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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    <subfield code="d">12-14 December 2018</subfield>
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    <subfield code="a">6th International RehabMove State-Of-The-Art Congress 2018</subfield>
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    <subfield code="a">RehabMove 2018: FACTORS ASSOCIATED WITH TRANSFER INDEPENDENCE IN MEN WITH PARAPLEGIA</subfield>
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    <subfield code="a">&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;</subfield>
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