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Background/Objective: To evaluate which tests best predict the ability of patients with ventilatordependent tetraplegia to wean from the ventilator. Methods: Retrospective review of patients. Participants: Twenty-six ventilator-dependent patients with tetraplegia admitted to a university inpatient spinal cord–injury rehabilitation unit with American Spinal Injury Association (ASIA) injury levels C2 to ...

Published studies have reported widely divergent estimates of the prevalence of chronic pain among individuals with (traumatic) spinal cord injury (SCI). To develop an estimate based on a synthesis of the research, we used searches of MEDLINE, CINAHL, PsycINFO, and other bibliographic databases and an ancestor search to identify ...

Background/Objective: Despite the attention depression after spinal cord injury (SCI) has received, research and clinical practice have been hampered by inadequate emphasis on reliable and valid measurement. Assessment of symptoms in persons with SCI is challenged by the presence of ‘‘transdiagnostic’’ symptoms and unexamined effects of gender. The objective ...

PURPOSE: This article describes the use of the World Health Organization's (WHO) International Classification of Functioning, Disability and Health (ICF) as a conceptual framework for processing and analyzing the narratives of 50 community-dwelling women with a spinal cord injury. The women were participants in a federally-funded study of stress ...

Purpose:Narrative form research is introduced as a unique, qualitative approach to studying narrative material, particularly trauma narratives. This methodology incorporates new analytic tools: Narrative Form Index (NFI) and Narrative Form Index Matrix (NFIM). Research Method/Design: The NFI is a standard set of narrative terms that provides a critical inventory ...

This study investigated the suspicion that a significant proportion of individuals having spinal cord injury (SCI) also sustain a concomitant undiagnosed occult head injury during the trauma accident. The criteria for high risk of head injury included the following: (1) quadriplegia with high energy deceleration accident, (2) loss of ...

This article reviews three measures of participation in a large spinal cord injury sample: the Craig Handicap Assessment and Reporting Technique Short Form (CHART-SF), the PAR-PRO, and the Community Integration Measure (CIM). The first two are based on quantitative assessment and the CIM is subjective. The PAR-PRO and CIM ...

Background/Objective: Outcomes research is in need of a classification system of physical therapy (PT) interventions for acute traumatic spinal cord injury (SCI) rehabilitation in the United States. The objective of this study was to describe a taxonomy (system to categorize and classify interventions) to examine the effects of PT ...

Background/Objective: Lack of a classification system for occupational therapy (OT) rehabilitation interventions for traumatic spinal cord injury (SCI) rehabilitation in the United States makes conducting outcomes research difficult. This article describes an OT SCI rehabilitation taxonomy (syste m to categorize and classify treatments). Methods: OT clinicians and researchers ...

Introduction: Outcomes research for speech language pathology (SLP) interventions for acute traumatic spinal cord injury (SCI) rehabilitation in the US is difficult because of the lack of a treatment classification system (taxonomy). Objective: To describe a taxonomy developed by speech language pathologists (SLPs) to examine the effects of SLP ...

Purpose. As motor vehicle accidents and violence cause the majority of spinal cord injuries (SCI) sustained in the USA and people with SCI will likely struggle with emotional issues related to the offender, the purpose of this exploratory study was to examine potential salutary effects of forgiveness among people ...

Background/Objective: Despite the attention depression after spinal cord injury (SCI) has received, research and clinical practice have been hampered by inadequate emphasis on reliable and valid measurement. Assessment of symptoms in persons with SCI is challenged by the presence of ‘‘transdiagnostic’’ symptoms and unexamined effects of gender. The objective ...

Background/Objective: Limited research evidence is available to show the effectiveness of the many specific interventions provided in spinal cord injury (SCI) rehabilitation; what is available typically focuses on effects of the full rehabilitation package but not specific therapy interventions, medical procedures, patient education, or counseling. Given the problems of ...

Background/Objective: Applying practice-based evidence research methodology to spinal cord injury (SCI) rehabilitation requires taxonomy (typology or classification) of rehabilitation interventions provided by every discipline contributing to SCI rehabilitation. The rehabilitation field currently lacks such taxonomy. Methods: SCIRehab project researchers and clinicians representing 7 rehabilitation disciplines from 6 US inpatient ...

BACKGROUND/OBJECTIVE: To determine the validity, accuracy, and predictive value of the signs and symptoms of urinary tract infection (UTI) for individuals with spinal cord injury (SCI) using intermittent catheterization (IC) and the accuracy of individuals with SCI on IC at predicting their own UTI. DESIGN: Prospective cohort based on ...

Background/Objective: Tilt and recline variable position seating systems are most commonly used for pressure relief to decrease potential for skin breakdown. This study provides quantitative information on the magnitudes of loading on the seat and back during phases of tilt, recline, and standing. The objective of this study was ...

This study assessed whether knowledge of employment-related public policies was related to occupational outcome among people with spinal cord injury (SCI) and explored factors that facilitated their engagement in occupational activities. The sample was 57 individuals with SCI. Knowledge of public policies was assessed using a 16-item questionnaire covering legislation ...