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  4. Factors influencing on functional independence outcomes after hospitalization and rehabilitation in children with spinal cord injury

Factors influencing on functional independence outcomes after hospitalization and rehabilitation in children with spinal cord injury

BMC Pediatrics, 2025 · DOI: https://doi.org/10.1186/s12887-025-05602-y · Published: March 17, 2025

Spinal Cord InjuryPediatricsRehabilitation

Simple Explanation

This study investigates factors influencing functional autonomy in children undergoing spinal cord injury rehabilitation, aiming to enhance clinical guidance at the China Rehabilitation Research Center. The research utilizes retrospective survey data, employing descriptive analysis, one-way ANOVA, and multiple logistic regression to examine factors impacting functional independence outcomes in children with SCI. Findings indicate that shorter intervals between spinal cord injury and rehabilitation intervention, along with the duration of rehabilitation treatment and the child's age, significantly affect functional recovery.

Study Duration
January 2017 to December 2021
Participants
228 children with spinal cord injury
Evidence Level
Not specified

Key Findings

  • 1
    The total SCIM-III score significantly improved from admission to discharge (p < 0.001), indicating functional gains during rehabilitation.
  • 2
    The injury to recovery time interval had a negative correlation with the total difference in SCIM-III scale.
  • 3
    Duration of rehabilitation treatment had a positive correlation with different age groups.

Research Summary

This retrospective study examined factors influencing functional independence outcomes in children with spinal cord injury (SCI) undergoing inpatient rehabilitation. The study identified that shorter intervals between injury and rehabilitation, longer rehabilitation durations, and the child's age significantly impacted functional recovery. The findings emphasize the importance of early and sustained rehabilitation interventions to optimize functional outcomes for children with SCI.

Practical Implications

Early Intervention

Initiate rehabilitation as early as possible following spinal cord injury in children to maximize functional recovery.

Extended Rehabilitation

Adhere to a longer duration of rehabilitation treatment to enhance functional independence outcomes in children with SCI.

Age-Specific Approaches

Consider age as a significant factor and tailor rehabilitation programs to meet the developmental needs of children with SCI.

Study Limitations

  • 1
    Single-center retrospective design limits generalizability.
  • 2
    Potential for bias and missing data inherent in retrospective studies.
  • 3
    Lack of data on long-term care and outcomes post-discharge.

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