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Study of neurological recovery based on data from the Model Spinal Cord Injury (SCI) Systems concerning 3,585 individuals with traumatic SCI admitted between 1988 and 1997. The study examined changes in neurological impairment category; differences between neurological, sensory, and motor levels; changes in Frankel grade and AIS grade; and ...

Study examined the value of using American Spinal Injury Association (ASIA) motor subscores rather than the total ASIA motor score to predict functional abilities as measured using motor Functional Independence Measure (FIM) scores. Discharge data from subjects with traumatic spinal cord injury (SCI) included in the National SCI Database ...

Study compares motor level (MT) classification and neurological level (NL) classification as determinates of functional ability for tetraplegia. Explanation is provided on how both measures are used to correlate impairment with self care function. The Quadriplegia Index of Function (QIF) is used to measure clinically important changes in function. ...

Study examined the psychometric properties of a self-report version of the Functional Independence Measure, called FIM-SR, in a group of people with spinal cord injury (SCI) and a group with amputations. Reliability was estimated using Cronbach's alpha and test-retest correlation coefficients. Validity was examined by comparing FIM-SR scores with ...

Data transcribed from 5 focus groups describe the barriers and satisfaction expressed by consumers with spinal cord injuries and personal assistants related to the provision of personal assistance services. Results indicated that both groups experienced problems with the consumer-personal assistant relationship, inadequate reimbursement, and restrictive policies. Consumers also reported ...

Study investigating the unmet independent living needs of persons with spinal cord injury (SCI). Subjects were 127 persons who completed inpatient rehabilitation at one of two Model SCI Care Systems. All subjects were between the ages of 17 and 65 at the time of their injuries, lacked any evidence ...

Article reviewing the literature on the effectiveness of psychosocial interventions in the rehabilitation of persons with spinal cord injury (SCI). Each study was evaluated according to 36 methodological criteria, and the mean scores and percentage of studies with a score of 3 or greater are given for each criterion. ...

Paper summarizes findings from studies examining the role of age at injury on the rehabilitation outcomes of patients with spinal cord injury (SCI). Article presents information patient characteristics, treatment, and outcome variables, including demographic factors, lengths of stay, treatment charges, neurological outcomes, functional outcomes, and discharge disposition. This information ...

The medical records for both acute care and rehabilitation admissions over a 2-year period were retrospectively reviewed to identify the incidence, etiology, and risk factors for fevers in adults with traumatic spinal cord injury (SCI). The incidence of fever was 60.4 percent for acute care and 50 percent for ...

Study compared neurologic, medical, and functional outcomes of patients with acute spinal cord injury (SCI) who underwent surgery less than 72 hours after injury (early) versus those who had surgical treatment after 72 hours (late) and those who received non-surgical treatment. Neurologic outcomes were assessed with the American Spinal ...

Article describes that impact of assistive technology (AT) on the employment status and quality of life of individuals with spinal cord injury (SCI). AT and computer adaptations can help people with SCI to compensate for functional limitations, overcome barrier to employability, enhance technical capacities and computer utilization, and improve ...

Article presents case study of an individual with ventilator-dependent high cervical tetraplegia who was maintained on a ventilator for five years after sustaining a C3-C4 vertebral fracture with a complete high cervical tetraplegia. Diaphragmatic fluoroscopic evaluation at the initial injury revealed a non functioning diaphragm, and the patient was ...

Article discussing recent innovations in the management of individuals with spinal cord injury (SCI), such as: (1) cost-effective health services via 'clinical pathways' and 'case management' approaches over the continuum of care; (2) recent clinical research into key prognostic indicators for neurological recovery after SCI; (3) innovations in the care ...

Chapter reviews the literature pertaining to the incidence, demographics, clinical presentations, and outcomes for nontraumatic spinal cord injury (SCI). The more common causes of nontraumatic SCI include spinal stenosis, cancerous compression, vascular ischemia, and multiple sclerosis. Other etiologies include inflammatory diseases of infectious and noninfectious nature, motor neuron diseases, ...

Article presents the results of a study comparing the rehabilitation outcomes of individuals with violent versus nonviolent traumatic spinal cord injury (SCI). Twenty-seven patients with SCI caused by gunshot wound, stabbing, or assault and 27 patients with SCI caused by motor vehicle accidents or falls participated in the study. ...

Five year review presents rehabilitation functional outcome of individuals with neoplastic spinal cord compressions. Chart review and survey of patients or families provided data. Spinal cord compression is characterized by pain, weakness, autonomic dysfunction and sensory loss with possible complications of paralysis of muscles related to the level of ...

Self-directed learning module reviews the diagnosis and treatment of medical complications associated with spinal cord injury (SCI). Describes treatment approaches for common medical complications that impact rehabilitation, including pressure ulcers, unilateral lower-extremity swelling, spasticity, autonomic dysreflexia, orthostatic hypotension, and pain. ...

Study comparing outcomes of inpatient rehabilitation for persons with neoplastic spinal cord compression (SCC) and traumatic spinal cord injury (SCI). Outcome measures were examined for 29 SCC and 29 SCI patients matched for age, level of injury, and impairment classification. Measures examined included length of stay (LOS), Functional Independence ...

Study comparing demographics, injury characteristics, and functional outcomes of individuals with neoplastic spinal cord compression and those with traumatic spinal cord injury (SCI). Data are from a prospective 5-year comparison of 34 individuals with neoplastic spinal cord compression and 159 individuals with SCI. It was found that participants with ...

Study of incidence, risk factors, and trends for long-term secondary medical complications after traumatic spinal cord injury (SCI). Data from the National SCI Statistical Center on patients injured 1973-1998 were reviewed. Complications examined included pneumonia/atelectasis, autonomic dysreflexia, deep venous thrombosis, pulmonary embolism, pressure ulcers, fractures, and renal calculi. Pressure ...