Prediction of Functional Outcome After Spinal Cord Injury: A Task for the Rehabilitation Team and the Patient.Schonherr MC, Groothoff JW, Mulder GA, Eisma WH (Beatrixoord Rehabilitation Centre, Haren; Northern Centre for Health Care Research, University of Groningen Degree programmes Bachelor's degree programmes The Bachelor phase lasts three years and after successful completion of a Bachelor's programme result in a BSc or BA degree. There are a total number of 61 Bachelor degree programmes. , Groningen; Department of Rehabilitation, University Hospital Groningen, Groningen, The Netherlands), Spinal Cord. 2000;38:185-191. The ability to accurately predict the functional outcomes of patients with spinal cord injury Spinal Cord Injury Definition Spinal cord injury is damage to the spinal cord that causes loss of sensation and motor control. Description Approximately 10,000 new spinal cord injuries (SCIs) occur each year in the United States. (SCI (Scalable Coherent Interface) An IEEE standard for a high-speed bus that uses wire or fiber-optic cable. It can transfer data up to 1GBytes/sec. (hardware) SCI - 1. Scalable Coherent Interface. 2. UART. ) is paramount in setting realistic goals and for efficient use of rehabilitation services. The authors were interested in whether patients with SCI and the rehabilitation team were realistic in their predictions of functional outcomes. In this descriptive analysis of outcome data, members of the rehabilitation team at The Beatrixoord Rehabilitation Centre in The Netherlands and their patients with SCI (N=44)were asked to predict the patients' independence at discharge from rehabilitation. Their predictions were solicited 8 weeks after admission to the rehabilitation center (generally 12 weeks after the onset of acute SCI). Six functional areas were considered: eating, upper-body dressing, lower-body dressing, walking, stair climbing, and car transfers. Independence was defined as "the observed ability to perform an activity without the help of another person (with or without appliance or orthosis orthosis /or·tho·sis/ (or-tho´sis) pl. ortho´ses [Gr.] an orthopedic appliance or apparatus used to support, align, prevent, or correct deformities or to improve function of movable parts of the body. )." When compared with the discharge results (average length of stay=270 days), the researchers found that when both the rehabilitation team and the patient agreed on the potential for independence, their predictions were correct at least 90% of the time. The most accurate predictions and the most frequent consensus of participants concerned patients with paraplegia, who achieved independence in the 6 functional areas 75% to 100% of the time. There was considerably greater disagreement in predictions and more variable results regarding the outcomes for patients with tetraplegia tetraplegia /tet·ra·ple·gia/ (-ple´jah) quadriplegia. tet·ra·ple·gia n. See quadriplegia. tetraplegia paralysis of all four extremities; quadriplegia. . The authors suggested that it is more difficult to predict outcomes for patients with tetraplegia or incomplete SCI than for patients with paraplegia and that adjusting goals with close collaboration between the patient and the rehabilitation team is important throughout the rehabilitation process. Janice Bohn, PT, NCS Rehabilitation Institute of Chicago The Rehabilitation Institute of Chicago is a rehabilitation hospital located in Chicago, Illinois, United States. It is a part of the McGaw Medical Center of Northwestern University. at Alexian Brothers Medical Center Elk Grove Village Elk Grove Village, village (1990 pop. 33,429), Cook and Du Page counties, NE Ill., a suburb of Chicago; inc. 1956. With a population of c.100 at the time of its establishment on open farmland, the village has grown dramatically and steadily, largely because of its , Ill |
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