Abstract
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.
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References
American Occupational Therapy Association. www.aota.org.
Bjorklund A . Focus on occupational therapists' paradigms. Scand J Caring Sci 1999; 13: 165–170.
Lee B, Nantais T . Use of electronic music as an occupational therapy modality in spinal cord injury rehabilitation: an occupational performance model. Am J Occup Ther 1996; 50: 362–369.
WHO. International Classification of Functioning, Disability and Health. World Health Organization: Geneva, 2001.
Blake K . The social isolation of young men with quadriplegia. Rehabil Nurs 1995; 20: 17–22.
Pentland W, Harvey AS, Smith T, Walker J . The impact of spinal cord injury on men's time use. Spinal Cord 1999; 37: 786–792.
Law M . Participation in the occupations of everyday life. Am J Occup Ther 2002; 56: 640–649.
Hart KA, Rintala DH . Long-term outcomes following spinal cord injury. NeuroRehabilitation 1995; 5: 57–73.
Noreau L, Shephard RJ . Spinal cord injury, exercise and quality of life. Sports Med 1995; 20: 226–250.
MacRae A . Should music be used therapeutically in occupational therapy? Am J Occup Ther 1992; 46: 275–277.
Department of National Health and Welfare and the Canadian Association of Occupational Therapists. Guidelines for the client-centred practice of occupational therapy (H39–33/1983E). Department of National Health and Welfare: Ottawa, ON, 1983.
Mingaila S, Krisciunas A . Occupational therapy for patients with spinal cord injury in early rehabilitation. Medicina (Kaunas) 2005; 41: 649–654.
Outcomes Following Traumatic Spinal Cord Injury: Clinical Practice Guidelines for Health-Care Professionals. Consortium for Spinal Cord Medicine Clinical Practice Guidelines. Paralyzed Veterans of America: Washington, DC, 1999.
Voss DE . Introduction. In: Voss DE, Ionta MK, Myers BJ (eds), Proprioceptive Neuromuscular Facilitation. 3rd edn Harper & Row, Publishers: Philadelphia, 1985, pp XIII–XXI.
Vannini R . La Terapia Occupazionale. In: Bonavita J, Menarini M, Pillastrini P (ed), La Riabilitazione nelle Mielolesioni. Masson: Milano, 2004, pp 325–352.
Taricco M, Apolone G, Colombo C, Filardo G, Telaro E, Liberati A . Functional status in patients with spinal cord injury: a new standardized measurement scale. Arch Phys Med Rehab 2000; 81: 1173–1180.
McColl MA, Stirling P, Walker J, Corey P, Wilkins R . Expectations of independence and life satisfaction among ageing spinal cord injured adults. Disabil Rehabil 1999; 21: 231–240.
Dijkers M . Correlates of life satisfaction among persons with spinal cord injury. Arch Phys Med Rehabil 1999; 80: 867–876.
Lin K-H, Chuang C-C, Kao M-J, Tsauo J-Y . Quality of life of spinal cord injured patients in Taiwan: a subgroup study. Spinal Cord 1997; 35: 841–849.
Anderson CJ, Vogel LC . Domain-specific satisfaction in adults with pediatric-onset spinal cord injuries. Spinal Cord 2003; 41: 684–691.
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Pillastrini, P., Mugnai, R., Bonfiglioli, R. et al. Evaluation of an occupational therapy program for patients with spinal cord injury. Spinal Cord 46, 78–81 (2008). https://doi.org/10.1038/sj.sc.3102072
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DOI: https://doi.org/10.1038/sj.sc.3102072
