Faisal AlHuthaifi1, Joseph Krzak2,3, Timothy Hanke2, Lawrence C Vogel3. 1. a Midwestern University, College of Health Sciences , Doctor of Health Sciences Program , Downers Grove , IL , USA. 2. b Midwestern University, College of Health Sciences, Physical Therapy Program , Downers Grove , IL , USA. 3. c Shriners Hospitals for Children®- Chicago , Chicago , IL , USA.
Abstract
CONTEXT: Despite functional improvements during rehabilitation, variable functional outcomes were reported when patients with Spinal Cord Injury (SCI) return to society. Higher functioning individuals at discharge can experience a decrease in independent mobility (i.e. Motor Functional Independence Measure (mFIM) Score) by one-year follow-up. However, functional gains after discharge have also been reported and associated with recovery. OBJECTIVE: To identify, categorize and rank predictors of mFIM score for patients with SCI following inpatient rehabilitation, both at the time of discharge and at one-year follow-up. METHODS: Data sources included CINAHL, PubMed, ERIC, Google Scholar, and Medline for literature published from February 2000 to February 2015. Quality and risk of bias of included studies was assessed using the Risk of Bias Assessment Instrument for Prognostic Factor Studies (QUIPS). Significant predictors of mFIM score were categorized using the domains of the International Classification of Function and Disability model ICF and ranked based on how frequently they were significant predictors of mFIM score. RESULTS: Twenty-seven predictors of mFIM score spanning the ICF domains were identified among seven studies. At discharge, variables in the Body Structure and Function domain were the most consistent predictors of mFIM score. At one-year follow-up, variables in the Activity and Participation domain were the most consistent predictors of mFIM score. Contextual factors were the least frequent predictors at both discharge and one-year follow-up. CONCLUSION: This systematic-review assists clinicians setting realistic goals that maximize functional independence at the time of discharge and after reintegrating to society.
CONTEXT: Despite functional improvements during rehabilitation, variable functional outcomes were reported when patients with Spinal Cord Injury (SCI) return to society. Higher functioning individuals at discharge can experience a decrease in independent mobility (i.e. Motor Functional Independence Measure (mFIM) Score) by one-year follow-up. However, functional gains after discharge have also been reported and associated with recovery. OBJECTIVE: To identify, categorize and rank predictors of mFIM score for patients with SCI following inpatient rehabilitation, both at the time of discharge and at one-year follow-up. METHODS: Data sources included CINAHL, PubMed, ERIC, Google Scholar, and Medline for literature published from February 2000 to February 2015. Quality and risk of bias of included studies was assessed using the Risk of Bias Assessment Instrument for Prognostic Factor Studies (QUIPS). Significant predictors of mFIM score were categorized using the domains of the International Classification of Function and Disability model ICF and ranked based on how frequently they were significant predictors of mFIM score. RESULTS: Twenty-seven predictors of mFIM score spanning the ICF domains were identified among seven studies. At discharge, variables in the Body Structure and Function domain were the most consistent predictors of mFIM score. At one-year follow-up, variables in the Activity and Participation domain were the most consistent predictors of mFIM score. Contextual factors were the least frequent predictors at both discharge and one-year follow-up. CONCLUSION: This systematic-review assists clinicians setting realistic goals that maximize functional independence at the time of discharge and after reintegrating to society.
Authors: Kiley J Pershouse; Ruth N Barker; Melissa B Kendall; Petra G Buettner; Pim Kuipers; Sarita B Schuurs; Delena I Amsters Journal: Arch Phys Med Rehabil Date: 2012-01-24 Impact factor: 3.966
Authors: Jefferson R Wilson; Robert G Grossman; Ralph F Frankowski; Alexander Kiss; Aileen M Davis; Abhaya V Kulkarni; James S Harrop; Bizhan Aarabi; Alexander Vaccaro; Charles H Tator; Marcel Dvorak; Christopher I Shaffrey; Susan Harkema; James D Guest; Michael G Fehlings Journal: J Neurotrauma Date: 2012-07-31 Impact factor: 5.269
Authors: Marcel W M Post; Annet J Dallmeijer; Edmond L D Angenot; Floris W A van Asbeck; Lucas H V van der Woude Journal: J Rehabil Res Dev Date: 2005 May-Jun