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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    "description": "<p><strong>PURPOSE</strong>: To determine if personal and clinical characteristics are associated with transfer independence<br>\nand for factors associated with transfer independence, to identify thresholds with high transfer<br>\nindependence specificity.<br>\n<strong>METHODS</strong>: Eighty-four men with spinal cord injury &gt;6 months post injury who used a manual wheelchair<br>\ncompleted the study at one of three centers in the United States. Weight, height and body mass index<br>\n(BMI) were measured. Questionnaires assessed injury level &amp; completeness, age, age at injury, and injury<br>\nduration. Graded exercise tests to volitional exhaustion determined peak aerobic power. SCIM-III selfreport<br>\nquestions about bed, shower/toilet, and car transfers quantified transfer independence. Persons<br>\nindicating they needed no assistance in all three transfers were coded as independent and those needing<br>\nassistance or adaptive devices in any transfer were coded as dependent. Unadjusted associations<br>\nbetween candidate variables and transfer independence were identified using individual binary logistic<br>\nregressions. Receiver operating characteristic curves were used to identify thresholds with high transfer<br>\nindependence specificity.<br>\n<strong>RESULTS</strong>: Candidate variable means (SD) included: age (39(13) years (yrs)), age at injury (28(11) yrs),<br>\ninjury duration (11(11) yrs), weight (81(18) kgs), BMI (25.6(5.9) kg/m2), motor completeness (75%<br>\ncomplete), sensory completeness (56% complete), fall concern (23(7) points), and peak aerobic power<br>\n(1.1(0.31) watts/kg). Of these, three were associated with transfer independence: age at time of injury, fall<br>\nconcern, and peak aerobic power, all p&lt;0.01. Age at injury &le;41 years, fall concern &le;29 points, and peak<br>\naerobic power &ge;0.81 Watts/kg each provide &gt;90% transfer independence specificity.<br>\n<strong>CONCLUSIONS</strong>: Practitioners could use thresholds for fall concern and peak aerobic power as additional<br>\nrehabilitation goals and the threshold for age at injury to indicate that assistance or adaptive equipment<br>\nmay be required.</p>", 
    "language": "eng", 
    "title": "RehabMove 2018: FACTORS ASSOCIATED WITH TRANSFER INDEPENDENCE IN MEN WITH PARAPLEGIA", 
    "license": {
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    "publication_date": "2018-11-16", 
    "creators": [
      {
        "affiliation": "University of Miami Miller School of Medicine, MIAMI, FL, United States of America", 
        "name": "Cowan, R.E."
      }, 
      {
        "affiliation": "George Mason University, FAIRFAX, VA, United States of America", 
        "name": "Guccione, A.A."
      }, 
      {
        "affiliation": "George Mason University, FAIRFAX, VA, United States of America", 
        "name": "Keyser, R.E."
      }, 
      {
        "affiliation": "George Mason University, FAIRFAX, VA, United States of America", 
        "name": "Murray, D."
      }, 
      {
        "affiliation": "University of Miami Miller School of Medicine, MIAMI, FL, United States of America", 
        "name": "Fitzmaurice, C.S."
      }, 
      {
        "affiliation": "MedStar Health Research Institute, HYATTSVILLE, MD, United States of America", 
        "name": "Rounds, A."
      }, 
      {
        "affiliation": "MedStar Health Research Institute, HYATTSVILLE, MD, United States of America", 
        "name": "Ljungberg, I."
      }, 
      {
        "affiliation": "MedStar Health Research Institute, HYATTSVILLE, MD, United States of America", 
        "name": "Groah, S."
      }
    ], 
    "meeting": {
      "dates": "12-14 December 2018", 
      "title": "6th International RehabMove State-Of-The-Art Congress 2018", 
      "url": "http://rehabmove2018.com/", 
      "session": "A", 
      "place": "Groningen, The Netherlands", 
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