Spinal cord injury rehabilitation outcome: the impact of age

Gary M. Yarkony; Elliot J. Roth; Allen W. Heinemann; Linda L. Lovell

doi:10.1016/0895-4356(88)90091-1

Spinal cord injury rehabilitation outcome: the impact of age

Gary M. Yarkony^*, Elliot J. Roth, Allen W. Heinemann, Linda L. Lovell

^*Corresponding author for this work

Physical Medicine and Rehabilitation

Research output: Contribution to journal › Article › peer-review

69 Scopus citations

Abstract

The effect of age on self-care and mobility skill performance after spinal cord injury was studied using a 15-task modified Barthel Index (MBI) to score functional abilities for 708 patients aged 6 through 88 years. Analysis of covariance showed no relationship between age and discharge MBI score; however, patients with paraplegia, incomplete lesions, and greater admission functional ratings had greater discharge functional scores than did those with quadriplegia, complete lesions, and lower admission scores, respectively. Advancing age was associated with increased dependence in only seven functional skills (bathing, upper and lower body dressing, stair climbing, and transfers to chair, toilet and bath) and only for patients with complete paraplegia. Other MBI component tasks and patients with complete quadriplegia, incomplete paraplegia and incomplete quadriplegia demonstrated no relationship between age and skill performance. Results of this study support the practice of providing comprehensive rehabilitation services to all patients following spinal cord injury regardless of age.

Original language	English (US)
Pages (from-to)	173-177
Number of pages	5
Journal	Journal of Clinical Epidemiology
Volume	41
Issue number	2
DOIs	https://doi.org/10.1016/0895-4356(88)90091-1
State	Published - 1988

Keywords

Age
Functional skills
Paraplegia
Quadriplegia
Spinal cord injury

ASJC Scopus subject areas

Epidemiology

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10.1016/0895-4356(88)90091-1

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title = "Spinal cord injury rehabilitation outcome: the impact of age",

abstract = "The effect of age on self-care and mobility skill performance after spinal cord injury was studied using a 15-task modified Barthel Index (MBI) to score functional abilities for 708 patients aged 6 through 88 years. Analysis of covariance showed no relationship between age and discharge MBI score; however, patients with paraplegia, incomplete lesions, and greater admission functional ratings had greater discharge functional scores than did those with quadriplegia, complete lesions, and lower admission scores, respectively. Advancing age was associated with increased dependence in only seven functional skills (bathing, upper and lower body dressing, stair climbing, and transfers to chair, toilet and bath) and only for patients with complete paraplegia. Other MBI component tasks and patients with complete quadriplegia, incomplete paraplegia and incomplete quadriplegia demonstrated no relationship between age and skill performance. Results of this study support the practice of providing comprehensive rehabilitation services to all patients following spinal cord injury regardless of age.",

keywords = "Age, Functional skills, Paraplegia, Quadriplegia, Spinal cord injury",

author = "Yarkony, {Gary M.} and Roth, {Elliot J.} and Heinemann, {Allen W.} and Lovell, {Linda L.}",

note = "Funding Information: *Address reprint requests to: Gary M. Yarkony, M.D., Rehabilitation Institute of Chicago, 345 E Superior Street, Chicago, IL 60611, U.S.A. Supported in part by Grants GO08635129 and GO88435139 from the National Institute of Handicapped Research, U.S. Department of Education.",

year = "1988",

doi = "10.1016/0895-4356(88)90091-1",

language = "English (US)",

volume = "41",

pages = "173--177",

journal = "Journal of Clinical Epidemiology",

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AU - Yarkony, Gary M.

AU - Roth, Elliot J.

AU - Heinemann, Allen W.

AU - Lovell, Linda L.

N1 - Funding Information: *Address reprint requests to: Gary M. Yarkony, M.D., Rehabilitation Institute of Chicago, 345 E Superior Street, Chicago, IL 60611, U.S.A. Supported in part by Grants GO08635129 and GO88435139 from the National Institute of Handicapped Research, U.S. Department of Education.

PY - 1988

Y1 - 1988

N2 - The effect of age on self-care and mobility skill performance after spinal cord injury was studied using a 15-task modified Barthel Index (MBI) to score functional abilities for 708 patients aged 6 through 88 years. Analysis of covariance showed no relationship between age and discharge MBI score; however, patients with paraplegia, incomplete lesions, and greater admission functional ratings had greater discharge functional scores than did those with quadriplegia, complete lesions, and lower admission scores, respectively. Advancing age was associated with increased dependence in only seven functional skills (bathing, upper and lower body dressing, stair climbing, and transfers to chair, toilet and bath) and only for patients with complete paraplegia. Other MBI component tasks and patients with complete quadriplegia, incomplete paraplegia and incomplete quadriplegia demonstrated no relationship between age and skill performance. Results of this study support the practice of providing comprehensive rehabilitation services to all patients following spinal cord injury regardless of age.

AB - The effect of age on self-care and mobility skill performance after spinal cord injury was studied using a 15-task modified Barthel Index (MBI) to score functional abilities for 708 patients aged 6 through 88 years. Analysis of covariance showed no relationship between age and discharge MBI score; however, patients with paraplegia, incomplete lesions, and greater admission functional ratings had greater discharge functional scores than did those with quadriplegia, complete lesions, and lower admission scores, respectively. Advancing age was associated with increased dependence in only seven functional skills (bathing, upper and lower body dressing, stair climbing, and transfers to chair, toilet and bath) and only for patients with complete paraplegia. Other MBI component tasks and patients with complete quadriplegia, incomplete paraplegia and incomplete quadriplegia demonstrated no relationship between age and skill performance. Results of this study support the practice of providing comprehensive rehabilitation services to all patients following spinal cord injury regardless of age.

KW - Age

KW - Functional skills

KW - Paraplegia

KW - Quadriplegia

KW - Spinal cord injury

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Spinal cord injury rehabilitation outcome: the impact of age

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Keywords

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