Achieving a minimally important difference in physical function during pediatric inpatient rehabilitation

International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation
Helene M DumasLarry H Ludlow

Abstract

Our objectives were to examine the proportion of children who achieved a minimally important difference (MID) in physical function during inpatient rehabilitation and to identify factors related to achievement of MID. For a consecutive series of 452 inpatient admissions to a pediatric rehabilitation hospital in the northeastern United States, change scores were calculated by subtracting Pediatric Evaluation of Disability Inventory (PEDI) self-care and mobility functional skills and caregiver assistance admission scores from discharge scores and then evaluated for MID. Logistic regression analyses were used to determine the contributions of demographic and clinical variables as predictors of MID for each PEDI scale. More than 55% of the children achieved MID. The highest proportion of children achieving MID was in mobility functional skills (78%) and caregiver assistance (67%). Children who were older at admission (>10 years) had a greater chance of achieving MID on all scales. In addition, associated with achieving MID were longer length of stay, lower admission PEDI score, and a diagnosis of brain injury. More than half of all children admitted achieved MID in physical function. In this pediatric inpatient rehabilitation cente...Continue Reading

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Citations

Feb 10, 2010·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Stephen M HaleyRichard Moed
May 15, 2013·Pediatric Neurology·Galit Tal, Emanuel Tirosh
Dec 21, 2012·Archives of Physical Medicine and Rehabilitation·Melissa K TrovatoStacy J Suskauer
Jul 9, 2010·Physical & Occupational Therapy in Pediatrics·Helene DumasRichard Moed
Mar 10, 2017·Developmental Neurorehabilitation·Katie S WilliamsDaniel M Fountain
Jun 4, 2010·International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation·Helene M DumasStephen M Haley
Dec 21, 2013·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Hilary J Smith
Oct 22, 2019·American Journal of Physical Medicine & Rehabilitation·Tal KrasovskyJana Landa
Jun 30, 2012·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Shawn Phipps, Pamela Roberts
Dec 19, 2012·Pediatrics·Mark R ZonfrilloMargaret G Stineman

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