Conference paper Open Access

RehabMove 2018: FACTORS ASSOCIATED WITH TRANSFER INDEPENDENCE IN MEN WITH PARAPLEGIA

Cowan, R.E.; Guccione, A.A.; Keyser, R.E.; Murray, D.; Fitzmaurice, C.S.; Rounds, A.; Ljungberg, I.; Groah, S.


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  <identifier identifierType="DOI">10.5281/zenodo.1489790</identifier>
  <creators>
    <creator>
      <creatorName>Cowan, R.E.</creatorName>
      <givenName>R.E.</givenName>
      <familyName>Cowan</familyName>
      <affiliation>University of Miami Miller School of Medicine, MIAMI, FL, United States of America</affiliation>
    </creator>
    <creator>
      <creatorName>Guccione, A.A.</creatorName>
      <givenName>A.A.</givenName>
      <familyName>Guccione</familyName>
      <affiliation>George Mason University, FAIRFAX, VA, United States of America</affiliation>
    </creator>
    <creator>
      <creatorName>Keyser, R.E.</creatorName>
      <givenName>R.E.</givenName>
      <familyName>Keyser</familyName>
      <affiliation>George Mason University, FAIRFAX, VA, United States of America</affiliation>
    </creator>
    <creator>
      <creatorName>Murray, D.</creatorName>
      <givenName>D.</givenName>
      <familyName>Murray</familyName>
      <affiliation>George Mason University, FAIRFAX, VA, United States of America</affiliation>
    </creator>
    <creator>
      <creatorName>Fitzmaurice, C.S.</creatorName>
      <givenName>C.S.</givenName>
      <familyName>Fitzmaurice</familyName>
      <affiliation>University of Miami Miller School of Medicine, MIAMI, FL, United States of America</affiliation>
    </creator>
    <creator>
      <creatorName>Rounds, A.</creatorName>
      <givenName>A.</givenName>
      <familyName>Rounds</familyName>
      <affiliation>MedStar Health Research Institute, HYATTSVILLE, MD, United States of America</affiliation>
    </creator>
    <creator>
      <creatorName>Ljungberg, I.</creatorName>
      <givenName>I.</givenName>
      <familyName>Ljungberg</familyName>
      <affiliation>MedStar Health Research Institute, HYATTSVILLE, MD, United States of America</affiliation>
    </creator>
    <creator>
      <creatorName>Groah, S.</creatorName>
      <givenName>S.</givenName>
      <familyName>Groah</familyName>
      <affiliation>MedStar Health Research Institute, HYATTSVILLE, MD, United States of America</affiliation>
    </creator>
  </creators>
  <titles>
    <title>RehabMove 2018: FACTORS ASSOCIATED WITH TRANSFER INDEPENDENCE IN MEN WITH PARAPLEGIA</title>
  </titles>
  <publisher>Zenodo</publisher>
  <publicationYear>2018</publicationYear>
  <dates>
    <date dateType="Issued">2018-11-16</date>
  </dates>
  <language>en</language>
  <resourceType resourceTypeGeneral="Text">Conference paper</resourceType>
  <alternateIdentifiers>
    <alternateIdentifier alternateIdentifierType="url">https://zenodo.org/record/1489790</alternateIdentifier>
  </alternateIdentifiers>
  <relatedIdentifiers>
    <relatedIdentifier relatedIdentifierType="DOI" relationType="IsVersionOf">10.5281/zenodo.1489789</relatedIdentifier>
    <relatedIdentifier relatedIdentifierType="URL" relationType="IsPartOf">https://zenodo.org/communities/rehabmove2018</relatedIdentifier>
  </relatedIdentifiers>
  <rightsList>
    <rights rightsURI="http://creativecommons.org/licenses/by-nc-nd/4.0/legalcode">Creative Commons Attribution Non Commercial No Derivatives 4.0 International</rights>
    <rights rightsURI="info:eu-repo/semantics/openAccess">Open Access</rights>
  </rightsList>
  <descriptions>
    <description descriptionType="Abstract">&lt;p&gt;&lt;strong&gt;PURPOSE&lt;/strong&gt;: To determine if personal and clinical characteristics are associated with transfer independence&lt;br&gt;
and for factors associated with transfer independence, to identify thresholds with high transfer&lt;br&gt;
independence specificity.&lt;br&gt;
&lt;strong&gt;METHODS&lt;/strong&gt;: Eighty-four men with spinal cord injury &amp;gt;6 months post injury who used a manual wheelchair&lt;br&gt;
completed the study at one of three centers in the United States. Weight, height and body mass index&lt;br&gt;
(BMI) were measured. Questionnaires assessed injury level &amp;amp; completeness, age, age at injury, and injury&lt;br&gt;
duration. Graded exercise tests to volitional exhaustion determined peak aerobic power. SCIM-III selfreport&lt;br&gt;
questions about bed, shower/toilet, and car transfers quantified transfer independence. Persons&lt;br&gt;
indicating they needed no assistance in all three transfers were coded as independent and those needing&lt;br&gt;
assistance or adaptive devices in any transfer were coded as dependent. Unadjusted associations&lt;br&gt;
between candidate variables and transfer independence were identified using individual binary logistic&lt;br&gt;
regressions. Receiver operating characteristic curves were used to identify thresholds with high transfer&lt;br&gt;
independence specificity.&lt;br&gt;
&lt;strong&gt;RESULTS&lt;/strong&gt;: Candidate variable means (SD) included: age (39(13) years (yrs)), age at injury (28(11) yrs),&lt;br&gt;
injury duration (11(11) yrs), weight (81(18) kgs), BMI (25.6(5.9) kg/m2), motor completeness (75%&lt;br&gt;
complete), sensory completeness (56% complete), fall concern (23(7) points), and peak aerobic power&lt;br&gt;
(1.1(0.31) watts/kg). Of these, three were associated with transfer independence: age at time of injury, fall&lt;br&gt;
concern, and peak aerobic power, all p&amp;lt;0.01. Age at injury &amp;le;41 years, fall concern &amp;le;29 points, and peak&lt;br&gt;
aerobic power &amp;ge;0.81 Watts/kg each provide &amp;gt;90% transfer independence specificity.&lt;br&gt;
&lt;strong&gt;CONCLUSIONS&lt;/strong&gt;: Practitioners could use thresholds for fall concern and peak aerobic power as additional&lt;br&gt;
rehabilitation goals and the threshold for age at injury to indicate that assistance or adaptive equipment&lt;br&gt;
may be required.&lt;/p&gt;</description>
  </descriptions>
</resource>
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