Article

OBJECTIVE: To examine the association between inpatient and postdischarge
rehabilitation services and function, life satisfaction, and community
participation 1 year after spinal cord injury (SCI). DESIGN: Prospective,
observational. SETTING: Six rehabilitation facilities. PARTICIPANTS: Patients
with SCI (N=1376). INTERVENTIONS: None. MAIN OUTCOME MEASURES: Satisfaction with
Life Scale (SWLS), Craig Handicap Assessment and Reporting Technique (CHART),
motor FIM (mFIM), and return to work/school at 1 year post-SCI. RESULTS:
Demographic and injury characteristics explained 49% of the variance in mFIM and
9% to 25% of the variance in SWLS and CHART social integration, mobility, and
occupation scores. Inpatient rehabilitation services explained an additional 2%
of the variance for mFIM and 1% to 3% of the variance for SWLS and CHART scores.
More time in inpatient physical therapy (PT) was associated with higher mFIM
scores; more time in inpatient therapeutic recreation (TR) and social work and
more postdischarge nursing (NSG) were associated with lower mFIM scores. More
inpatient PT and TR and more postdischarge PT were associated with higher
mobility scores; more inpatient psychology (PSY) was associated with lower
mobility scores. More postdischarge TR was associated with higher SWLS; more
postdischarge PSY services was associated with lower SWLS. Inpatient TR was
positively associated with social integration scores; postdischarge PSY was
negatively associated with social integration scores. More postdischarge
vocational counseling was associated with higher occupation scores. Differences
between centers did not explain additional variability in the outcomes studied.
CONCLUSIONS: Inpatient and postdischarge rehabilitation services are weakly
associated with life satisfaction and societal participation 1 year after SCI.
Further study of the type and intensity of postdischarge services, and the
association with outcomes, is needed to ascertain the most effective use of
therapy services after SCI.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS