scholarly journals The Nottwil Standard-Development and Implementation of an International Classification of Functioning, Disability and Health-Based Clinical Standard Assessment for Post-acute Rehabilitation After Newly Acquired Spinal Cord Injury

2021 ◽  
Vol 2 ◽  
Author(s):  
Anke Scheel-Sailer ◽  
Patricia Lampart ◽  
Melissa Selb ◽  
Michael Baumberger ◽  
Hans Peter Gmünder ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Implementation Strategy ◽  
Communication Strategy ◽  
World Health ◽  
Situation Analysis ◽  
Standard Assessment ◽  
Cord Injury ◽  
Acute Rehabilitation ◽  
Selection Of

Introduction: Assessments during rehabilitation of spinal cord injury (SCI) align with the World Health Organization's classifications and national quality requirements. This paper aims to report on the development and first implementation experiences of an institutional standard of assessments performed after newly acquired SCI.Setting: Specialized SCI acute care and post-acute rehabilitation clinic in Switzerland.Methods: A situation analysis of an interdisciplinary post-acute SCI rehabilitation program was performed. The results informed a subsequent consensus-based selection of assessments, and an information and implementation strategy. Linking to the ICF Core Set for SCI in post-acute settings and ICF Generic-30 Set was performed. The Nottwil Standard was piloted for 18 months.Results: Situation analysis: A battery of 41 assessments were irregularly performed during initial rehabilitation after newly aquired SCI. Selection of assessments: A multidisciplinary group of clinicians agreed on 10 examinations, 23 assessments and two questionnaires that make up the Nottwil Standard. In total, 55 ICF categories are covered, including most of the ICF Generic-30 Set categories. The implementation strategy included Executive Board commitment, a structured improvement project, guidelines for documentation and assessments, a manual controlling system, and staff training on the Nottwil Standard. Pilot phase: 54 persons with paraplegia and 42 with tetraplegia (75 male; 21 female) were included. Twenty-seven assessments out of 33 assessments were performed in more than 80% of all observed patients' rehabilitation.Conclusion: Implementation of a standard assessment schedule was feasible but required a well-structured process with good communication strategy and controlling mechanism, and full engagement of involved professions.

Evaluating the Quality of Acute Rehabilitation Care for Patients With Spinal Cord Injury

2010 ◽  
Vol 19 (1) ◽  
pp. 47-61 ◽  
Author(s):  
Haiyan Qu ◽  
Richard M. Shewchuk ◽  
Yu-ying Chen ◽  
J. Scott Richards
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Rehabilitation Care ◽  
Cord Injury ◽  
Acute Rehabilitation

scholarly journals Validation of the World Health Organization Disability Assessment Schedule 2.0 in adults with spinal cord injury in Taiwan: a psychometric study

Spinal Cord ◽  
2019 ◽  
Vol 57 (6) ◽  
pp. 516-524 ◽  
Author(s):  
Tzu-Ying Chiu ◽  
Monika E. Finger ◽  
Carolina S. Fellinghauer ◽  
Reuben Escorpizo ◽  
Wen-Chou Chi ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
World Health Organization ◽  
World Health ◽  
Disability Assessment ◽  
Psychometric Study ◽  
Cord Injury ◽  
The World ◽  
Health Organization

scholarly journals Development and Evaluation of the Korean Version of Hospital-Based Transitional Rehabilitation Program Using Daily Living Home for Spinal Cord Injury

2021 ◽  
Vol 45 (5) ◽  
pp. 379-392
Author(s):  
Chang-Won Moon ◽  
Il-Young Jung ◽  
Ju Young Kim ◽  
Ha Neul Jang ◽  
Kang Hee Cho
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Daily Living ◽  
Significant Degree ◽  
Rehabilitation Program ◽  
World Health ◽  
Functional Improvement ◽  
The Core ◽  
Korean Version ◽  
Cord Injury

Objective To develop and evaluate the Korean version of a hospital-based transitional rehabilitation program (TRP), using daily living home for spinal cord injury (SCI) patients.Methods In this study, we developed the Korean version of a hospital-based TRP through domestic and overseas surveys and focus group meetings. By applying this to chronic SCI patients, we observed the functional and quality of life (QOL) changes and evaluated the degree of achievement of the core goals set for each patient during hospital-based TRP.Results Hospital-based TRP, for 21.8±3.9 days on average, was applied to four chronic SCI patients (two patients with long-term hospital stays and two homebound disabled individuals) with an average injury period of 736.8±185.4 days. The Korean version of the Spinal Cord Independence Measure (49.3±6.9 vs. 62.5±6.0; p<0.05) showed functional improvement at the end of TRP, when compared to that before the TRP. The Korean version of the World Health Organization’s QOL scale, abbreviated version (159.8±36.6 vs. 239.8±36.1; p<0.05), showed improvement in QOL. Goal attainment scaling showed a significant degree of achievement for the core goals through TRP (33.6±4.4 vs. 70.0±2.8; p<0.05). These results confirmed that the effect was maintained 1 month after the end of TRP. Additionally, two patients were successfully discharged after TRP completion, and the other two could start social activities.Conclusion The Korean version of the hospital-based TRP, applied to chronic SCI patients, showed the potential to improve the patients’ functioning and QOL and appeared to be effective in successful discharge and social participation.

The Safety and Feasibility of Exoskeletal-Assisted Walking in Acute Rehabilitation After Spinal Cord Injury

2020 ◽  
Vol 101 (1) ◽  
pp. 113-120 ◽  
Author(s):  
Kyle McIntosh ◽  
Rebecca Charbonneau ◽  
Yassine Bensaada ◽  
Urchit Bhatiya ◽  
Chester Ho
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cord Injury ◽  
Acute Rehabilitation

Dynamics of biomarkers across the stages of traumatic spinal cord injury - implications for neural plasticity and repair

2021 ◽  
pp. 1-28
Author(s):  
Tatjana. Begenisic ◽  
Chiara. Pavese ◽  
Beatrice. Aiachini ◽  
Antonio. Nardone ◽  
Daniela. Rossi
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Growth Factor ◽  
Neural Plasticity ◽  
Functional Improvement ◽  
Traumatic Spinal Cord Injury ◽  
Altered Expression ◽  
Pubmed Database ◽  
Cord Injury ◽  
Selection Of

Background: Traumatic spinal cord injury (SCI) is a complex medical condition causing significant physical disability and psychological distress. While the adult spinal cord is characterized by poor regenerative potential, some recovery of neurological function is still possible through activation of neural plasticity mechanisms. We still have limited knowledge about the activation of these mechanisms in the different stages after human SCI. Objective: In this review, we discuss the potential role of biomarkers of SCI as indicators of the plasticity mechanisms at work during the different phases of SCI. Methods: An extensive review of literature related to SCI pathophysiology, neural plasticity and humoral biomarkers was conducted by consulting the PubMed database. Research and review articles from SCI animal models and SCI clinical trials published in English until January 2021 were reviewed. The selection of candidates for humoral biomarkers of plasticity after SCI was based on the following criteria: 1) strong evidence supporting involvement in neural plasticity (mandatory); 2) evidence supporting altered expression after SCI (optional). Results: Based on selected findings, we identified two main groups of potential humoral biomarkers of neural plasticity after SCI: 1) neurotrophic factors including: Brain derived neurotrophic factor (BDNF), Nerve growth factor (NGF), Neurotrofin-3 (NT-3), and Insulin-like growth factor 1 (IGF-1); 2) other factors including: Tumor necrosis factor-alpha (TNF-α), Matrix Metalloproteinases (MMPs), and MicroRNAs (miRNAs). Plasticity changes associated with these biomarkers often can be both adaptive (promoting functional improvement) and maladaptive. This dual role seems to be influenced by their concentrations and time-window during SCI. Conclusions: Further studies of dynamics of biomarkers across the stages of SCI are necessary to elucidate the way in which they reflect the remodeling of neural pathways. A better knowledge about the mechanisms underlying plasticity could guide the selection of more appropriate therapeutic strategies to enhance positive spinal network reorganization.

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