ArticleThe journal of spinal cord medicine2024
Changes in functional independence after inpatient rehabilitation in patients with spinal cord injury: A simultaneous evaluation of prognostic factors.
Article in The journal of spinal cord medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Living with spinal cord injury in the community of Bangladesh: a comprehensive analysis using the ICF framework.Journal of rehabilitation medicine · 2026Article
- Translation, cross-cultural adaptation, and psychometric validation of the Spinal Cord independence measure version IV for European Portuguese.Spinal cord · 2026Article
- Occupational Therapy Neurorehabilitation Practice in Middle East and North Africa (MENA): A Scoping Review.Occupational therapy international · 2026Article
- What Is the Optimal Length of Stay for Effective Inpatient Neurorehabilitation? A Retrospective Cohort Study.Health science reports · 2025Article
- Effect of inpatient rehabilitation on the quality of life and life satisfaction in spinal cord injury.The journal of spinal cord medicine · 2025Article
- Community integration after spinal cord injury rehabilitation: Predictors and causal mediators.The journal of spinal cord medicine · 2025Article
- Relationship of serial muscle ultrasound of rectus femoris and ambulatory recovery in patients with acute incomplete spinal cord injury: A prospective observational study.The journal of spinal cord medicine · 2025Observational
- Unveiling the mosaic: comparing demographics and outcomes in traumatic vs. non-traumatic spinal cord injuries.European journal of physical and rehabilitation medicine · 2024Article
- Long-term prediction of functional independence using adjusted and unadjusted single items of the functional independence measure (FIM) at discharge from rehabilitation.The journal of spinal cord medicine · 2024Observational
- Harnessing Artificial Neural Networks for Spinal Cord Injury Prognosis.Journal of clinical medicine · 2024Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study aimed to investigate the improvements of functional independence following inpatient rehabilitation and compare those improvements between different levels and severities of Spinal Cord Injury (SCI). Prognostic factors affecting the patient's outcomes were also studied. SETTINGS: Rofeideh Rehabilitation Hospital. OUTCOME MEASURES: Spinal Cord Independence Measure version III (SCIM III), and Functional Independence Measure (FIM).
methodIn this retrospective cohort study, 180 patients with SCI were enrolled to record their functional independence upon admission and discharge, and the changes were compared between different levels and severities of injury using non-parametric tests. The prognostic factors of outcomes were studied by generalized estimating equation (GEE) analysis.
resultsThe independence changes were significant for all the severities (American Spinal Injury Association Impairment Scale (AIS)) and levels of injury except for the patients with AIS A and B at upper cervical levels (P < 0.05). The level of injury, AIS, Length of Stay (LOS), and pressure ulcer had a significant prognostic value on patient's outcomes. Furthermore, there was a significant difference between different levels of injury with the same AIS grade in functional improvement (P < 0.05), while there was a significant difference between AIS groups with the same level of injury only at upper and middle cervical lesions (P < 0.05).
conclusionRecording the values of functional independence before and after rehabilitation in individuals with SCI can help clinicians approximately expect the outcomes of future patients. Moreover, a deeper study of the prognostic factors can provide a more logical expectation of rehabilitation outcomes.
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