Poster (Clinical/Best Practice Implementation) ID 1998248

IF 2.4 Q1 REHABILITATION
P. Eftekhar, Dr. Cathy Craven, Sukhvinder Kalsy-Ryan
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引用次数: 0

Abstract

It is essential that individuals with spinal cord injury set their goals prior to their peripheral nerve transfer (PNT) surgery. Goal setting is a significant factor in pre-operative planning and is one way in which we can track performance and outcomes for these patients. To describe goal types identified by patients managed in the PNT-SCI rehab program at Lyndhurst-UHN. Cite and report the COPM outcomes in the domains of Self-care and Productivity. A retrospective case series was conducted (n=14), charts were reviewed for type of goals and patient’s perception of goal attainment using COPM for a case series of three patients with tetraplegia who received PNT-SCI surgery and comprehensive rehabilitation. The changes in COPM are reported from baseline to 12 months post-surgery. Each patient identified three goals pre-surgery; their goals and the COPM were used to measure change over time. Ninety two percent of the identified goals were in the area of Self Care, and 8% were in the Productivity areas. Two of the patients who received PNT-SCI rehabilitation had an increase of 1 on the COPM, while one individual regressed by 2 points. That individual did not receive comprehensive rehabilitation. It is known that recovery after PNT-SCI surgery can take 24 or more months. We reported COPM change scores at 12 months post surgery. The MCID is two points for COPM, ideally over 24 months we will see MCID of three or higher.
海报(临床/最佳实践实施) ID 1998248
脊髓损伤患者在进行周围神经转移(PNT)手术之前,必须设定自己的目标。目标设定是术前规划的一个重要因素,也是我们跟踪这些患者的表现和结果的一种方法。 描述林德赫斯特-UHN 的 PNT-SCI 康复项目管理的患者所确定的目标类型。引用并报告自理能力和生产力领域的 COPM 成果。 对接受了PNT-SCI手术和综合康复治疗的三名四肢瘫痪患者的病历进行了回顾性病例系列分析(n=14),以了解目标类型和患者使用COPM实现目标的情况。报告了 COPM 从基线到术后 12 个月的变化情况。每位患者在手术前都确定了三个目标;他们的目标和 COPM 被用来衡量随时间推移而发生的变化。 在确定的目标中,92% 属于自我护理领域,8% 属于生产力领域。在接受 PNT-SCI 康复治疗的患者中,有两人的 COPM 上升了 1 分,而有一人则下降了 2 分。该患者没有接受全面康复治疗。 众所周知,PNT-SCI 手术后的恢复需要 24 个月或更长时间。我们报告了术后 12 个月的 COPM 变化分数。COPM 的 MCID 为 2 分,理想情况下,在 24 个月内我们将看到 MCID 达到 3 分或更高。
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来源期刊
CiteScore
3.20
自引率
3.40%
发文量
33
期刊介绍: Now in our 22nd year as the leading interdisciplinary journal of SCI rehabilitation techniques and care. TSCIR is peer-reviewed, practical, and features one key topic per issue. Published topics include: mobility, sexuality, genitourinary, functional assessment, skin care, psychosocial, high tetraplegia, physical activity, pediatric, FES, sci/tbi, electronic medicine, orthotics, secondary conditions, research, aging, legal issues, women & sci, pain, environmental effects, life care planning
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