Functional Outcome of Patients with Post-Acute Traumatic Spinal Cord Injury after a 6-month Home-Based Rehabilitation Program and its Related Factors
Keywords:
functional independence, spinal cord injury, home care, rehabilitationAbstract
Objectives: The study aimed to evaluate the effectiveness of home-based rehabilitation programs on the functional outcomes of patients with traumatic spinal cord injuries in the post-acute phase and analyze factors associated with improved functional outcomes.
Study design: Prospective cohort study
Setting: Phatthalung Hospital, Thailand.
Subjects: Patients with traumatic spinal cord injuries had a home-based rehabilitation program and 6-month follow-up at a rehabilitation outpatient clinic from April 2022 to January 2023.
Methods: The demographic and medical information was retrieved from the medical record. The Spinal Cord Independence Measure version III was used to evaluate patients’ functional outcomes at the program’s start and the end of the 6-month follow-up period. The Thai-HADs questionnaire was assessed at the 6-month follow-up period. The chi-square and Fisher’s exact tests were used to evaluate the factors related to improved functional outcomes.
Results: A total of 76 patients participated in this study, with 76.3% of patients being men and mean (SD) age of 47.49 (14.85) years. The SCIM scores of 63.16% of patients increased throughout the follow-up period. Age, body mass index, neurological level of injury, level of paralysis, complications related to spinal cord injuries, frequency of encounter with therapists, frequency of self-exercise, and depressive symptoms were statistically significant factors associated with improved functional outcomes.
Conclusions: Home-based rehabilitation has benefits for patients with traumatic spinal cord injuries. Many factors are associated with improved functional outcomes. Healthcare workers and community support can help patients reach the highest level of independence and better reintegrate into their families and communities.
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