Title: Physical therapy is targeted and adjusted over time for the rehabilitation of locomotor function in acute spinal cord injury interventions in physical and sports therapy
Authors : Franz, Martina
Richner, Lea
Wirz, Markus
von Reumont, Anne
Bergner, Ulla
Herzog, Tanja
Popp, Werner
Bach, Kathrin
Weidner, Norbert
Curt, Armin
Published in : Spinal cord
Volume(Issue) : 56
Issue : 2
Pages : 158
Pages to: 167
Publisher / Ed. Institution : Nature Publishing Group
Issue Date: 23-Oct-2017
License (according to publishing contract) : Licence according to publishing contract
Type of review: Peer review (publication)
Language : English
Subjects : Rehabilitation; Spinal cord injuries
Subject (DDC) : 615.82: Physical therapy
617: Surgery
Abstract: Study design: Prospective observational multicenter study. Objectives: Investigation of content, duration and adjustment of physical therapy for the rehabilitation of ambulation in acute spinal cord injury (SCI). Setting: European Multicenter Study of SCI (EMSCI). Methods: Physical therapy interventions during acute in-patient rehabilitation of eighty incomplete SCI patients (AIS B, C, D all lesion levels) were recorded using the SCI – Intervention Classification System. Mobility was documented using the Spinal Cord Independence Measurement (SCIM III), demographics and clinical data were retrieved from the EMSCI database. Results: Overall recovery of locomotor function was categorized into three outcome groups (G1–G3). Of 76 initial wheelchair-using patients, 53.9% remained wheelchair user (G1), 25% regained moderate (G2) and 21.1% good walking (G3) capability. Strength training was the most frequently applied intervention of body function/-structure across all outcome groups (about 30% of all interventions), while interventions focusing on muscle tone and respiration were predominantly applied in wheelchair-dependent patients. Activity-focused interventions of transfer, transition, sitting were trained most intensively in outcome group G1, while walking and swimming were increasingly trained in patients with moderate and good walking outcomes. Physical therapy interventions of assistive and active trainings as well as corresponding training environments changed with the recovery of locomotor function. Conclusions: Physical therapy of locomotor function is targeted to individual patients’ conditions and becomes adjusted to the progress of ambulation. Although the involved clinical sites were not following explicitly standardized rehabilitation programs, common patterns can be discerned which may form the basis of prospective standardized programs.
Departement: Health Professions
Organisational Unit: Institute of Physiotherapy (IPT)
Publication type: Article in scientific journal
DOI : 10.1038/s41393-017-0007-5
ISSN: 1362-4393
1476-5624
URI: https://digitalcollection.zhaw.ch/handle/11475/13073
Appears in Collections:Publikationen Gesundheit

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