Objective: To estimate the functional independence of persons with spinal cord..." />Objective: To estimate the functional independence of persons with spinal cord...">
Content » Vol 35, Issue 5

FUNCTIONAL INDEPENDENCE IN PERSONS WITH SPINAL CORD INJURY IN HELSINKI

Antti Dahlberg, Mervi Kotila, Hannu Kautiainen, Hannu Alaranta
A1 Käpylä Rehabilitation Centre Finnish Association of People with Mobility Disabilities Helsinki Finland
A2 Department of Neurology Helsinki University Central Hospital Finland
A3 Rheumatism Foundation Hospital Heinola Finland

DOI: 10.1080/16501970306092

Abstract

Objective: To estimate the functional independence of persons with spinal cord injury according to the Functional Independence Measure motor items. Design: The study design was cross-sectional. Subjects: All adult citizens of Helsinki with traumatic spinal cord injury were identified. The final study group consisted of 121/152 subjects (80%). Methods: Functional Independence Measure assessments and American Spinal Cord Association examinations were performed on all subjects by the same experienced group including a physician and a physiotherapist. Results: The most assistance-craving items were climbing stairs and bladder management. There were no significant differences between the genders. Subjects with tetraplegia needed significantly more assistance in all motor items except walking/wheelchair locomotion, where there was no significant difference. Subjects with tetraplegia in American Spinal Injury Association Impairment Scale D had higher Functional Independence Measure scores, more functional independence, than subjects in American Spinal Injury Association Impairment Scale A-C, the difference being significant. Conclusion: Because of new information, the results of this study may provide better possibilities for planning and co-ordinating rehabilitation measures and social services.

Lay Abstract

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