Life care planning projections for individuals with motor incomplete spinal cord injury before and after locomotor training intervention: a case series.
Life care planning projections for individuals with motor incomplete spinal cord injury before and after locomotor training intervention: a case series.
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运动训练干预前后运动不完全性脊髓损伤患者的生活护理规划预测：病例系列。
DOI：
10.1097/npt.0b013e318262e5ab
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
Behrman,AndreaL
中科院分区：
文献类型：
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作者：
Morrison,SarahA;Pomeranz,JamieL;Yu,Nami;Read,MarySchmidt;Sisto,SueAnn;Behrman,AndreaL
背景/目的：我们通过对2名运动不完全性脊髓损伤(SCI)患者的回顾性病例系列研究，来检验在参加强化运动训练(LT)计划之前和之后终生成本估算的差异。生活护理计划(LCP)的部分被用来确定与接受移植的患者的设备、房屋翻新和交通相关的财务影响。LCP是量化任何治疗干预后结果的一种可行的方法。病例描述：LCP病例包括一名61岁的女性和一名4岁半的男孩，他们患有运动不完全的脊髓损伤和美国脊柱损伤协会损伤量表(AIS)分别归类为AIS D和AIS C的损害。干预：每个患者都接受了每周3-5天的强化门诊LT计划。这位61岁的女士在57周内接受了198次治疗，而这名4岁半的男孩在16周内接受了76次治疗。结果：计算了LCP手术前后的设备、房屋翻新和交通费用。在实施LT之前，这名61岁的女子估计一生的成本在150 247.00至199 654.00美元之间。在技术援助后，估计费用降至2010.00美元至2446.00美元(减少148 237.00美元和197 208.00美元)。同样，在LT之前，这个4岁的男孩估计设备、房屋翻新和交通的终身成本在050.00美元到771 665.00美元之间。然而，估计费用下降到97 260.00美元到200 047.00美元之间(减少437 790.00美元和571 618.00美元)。讨论：在本文介绍的两个病例中，与运动不全脊髓损伤后的设备、房屋翻新和交通相关的终生财务成本降低。LCP包括康复费用以及长期医疗和个人护理费用，可能是识别康复干预成本效益的有效工具。
Background/Purpose: We present a retrospective case series of 2 individuals with motor-incomplete spinal cord injury (SCI) to examine differences in lifetime cost estimates before and after participation in an intensive locomotor training (LT) program. Sections of a life care plan (LCP) were used to determine the financial implications associated with equipment, home renovations, and transportation for patients who receive LT. An LCP is a viable method of quantifying outcomes following any therapeutic intervention.Case Description: The LCP cases analyzed were a 61-year-old woman and a 4½-year-old boy with motor-incomplete SCI and impairments classified by the American Spinal Injury Association Impairment Scale (AIS) as AIS D and AIS C, respectively.Interventions: Each patient received an intensive outpatient LT program 3 to 5 days per week. The 61-year-old woman received 198 sessions over 57 weeks and the 4½-year-old boy received 76 sessions over 16 weeks.Outcomes: The equipment, home renovation, and transportation costs of an LCP were calculated before and after LT. Prior to the implementation of LT, the 61-year-old woman had estimated lifetime costs between $150 247.00 and $199 654.00. Following LT, the estimated costs decreased to between $2010.00 and $2446.00 (a decrease of $148 237.00 and $197 208.00). Similarly, the 4-year-old boy had estimated lifetime costs for equipment, home renovation, and transportation between $535 050.00 and $771 665.00 prior to LT. However, the estimated costs decreased to between $97 260.00 and $200 047.00 (a decrease of $437 790.00 and $571 618.00) following LT.Discussion: The lifetime financial costs associated with equipment, home renovations, and transportation following a motor-incomplete SCI were decreased following an intensive LT program for the 2 cases presented in this article. The LCP, including costs of rehabilitation and long-term medical and personal care costs, may be an effective tool to discern cost benefit of rehabilitation interventions.