Evaluation of the influence of Active Rehabilitation camps on the functional abilities in persons with tetraplegia

• Authors: Lech Furmaniuk , Grażyna Cywińska-Wasilewska
• Languages of publication: EN

Abstracts

EN

Introduction: Every year, about 400 new patients with tetraplegia arise in Poland. The solution ensuring the continuation of the rehabilitation process of such patients is the activity of non-governmental organizations associating disabled people. Among them Foundation of Active Rehabilitation (FAR) has greatest experience in rehabilitation of people after SCI. Annually, about 70 persons with tetraplegia participate in Active Rehabilitation (AR) camps.Aim of this study was to estimate the influence of AR camps on the functional abilities in persons with tetraplegia.Material and methods: 40 men with tetraplegia were examined. Subjects were divided into two groups: participants of AR camps (group A, n=20) and control (group B, n=20). TheASIA motor score was used to estimate the degree of upper limb impairment. Functional Independence Measure (FIM)was used to assess functional abilities. All subjects were assessed in the beginning of the study and reassessed after 8 days. Results: Both groups during preliminary investigation were homogeneous under regard the ASIA motor score as well as the results of FIM. During final investigations significant improvement of FIM was noted only in group A. The mean value of FIM significantly increased about 10.8 points. In group A significant correlation between FIM scores and ASIA motor score were found (p<0.001).Conclusion: Improvement of functional skills among patients with tetraplegia which participated in AR camps was observed. The highest improvement in FIM was observed among persons with a C6 tetraplegia. Obtained results (ceiling effect) through of examined persons from C7 tetraplegia were suggested the need of applying more sensitive tests.

• Publisher: De Gruyter Open
• Journal: Advances in Rehabilitation
• Year: 2012
• Volume: 26
• Issue: 2
• Pages: 51-56

Dates

published

1 - 06 - 2012

online

31 - 08 - 2013

Contributors

author

Lech Furmaniuk

• Wychowania Fizycznego im. E. Piaseckiego w Poznaniu Wydział Wychowania Fizycznego, Katedra Rehabilitacji Narządu Ruchu, Zakład Kinezyterapii

author

Grażyna Cywińska-Wasilewska

• Akademia Wychowania Fizycznego im. E. Piaseckiego w Poznaniu Wydział Wychowania Fizycznego, Katedra Rehabilitacji Narządu Ruchu, Zakład Kinezyterapii

References

• 1. Tasiemski T. Urazy rdzenia kręgowego. Trening samoobsługi i techniki jazdy wózkiem inwalidzkim. Warszawa: Wyd. FAR; 2000.
• 2. Furmaniuk L, Cywińska - Wasilewska G. Metodyka usprawniania osób po urazie rdzenia kręgowego podczas obozów Aktywnej Rehabilitacji. Fizjoterapia 2008; 16(1): 85-91.
• 3. Tasiemski T. Efektywność systemu Aktywnej Rehabilitacji w usprawnianiu czynności samoobsługi i lokomocji osób po urazach rdzenia kręgowego. Postępy Rehabilitacji 1998; 12(1): 67-79.
• 4. Sosnowski S i wsp. Proces aktywnej rehabilitacji chorych po urazach rdzenia kręgowego. Ortopedia, Traumatologia i Rehabilitacja 2000; 2(1):53-56.
• 5. Dallmeijer AJ, Hopman MT, Angenot EL, van der Woude LH. Effect of training on physical capacity and physical strain in persons with tetraplegia. Scand J Rehabil Med 1997; 29: 181-186.
• 6. Hamilton BB et al. Interrateragriment of seven level Functional Independence Measure (FIM). Arch Phys Med Rehabil 1991; 72: 790.
• 7. Hall KM et al. Characteristics of the Functional Independence Measure in traumatic spinal cord injury. Arch Phys Med Rehabil 1999; 80: 1471-6.[Crossref][PubMed]
• 8. Karamehmetoglu S et al. The Functional independence measure in spinal cord injured patients: comparison of questioning with observational rating. Spinal Cord 1997; 35: 22-5.[PubMed][Crossref]
• 9. American Spinal Injury Association. International standards for neurological classification of spinal cord injury. ASIA, Chicago 2002.
• 10. Opara J, Opieczonek T. Amerykańska klasyfikacja ASIA dla oceny neurologicznej i funkcjonalnej osób po urazie rdzenia kręgowego. Postępy Rehabilitacji 1997; 11(3): 105-12.
• 11. Baranowski P. Zastosowanie Międzynarodowych Standardów Neurologicznej i Funkcjonalnej Klasyfikacji Urazów Rdzenia Kręgowego (Skala ASIA). Ortopedia, Traumatologia i Rehabilitacja 2000; 2(1): 31-34.
• 12. Ota et al. Functional assessment of patients with spinal cord injury: measured by the motor score and the Functional Independence Measure. Spinal Cord 1996; 34: 531-5.[PubMed]
• 13. Yarkony GM et al. Rehabilitation outcomes in complete C5 quadriplegia. Am J Phys Med Rehabil 1988; 67: 73-6.[Crossref]
• 14. Formal CS, Cawley MF, Steins SA. Spinal cord injury rehabilitation. 3 Functional outcomes. Arch Phys Med Rehabil 1997; 78: 59-64.[Crossref]
• 15. Marciello MA et al. Elbow extension using anterior deltoids and upper pectorals in spinal cord-injured subjects. Arch Phys Med Rehabil 1995; 76: 426-32.[PubMed][Crossref]
• 16. Yarkony GM et al. Rehabilitation outcomes in C6 tetraplegia. Paraplegia 1988; 26: 177-185.[Crossref]
• 17. Marino RJ et al. Superiority of motor level over single neurological level in categorizing tetraplegia. Paraplegia 1995; 33: 510-513.[Crossref][PubMed]
• 18. Di Carlo et al. Effect of Arm Ergometry training on Physical Work Capacity of Individuals with Spinal Cord Injury. Phys Ther 1983; 63(7): 1104-7.
• 19. Fujiwara T et al. Relationship between shoulder muscle strength and functional independence measure (FIM) score among C6 tetraplegics. Spinal Cord 1990; 37: 58-61.
• 20. Saxena S et al. An EMG-controlled grasping system for tetraplegics. Journal of Rehabilitation Research and Development 1995; 32(1): 17-24.[PubMed]
• 21. Hoffmann G et al. How to extend the elbow with a weak or paralyzed triceps: control of arm kinematics for aiming in C6-C7 quadriplegic patients. Neuroscience 2006; 139: 749-765.

Identifiers

DOI

10.2478/rehab-2013-0038