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Arch Phys Med Rehabil. 2007 Jun;88(6):745-50.

Predicting walking at discharge from inpatient rehabilitation after a traumatic spinal cord injury.

Author information

1
Spinal Cord Injury Program, Rehabilitation Institute of Chicago, Chicago, IL 60611-4496, USA. a-deutsch@northwestern.edu

Abstract

OBJECTIVE:

To investigate how injury level and American Spinal Injury Association Impairment Scale (AIS) grade at rehabilitation admission are related to walking at discharge after traumatic spinal cord injury (SCI).

DESIGN:

Retrospective study.

SETTING:

Comprehensive rehabilitation hospital.

PARTICIPANTS:

A total of 343 adult inpatients with traumatic SCI.

INTERVENTIONS:

Not applicable.

MAIN OUTCOME MEASURE:

FIM instrument walking rating of 3 (moderate assistance) or higher at discharge.

RESULTS:

Significantly more subjects admitted with AIS grade C (28.3%) than AIS grade A or B injuries (0.9%) walked at discharge. Significantly more subjects admitted with AIS grade D (67.2%) than AIS grade C (28.3%) injuries walked at discharge. Level of injury did not significantly affect walking after AIS grade C or D injuries. Being 50 years or older had a significant negative affect on walking in subjects with AIS grade D but not AIS grade C injuries.

CONCLUSIONS:

Admission AIS grades give information about walking for treatment and discharge planning during acute inpatient rehabilitation, including the following: (1) patients admitted with AIS grade C injuries should not be considered functionally complete when predicting walking (FIM score > or = 3; no more than moderate assistance) at discharge, (2) level of injury does not affect walking for those with AIS grade C or D injuries, and (3) being 50 years or older has a significant negative affect on walking in subjects with AIS grade D but not AIS grade C injuries.

PMID:
17532896
DOI:
10.1016/j.apmr.2007.03.013
[Indexed for MEDLINE]
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