Using the Spinal Cord Independence Measure III to measure functional recovery in a post-acute spinal cord injury program
Using the Spinal Cord Independence Measure III to measure functional recovery in a post-acute spinal cord injury program
复制标题
DOI：
10.1038/sc.2009.140
复制
发表时间：
2010-05-01
期刊：
影响因子：
2.2
通讯作者：
Vazquez, L.
中科院分区：
文献类型：
--
作者：
Ackerman, P.;Morrison, S. A.;Vazquez, L.
研究设计：前瞻性设计采用入院和出院脊髓独立性测量III（SCIM-III）数据的人出院后急性康复计划。目的：本研究的目的是分析的功能收益作为衡量SCIM-III发生在急性康复计划。设置：牧羊人中心，亚特兰大，GA，美国。方法：如果参与者患有运动性完全性脊髓损伤（SCI），并且在受伤之日起12个月内完成了推荐的住院时间，则将其纳入研究。根据美国脊髓损伤协会运动损伤水平，按亚组（C1-4、C5、C6、C7-8、T1-6和T7-12）计算入院和出院之间的SCIM-III中位变化。天花板和地板的影响进行了检查的项目和百分比的参与者显示入院和出院之间的变化进行了calculated.Results：在所有，114名参与者被纳入分析。入院时SCIM-III总分的中位数为42（范围13-68），而出院时SCIM-III总分的中位数为50（范围16-72）。入院和出院之间SCIM-III总分的中位改善5分具有统计学显著性。除C1-4外，所有亚组的入院和出院之间也观察到显著改善。天花板和地板的影响，注意到在一些subgroup.Conclusions：SCIM-III似乎是一个有效的措施，SCI患者在急性康复计划后的功能评估。有一些天花板和地板的影响，但是，SCIM-III似乎是敏感的，足以捕捉功能的变化，在急性后康复计划。Spinal Cord（2010）48，380-387; doi：10.1038/sc.2009.140; 2009年11月3日在线发表
Study design: A prospective design was conducted using admission and discharge Spinal Cord Independence Measure III (SCIM-III) data for persons discharged from a post-acute rehabilitation program.Objective: The purpose of this study is to analyze the functional gains as measured by the SCIM-III that occur during a post-acute rehabilitation program.Setting: Shepherd Center, Atlanta, GA, USA.Methods: Participants were included if they had a motor complete spinal cord injury (SCI), were within 12 months from the date of injury and completed the recommended length of stay. Median SCIM-III changes between admission and discharge were calculated by subgroups (C1-4, C5, C6, C7-8, T1-6 and T7-12) based on the American Spinal Injury Association motor injury levels. Ceiling and floor effects were examined by item and the percentage of participants showing change between admission and discharge were calculated.Results: In all, 114 participants were included in the analysis. The median total SCIM-III score at admission was 42 (range 13-68), whereas the median total SCIM-III score at discharge was 50 (range 16-72). The median improvement of 5 points in total SCIM-III score between admission and discharge was statistically significant. Significant improvements were also observed between admission and discharge across all subgroups except C1-4. Ceiling and floor effects were noted in some subgroups.Conclusions: The SCIM-III seems to be an effective measure for functional assessment of persons with SCI in a post-acute rehabilitation program. There are some ceiling and floor effects noted; however, the SCIM-III seems to be sensitive enough to capture functional changes during a post-acute rehabilitation program. Spinal Cord (2010) 48, 380-387; doi:10.1038/sc.2009.140; published online 3 November 2009