Changes in activity limitations and predictors of functional outcome of patients with spinal cord injury following in-patient rehabilitation

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dc.contributor.authorJoseph, Conran
dc.contributor.authorMji, Gubela
dc.contributor.authorMlenzana, Nondwe
dc.contributor.authorRhoda, Anthea
dc.contributor.authorStatham, S.
dc.contributor.authorDe Wet, C.
dc.date.accessioned2017-03-06T11:10:52Z
dc.date.available2017-03-06T11:10:52Z
dc.date.issued2013
dc.description.abstractThe purpose of this study was to investigate the changes in the activity limitations of patients following in-patient rehabilitation and the factors influencing functional ability as measured by the Spinal Cord Independence Measure III (SCIM III). A longitudinal study design was utilised to study the change in functional abilities of patients with spinal cord injury between admission and discharge. A convenient sampling strategy was employed, in which every consecutive patient admitted to the rehabilitation centre within a three month period was eligible for the study. Demographic-, medical, and process of rehabilitation data were collected and collated from the patients' medical records using a data gathering sheet that was validated and tested for reliability. Functional abilities were measured by the SCIM III. Seventy-six patients met the inclusion criteria, consisting of 58 paraplegics and 18 tetraplegics. The mean age of this cohort was 34.14 years. A significant difference (p<0.001) in functional ability was detected for the total sample, with only12.5% of patients independent in walking ability and 28.12% in stair management. Four (4) factors were found to be predictors of functional outcomes on bivariate analysis, but when considered together in a multiple regression model, only functional status on admission remained correlated to functional outcomes. Conclusion and implication for practice: Significant improvement in functional abilities of persons with spinal cord injury following in-patient rehabilitation was observed. However, mobility and stair-management limitations were the most prevalent at discharge. Lastly, a lower functional status should be better targeted to optimise functional ability in the future. Future research should be directed towards illuminating whether personal factors or rehabilitation inefficiencies are responsible for the limitations observed at discharge.en_US
dc.description.accreditationDepartment of HE and Training approved list
dc.identifier.citationJoseph, C. et al. (2013). Changes in activity limitations and predictors of functional outcome of patients with spinal cord injury following in-patient rehabilitation. SA Journal of Physiotherapy, 69(2): 41-49
dc.identifier.issn0379-6175
dc.identifier.urihttp://hdl.handle.net/10566/2607
dc.identifier.urihttp://dx.doi.org/10.4102/sajp.v69i1.371
dc.language.isoenen_US
dc.privacy.showsubmitterFALSE
dc.publisherAOSISen_US
dc.rightsThis is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the Budapest Open Access Initiative (BOAI) definition of open access. Learn more about the journal copyright, licensing and publishing rights.
dc.status.ispeerreviewedTRUE
dc.subjectSpinal cord injuryen_US
dc.subjectRehabilitationen_US
dc.subjectSpinal Cord Independence Measure III (SCIM III)en_US
dc.titleChanges in activity limitations and predictors of functional outcome of patients with spinal cord injury following in-patient rehabilitation
dc.typeArticleen_US

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