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  4. Long-term assessment of the functional independence measure in sports-related spinal cord injury

Long-term assessment of the functional independence measure in sports-related spinal cord injury

The Journal of Spinal Cord Medicine, 2024 · DOI: 10.1080/10790268.2023.2167903 · Published: January 17, 2023

Spinal Cord InjuryParticipationOrthopedics

Simple Explanation

This study looks at patients who have spinal cord injuries from sports. It uses a tool called the Functional Independence Measure (FIM) to see how well they can do things on their own. The researchers wanted to know if surgery made a difference in how independent these patients were one year and five years after their injury. They also looked for other things that might help predict how well someone would do. The study found that factors associated with independence at one year were different from those at five years, suggesting a unique recovery pattern for sports-related spinal cord injuries.

Study Duration
Not specified
Participants
491 patients with sports-related spinal cord injury
Evidence Level
Not specified

Key Findings

  • 1
    Factors associated with functional independence outcomes at one-year follow-up were dissimilar from those at five-year follow-up.
  • 2
    Increased time spent in inpatient rehabilitation and FIM score at post-operative discharge were associated with greater likelihood of functional ability at both one and five-year follow-up.
  • 3
    Spine surgery was significant for worse independence in all four FIM subcategories at one-year follow-up but was consistently insignificant at five-year follow-up.

Research Summary

This study examined the predictors of functional independence amongst SRSCI patients. This study provides a granular analysis of factors important to consider when predicting these patients’ functional independence at one-year and five-year follow-up. This study demonstrated that when predicting SRSCI patients’ independence based on FIM score, factors that were associated with independence were dissimilar between one and five year follow-up.

Practical Implications

Rehabilitation Strategies

Early targeted rehabilitation programs, paired with surgical efforts, may improve outcomes after surgical intervention for SRSCI patients.

Discharge Protocols

Treating clinicians should consider initial FIM evaluations when determining discharge protocols, as lengthier rehabilitation may be warranted in patients with lower FIM scores.

Surgical Candidacy

The decision to pursue surgery for SRSCI patients may be best determined on a case-by-case basis for different sports-related mechanisms of injury.

Study Limitations

  • 1
    Disproportionate number of patients undergoing surgical intervention compared to those medically managed.
  • 2
    FIM score was not collected in all patients in the database at the follow-up periods of interest.
  • 3
    Limited data about surgical intervention including the type of surgical intervention or the timing of surgical intervention.

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