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Evaluation of an occupational therapy program for patients with spinal cord injury
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Journal Article
Evaluation of an occupational therapy program for patients with spinal cord injury
2008
Overview
Study design:
Clinical controlled trial.
Objectives:
To evaluate the effectiveness of an occupational therapy (OT) program combined with neuromotor rehabilitation, by assessing the degree of functional independence reached by patients with spinal cord injuries at first hospitalization.
Settings:
Subjects selected from the Spinal Cord Unit of the Rehabilitation Institute of Montecatone (Imola, Italy).
Participants:
Thirty-six male patients below age 60, with complete paraplegia (ASIA-A) in thoracic-lumbar level, at first hospitalization.
Methods:
Patients were divided into experimental and control groups. Subjects in the experimental group underwent neuromotor rehabilitation coupled with an OT program, whereas those in the control group followed neuromotor rehabilitation only. Increase in functional independence at discharge was evaluated by the Valutazione Funzionale Mielolesi (VFM) assessment scale.
Results:
Patients in the experimental group showed a significant increase in the total VFM score, and in domains concerning transfers and wheelchair use. A significant improvement was observed in unmarried patients as compared to married ones.
Conclusion:
An OT service within a Spinal Cord Unit allows us to achieve a higher level of functional independence.
Publisher
Nature Publishing Group UK,Nature Publishing,Nature Publishing Group
Subject
/ Adult
/ Anatomy
/ Biological and medical sciences
/ Biomedical and Life Sciences
/ Cerebrospinal fluid. Meninges. Spinal cord
/ Exercise Therapy - statistics & numerical data
/ Humans
/ Injuries of the nervous system and the skull. Diseases due to physical agents
/ Italy
/ Male
/ Muscle, Skeletal - innervation
/ Muscle, Skeletal - physiopathology
/ Nervous system (semeiology, syndromes)
/ Occupational Therapy - methods
/ Occupational Therapy - statistics & numerical data
/ Paraplegia - physiopathology
/ Rehabilitation Centers - statistics & numerical data
/ Rehabilitation Centers - trends
/ Spinal Cord Injuries - physiopathology
/ Spinal Cord Injuries - rehabilitation
