as to evaluate the duration of physical therapy and treatment outcome in observed population. METHODS:In our study, 980 children with CMT without hemato...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2010-06-01 00:00:00
abstract:BACKGROUND:Myofascial trigger points (MTrPs) are commonly observed in the neck, parascapular region, and upper back muscles of patients with cervical pathology. AIM:To assess the frequency of latent and active myofascial trigger point (aMTrP) in the neck and upper back muscles in patients with cervical radiculopathy a...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2012-06-01 00:00:00
abstract:BACKGROUND:Despite the growing evidence about the use of robotic gait training in neurorehabilitation, there is a scant literature about the combined effects of this innovative technological approach and a first‑line treatment for focal spasticity as botulinum toxin type A. In particular, to the best of our knowledge, ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:The International Classification of Functioning, Disability and Health (ICF) Generic-30 Set (previously referred to as Rehabilitation Set) is a minimal set of ICF categories for reporting and assessing functioning and disability in clinical populations with different health conditions along the continuum of ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,多中心研究
doi:10.23736/S1973-9087.18.05324-8
更新日期:2019-04-01 00:00:00
abstract::Idiopathic scoliosis (IS) is a three-dimensional deformity of the spine and trunk. The most common form involve adolescents. The prevalence is 2-3% of the population, with 1 out of 6 patients requiring treatment of which 25% progress to surgery. Physical and rehabilitation medicine (PRM) plays a primary role in the so...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,meta分析,评审
doi:
更新日期:2014-02-01 00:00:00
abstract:BACKGROUND:In recent years, NT 201, a new botulinum toxin type A (BTX-A) free of complexing proteins, has been used for treating several movement disorders, showing safety and efficacy in upper limb spasticity. AIM:To assess the safety and evaluate the effects of BTX-A NT 201 free from complexing proteins for the trea...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2013-08-01 00:00:00
abstract:BACKGROUND:Management of chronic mechanical neck pain (CMNP) still represents a challenge. A patient-oriented (Pa-O) therapeutic approach could be considered as the one in which therapies are scheduled at the start of each therapeutic session according to the patient's current physical status, and differs from a prescr...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2013-06-01 00:00:00
abstract:BACKGROUND:In the Facioscapulohumeral muscular dystrophy (FSHD), the association of ankle muscle impairment with knee, hip and abdominal weakness causes complex alterations of static (postural) and dynamic (walking) balance, increasing the risk of recurrent falls. Stereophotogrammetric system and body-worn gyroscopes w...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2012-09-01 00:00:00
abstract:AIM:Since 2007 we have been focusing our attention to EJPRM as the best available clinical evidence as offered by the Cochrane Collaboration. Due to the absence of a specific Rehabilitation Group (only a Field does exist), some reviews in the field of PRM are not easy to find. Consequently, the EJPRM lists and presents...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:Evidence on the effect of systemic exercise programs to improve the standing balance with the Nintendo Wii system is very limited and its post-treatment effectiveness is unknown in cerebral palsy (CP) patients. AIM:Primary aim was to compare the effect of Nintendo Wii balance board (Wii-therapy) and standar...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:10.23736/S1973-9087.16.04447-6
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:Exercise programmes have important role in prevention of falls, but to date, we have little knowledge about the effects of Adapted Physical Activity programme on balance of older women. AIM:The aim of this study was to investigate the effects of an Adapted Physical Activity programme on balance, risk of fal...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2013-06-01 00:00:00
abstract:BACKGROUND:Stroke is a major cause of disability worldwide, with an expected rise of global burden in the next twenty years throughout Europe. This EBPP represents the official position of the European Union through the UEMS Physical and Rehabilitation Medicine (PRM) Section and designates the professional role of PRM ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.18.05501-6
更新日期:2018-12-01 00:00:00
abstract::This article describes the certification pathways for Physiatrists in the United States, reviews the licensure, certification and accreditation pathways for rehabilitation facilities in the United States, examines the evolving models of health care in the United States, evaluates the impact of health care reform withi...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2013-06-01 00:00:00
abstract:BACKGROUND:Excessive ankle plantar flexion (equinus foot) is a common problem in cerebral palsy (CP) and several treatment options can be considered depending on the equinus type. Few attempts have been made to classify different forms of equinus foot for specific treatment. AIM:This study is aimed at defining equinus...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2011-06-01 00:00:00
abstract:BACKGROUND:Freezing of speech (FoS) and other repetitive speech behaviours can frequently occur in parkinsonian syndromes, worsening the efficacy of language functioning, hampering social interactions, and thus reducing quality of life. Pharmacological treatment are ineffective and other interventions have not specific...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND:Trunk training after stroke is an effective method for improving trunk control, standing balance and mobility. The SWEAT² study attempts to discover the underlying mechanisms leading to the observed mobility carry-over effects after trunk training. AIM:A secondary analysis investigating the effect of trunk ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.20.06409-6
更新日期:2020-11-09 00:00:00
abstract:BACKGROUND:Mobility limitations are frequent in patients with multiple sclerosis (MS), and could already be present in patients with so-called mild neurological disability (Expanded Disability Status Scale≤4). Assessing mobility in these patients is therefore of paramount importance. Timed Up-and-Go Test (TUG) and 2-Mi...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.18.05366-2
更新日期:2019-08-01 00:00:00
abstract:AIM:Initial studies have shown the potential of video capture virtual reality (VR) systems for rehabilitation. However, it is important to continue to investigate the utility of novel VR intervention techniques for treating motor deficits. The aim of the current study was to determine the effectiveness of the VMall, a ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2009-03-01 00:00:00
abstract::Recent proposals of classification for cerebral palsy (CP), mainly revised for epidemiological purposes, suggest to abandon the use of the term diplegia. Conversely, in this paper data are presented to support the proposal to maintain the distinction between spastic tetraplegia and diplegia, and to subdivide this latt...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2008-06-01 00:00:00
abstract::The paper reports the final statements of the jury of a National Consensus Conference organized in November 2010 at Salsomaggiore (Parma) to draw up recommendations on the rehabilitation programs for acquired brain injury (sABI) patients in the intensive hospital phase. Because of the few clinical studies of good qual...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 共识发展会议,杂志文章,评审
doi:
更新日期:2015-02-01 00:00:00
abstract:BACKGROUND:Lower limb paresis is one of the main determinants of postural transferring, standing and walking disability in patients with stroke. Early prognosis of recovery of lower limb function and of related functional disability is an important issue in neurorehabilitation clinical practice. AIM:Aim of this study ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2011-09-01 00:00:00
abstract::Total hip arthroplasty (THA) has revolutionized the care of patients with end-stage joint disease, leading to pain relief, functional recovery, and substantial improvement in quality of life. However, long-term studies indicate persistence of impairment and functional limitation after THA, and the optimal rehabilitati...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:
更新日期:2009-09-01 00:00:00