ArticleJournal of neurotrauma2017
Impact of Therapy on Recovery during Rehabilitation in Patients with Traumatic Spinal Cord Injury.
Article in Journal of neurotrauma, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 38 citations in OpenAlex.
- Feasibility and Sensitivity of Wearable Sensors for Daily Activity Monitoring in Spinal Cord Injury Trials.Neurorehabilitation and neural repair · 2025Trial
- A randomized, blinded, prospective clinical trial of postoperative rehabilitation in dogs after surgical decompression of acute thoracolumbar intervertebral disc herniation.Journal of veterinary internal medicine · 2018Trial
- Predicting Low and Non-Responders and Outliers in Patients with Spinal Cord Injury.Journal of clinical medicine · 2026Article
- Biologically-constrained spiking neural network for neuromodulation in locomotor recovery after spinal cord injury.PLoS computational biology · 2026Article
- Effect of inpatient rehabilitation on the quality of life and life satisfaction in spinal cord injury.The journal of spinal cord medicine · 2025Article
- Effects of early mobilization within 48 hours of injury in patients with incomplete cervical spinal cord injury.The journal of spinal cord medicine · 2025Observational
- Traumatic spinal cord injury: a review of the current state of art and future directions - what do we know and where are we going?North American Spine Society journal · 2025Article
- Epidural Spinal Cord Stimulation for Spinal Cord Injury in Humans: A Systematic Review.Journal of clinical medicine · 2024Review
- A dynamic nomogram for predicting the probability of irreversible neurological dysfunction after cervical spinal cord injury: research based on clinical features and MRI data.BMC musculoskeletal disorders · 2023Article
- How Can Policymakers be Encouraged to Support People With Spinal Cord Injury-Scoping Review.Global spine journal · 2022Article
- Designing accessible educational resources for people living with spinal cord injury.The journal of spinal cord medicine · 2022Article
- Decreasing pressure injuries and acute care length of stay in patients with acute traumatic spinal cord injury.The journal of spinal cord medicine · 2021Article
- The changing demographics of traumatic spinal cord injury in Beijing, China: a single-centre report of 2448 cases over 7 years.Spinal cord · 2021Article
- Progression to ambulation following lower limb fractures in an individual with a spinal cord injury: a case report.Spinal cord series and cases · 2019Article
- Restoration of fertility in a young patient with spinal cord injury: is there a place for noninvasive neurostimulation?Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2018Article
- Optimizing Clinical Decision Making in Acute Traumatic Spinal Cord Injury.Journal of neurotrauma · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Evidence-based planning of rehabilitation interventions is important to improving cost efficiency while maintaining patient and system outcomes. This article aims to explore the relationship between rehabilitation therapy, functional outcome, bed utilization, and care costs after traumatic spinal cord injury (tSCI). A retrospective review of 262 persons with tSCI admitted to an inpatient rehabilitation facility from 2005-2012 was conducted. Treatment variables and outcome measures included rehabilitation length of stay (LOS), days to rehabilitation (onset), hours and intensity of therapy, and Functional Independence Measure (FIM). Polynomial regression models and generalized additive models were applied to explore the relationship between therapy hours and motor FIM change. Simulation modeling was used to assess the impact of hypothetically increasing therapy intensity. Patients were grouped by injury as: C1-4 American Spinal Injury Association (ASIA) Impairment Scale (AIS) A,B,C; C5-8 AIS A,B,C; T1-S5 AIS A,B,C; and AIS D. The sample was 85% male, mean age 45.9, median LOS 102 days, and mean therapy intensity 5.7 h/week. Motor FIM change was positively associated with total hours of therapy (β = 0.40, p < 0.0001) up to a certain time point, adjusted for age, gender, injury, complications, and rehabilitation onset. Hypothetically increasing therapy intensity by 50% and 100% resulted in average motor FIM efficiency gain ranging between 0.04-0.07 and 0.1-0.17, respectively, across injury groups. The hypothetical changes resulted in reductions in the average LOS and bed utilization rate, translating to cost savings of $20,000 and $50,000 (2011 CAD) for the +50% and +100% scenarios, respectively. The results highlight the importance of monitoring functional change throughout rehabilitation after tSCI and the need for customized therapeutic strategies.
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