HA Convention 2019
簡體
繁體
EN
Login
HA Convention 2019
Toggle navigation
Home
Convention Main Focus
Committees
Speakers
Programme Schedule
Programme at a Glance
Invitation of Abstract
Submitted abstracts
Professional Accreditation
Convention Registration (Closed)
Sponsorship and Exhibition
Sponsors
Convention Information
Information about Hong Kong
Accommodation
Photo Gallery
Attendance Certificate
Contact Us
Feedback
Login
Predictive Factors of Resumption of Functional Mobility after Spinal Cord Injury Rehabilitation – a Prospective Cohort Study in Kowloon Hospital
This abstract has open access
Abstract Description
Abstract ID :
HAC451
Submission Type
HA Staff
Presentation Upload :
View Attachment
If the file does not load,
click here
to open/download the file.
Close
Authors (including presenting author) :
Chan WK(1), Ng HP(1), Chan HL(1), To TS(1), Lee YT(1), Cheung PC(2), Cheng KH(2), Li W(2)
Affiliation :
(1)Occupational Therapy Department, Kowloon Hospital, (2)Department of Orthopaedics & Traumatology, Queen Elizabeth Hospital
Introduction :
Patients with spinal cord injury (SCI) rated walking recovery as one of the main goals for spinal cord rehabilitation (van Silfhout et al., 2015). Understanding the prognostic factors influencing the recovery of ambulation is important in setting realistic goals and formulating treatment plans in our spinal cord rehabilitation in-patient setting. The prediction rule for ambulation outcome developed by Middendorp et al (2011) demonstrated validity in their European population, in patient cohorts in the United States (Malla, 2013), Australia (van Silfhout et al., 2015) and Canada (Hicksa et al., 2017). However, there is no prediction rule available for our local population.
Objectives :
To identify predictive factors for the ambulation recovery after SCI in a local hospital setting
Methodology :
A prospective cohort study was conducted with SCI patients whom were admitted to the spinal centre of Kowloon Hospital between 2002 and 2016. Demographic data and results of physical and functional assessments at admission were collected. Outcome measure was whether patient could walk at 6-month follow-up. Logistic regression analysis was used to investigate the association of ambulation recovery with age, gender, severity of injury, etiology, the level of injury, clinical syndrome, total motor score of bilateral quadriceps femoris muscles (L3), total motor score of bilateral gastrosoleus muscles (S1) and ADL performance on admission.
Result & Outcome :
Of the 478 patients with SCI, 64.2% were male. The mean age of the subjects was 60. 89.7% had incomplete SCI. 63% of the subject had SCI at cervical level. On admission, 77.6% of them required heavy assistance in ADL (Functional Independence Measure, FIM, motor score below 52). At 6-month follow-up, 27.9% of them were walker. Factors predicting ambulation recovery were age (below 65) (P=.003, adjusted OR=2.610), incomplete SCI (P=.033, adjusted OR=2.969), total motor score of bilateral quadriceps femoris muscles 6-10/10 (P=.039, adjusted OR=3.603), total motor score of bilateral gastrosoleus muscles 1-5/10 (P=.037, adjusted OR=3.377), total motor score of bilateral gastrosoleus muscles 6-10/10 (P=.002, adjusted OR=6.633), FIM motor score 14-51/91 (P=.000, adjusted OR=4.792) and FIM motor score above 52/91 (P=.000 adjusted OR=19.909). Conclusion: The result showed that age < 65, incomplete SCI, higher motor score of quadriceps femoris and gastrosoleus muscles and better self-care ability on admission predicts higher chance of walking recovery. However, gender, etiology, the level of injury and clinical syndrome were not significant predictors for walking recovery in patients with SCI.
Author
AC
Astro CHAN
Abstracts With Same Type
Abstract ID
Abstract Title
Abstract Topic
Submission Type
Primary Author
HAC78
HONG KONG SPECIAL ADMINISTRATIVE REGION GOVERNMENT’S PROPOSED VOLUNTARY HEALTH INSURANCE SCHEME (VHIS): FACTORS INFLUENCING MAJOR CORPORATIONS AND THEIR EMPLOYEES IN TAKING UP THE SCHEME
Healthcare Advances, Research and Innovations
HA Staff
Jamila Ismail
HAC720
Target -oriented Artificial Nutrition Support in Intensive Care Unit (ICU)
Clinical Safety and Quality Service I
HA Staff
Maria SINN Dr
HAC100
“95210 for Health”- an Easy-to-remember Formula to Combat Childhood Obesity
HA Staff
Hak Yung Ng
HAC456
" At Home With Love" a model of Medical Social Collaboration in Public Estates at Shamshuipo
Enhancing Partnership with Patients and Community
HA Staff
Donna TSE
HAC603
"A Well-nourished Hospital" The Donabedian Model approach to enhance patients' nutrition wellness in their hospital journeys
Clinical Safety and Quality Service III
HA Staff
Terry Ho Yan TING Dr
HAC1219
10 Years Experiences on Carer Empowerment to Improve the Performance and Service Outcomes in Residential Care Homes for the Elderly
Enhancing Partnership with Patients and Community
HA Staff
W S KWAN
HAC918
2-year review of Prediabetes Program in Primary Care Setting – Kowloon West Cluster
HA Staff
Christine NG
HAC1262
30-Day Mortality in Palliative Radiotherapy
Enhancing Partnership with Patients and Community
HA Staff
S F LEE Dr
HAC997
5S-Strategy to Reduce Fall Rate for High-Risk Groups
Clinical Safety and Quality Service II
HA Staff
K L CHAN
View All Abstracts
653
visits
Forgot your Password?
Disconnected from server
You are disconnected from the server. The changes you made may not be saved. Please check when connected.