Functional independence of persons with long-standing motor complete spinal cord injury in the Netherlands

Osterthun, Rutger; Tjalma, Tjitske A; Spijkerman, Dorien C M; Faber, Willemijn; Asbeck, F; Adriaansen, Jacinthe J E; Post, Marcel W M

doi:10.1080/10790268.2018.1504427

Cited by 11 publications

(7 citation statements)

References 30 publications

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“…Several studies use SCIM III in the population with SCI to assess functional independence in ADL. Osterthun et al 27 used SCIM III to assess functional recovery in people with SCI and verified the existence of a strong correlation of the motor score of upper limbs with the domain of self-care [28][29][30] .…”

Section: Discussionmentioning

confidence: 99%

Comparação da incapacidade percebida e independência funcional em indivíduos com lesão medular atletas e não atletas

et al. 2019

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RESUMO Os comprometimentos da funcionalidade em indivíduos com lesão medular (LM) geram complicações secundárias, sendo o descondicionamento físico preponderante e um exacerbador das complicações da lesão. O objetivo foi avaliar em atletas e não atletas com LM a incapacidade percebida e a independência funcional. Os questionários WHODAS 2.0 e SCIM III foram aplicados em 37 voluntários com LM e seus dados sociodemográficos foram coletados. Os escores totais do WHODAS 2.0 e SCIM III de indivíduos com LM torácica e LM cervical foram comparados por meio do teste de Mann-Whitney. Quanto à incapacidade percebida observou-se diferença significativa no WHODAS 2.0 entre atletas e não atletas com LM torácica. Em relação à independência funcional não houve diferenças significativas entre os grupos no SCIM III. Apesar de a prática esportiva promover benefícios para a saúde, no grupo de indivíduos com LM cervical não foram encontradas diferenças significativas, o que pode ser explicado pelo maior grau de comprometimento motor desses indivíduos.

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Section: Discussionmentioning

confidence: 99%

Comparação da incapacidade percebida e independência funcional em indivíduos com lesão medular atletas e não atletas

et al. 2019

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“…Clinician-administered SCIM III has been used in several studies, providing valuable information on functional independence among the population with SCI [22][23][24][25][26][27][28]. Unfortunately, neither SCIM III nor the self-reported SCIM (SCIM-SR) based on SCIM III has thresholds or reference values, and they are not validated for persons with NTSCI.…”

Section: Discussionmentioning

confidence: 99%

Functional independence in the Finnish spinal cord injury population

et al. 2021

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Study design A cross-sectional survey of the Finnish population with spinal cord injury (FinSCI database). Objectives To describe the functional independence of the population with spinal cord injury (SCI) in Finland and to identify how generic and lesion characteristics affect their functional independence. Setting The participants were recruited from the registers of three SCI outpatient clinics responsible for lifelong follow-up and care for people with SCI in Finland. Methods The data were retrieved from FinSCI (n = 1772). The response rate was 50% (n = 884). The Spinal Cord Independence Measure-Self Report (SCIM-SR) was used. The data were analyzed with univariate testing, factor analyses, and multiple linear regression models. Results The median (percentiles 25; 75) SCIM-SR total score was 76.0 (58.8; 89.0), and the score was 18.0 (13.0; 20:0) for the self-care sub-scale, 33.0 (25.0; 39.0) for the respiration and sphincter management sub-scale and 29.0 (16.0; 36.8) for the mobility sub-scale. The higher the neurological level in groups AIS A, B, and C, the lower the functional ability. Group AIS D at any injury level had the highest level of functional ability. Age and the number of years since injury negatively influenced the SCIM-SR scores for every sub-scale. Conclusion Based on the International Spinal Cord Injury Core Data Set, the severity of SCI can differentiate persons with SCI according to their functional ability. The results suggest that SCI affects individuals’ health more than ageing alone does, thereby reducing the functional ability and independence of persons with SCI over time.

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“…More detailed training of essential daily life wheelchair skills and its monitoring should be an integral part of rehabilitation practice, clinical or ambulatory, thus building independence and participation in a truly effective manner. Systematic monitoring thereof with outcomes such as propulsion technique (e.g., with 3D measurement wheels), mechanical efficiency during submaximal steady-state wheeling on the treadmill, a wheelchair skills test battery and task-specific wheelchair work capacity will help identify those who can become independent in a true sense [57][58][59][60][61][62]. Being part of motor skill learning and control, this is a matter of practice, and skill-building will help overcome the fear of falling or tripping and becoming self-evident in an array of skills.…”

Section: Wheelchair Skills: Self-efficacy and Perceived Importancementioning

confidence: 99%

Rehabilitation: mobility, exercise & sports; a critical position stand on current and future research perspectives

Woude

Houdijk

Janssen

et al. 2020

Disability and Rehabilitation

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Background: Human movement, rehabilitation, and allied sciences have embraced their ambitions within the cycle of "RehabMove" congresses over the past 30 years. This combination of disciplines and collaborations in the Netherlands has tried to provide answers to questions in the fields of rehabilitation and adapted sports, while simultaneously generating new questions and challenges. These research questions help us to further deepen our understanding of (impaired) human movement and functioning, with and without supportive technologies, and stress the importance of continued multidisciplinary (inter)national collaboration. Methods: This position stand provides answers that were conceived by the authors in a creative process underlining the preparation of the 6th RehabMove Congress. Results: The take-home message of the RehabMove2018 Congress is a plea for continued multidisciplinary research in the fields of rehabilitation and adapted sports. This should be aimed at more individualized notions of human functioning, practice, and training, but also of performance, improved supportive technology, and appropriate "human and technology asset management" at both individual and organization levels and over the lifespan. Conclusions: With this, we anticipate to support the development of rehabilitation sciences and technology and to stimulate the use of rehabilitation notions in general health care. We also hope to help ensure a stronger embodiment of preventive and lifestyle medicine in rehabilitation practice. Indeed, general health care and rehabilitation practice require a healthy and active lifestyle management and research agenda in the context of primary, secondary, and tertiary prevention. ä IMPLICATIONS FOR REHABILITATION Continued multidisciplinary (international) collaboration will stimulate the development of rehabilitation and human movement sciences. Notions from "human and technology asset management and ergonomics" are fundamental to rehabilitation practice and research. The rehabilitation concept will further merge into general health care and the quality there-off.

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Functional independence of persons with long-standing motor complete spinal cord injury in the Netherlands

Abstract: We found no association between TSI and functional independence in persons with long-standing motor complete SCI. This study confirms the possible effect of overweight on functional independence.

Cited by 11 publications

References 30 publications

Comparação da incapacidade percebida e independência funcional em indivíduos com lesão medular atletas e não atletas

Comparação da incapacidade percebida e independência funcional em indivíduos com lesão medular atletas e não atletas

Functional independence in the Finnish spinal cord injury population

Rehabilitation: mobility, exercise & sports; a critical position stand on current and future research perspectives

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