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
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.
Do you want to comment on this paper? The comments will show up here and if appropriate the comments will also separately be forwarded to the authors. You need to login/create an account to comment on articles. Click here to login/create an account.
Journal of Rehabilitation Medicine S:T Johannesgatan 22A SE-753 12 Uppsala, Sweden