Exercise in the Aquatic Environment for Patients With Chronic Spinal Cord Injury and Invasive Appliances: Successful Integration and Therapeutic Interventions.

American Journal of Physical Medicine & Rehabilitation
Albert C RecioSteven A Stiens

Abstract

Our primary objectives of this initial "proof-of-principle" trial were to evaluate the interventions used in skilled aquatic therapy and to identify any clinical benefits for individuals with spinal cord injuries who use invasive appliances including pressure injury dressings, suprapubic catheters, indwelling catheters, colostomy bags, and tracheostomy tubes. This is a retrospective chart review of patients with chronic spinal cord injuries using invasive appliances who had also undergone skilled aquatic therapy. Forty-nine patients with traumatic spinal cord injuries demonstrated scores showing statistically significant improvement using their total mobility and self-care of the Spinal Cord Independence Measure III (P ≤ 0.021, 0.039, 0.021) scores. Forty-five patients with traumatic spinal cord injuries demonstrated significant improvement of ASIA Impairment Scale motor scores (P ≤ 0.002) and nine patients with traumatic spinal cord injuries walked longer distances in 6-min walk test (P ≤ 0.011). The Spinal Cord Independence Measure III efficiency was 0.26 per hour (95% confidence interval = 0.037-0.475). There was one reported unplanned bowel evacuation that occurred but did not prevent future therapy. All patients successful...Continue Reading

References

Mar 1, 1997·Archives of Physical Medicine and Rehabilitation·S A StiensL L Goetz
May 18, 1999·Archives of Physical Medicine and Rehabilitation·J W LittleR M Harris
Oct 6, 2001·Archives of Physical Medicine and Rehabilitation·F S DuránE Eusse
Mar 12, 2004·American Journal of Health Promotion : AJHP·Catherine A WarmsSteven A Stiens
Nov 13, 2004·Neurorehabilitation and Neural Repair·N KesiktasH Yilmaz
Sep 23, 2009·PM & R : the Journal of Injury, Function, and Rehabilitation·Bruce E Becker
Aug 3, 2011·Archives of Physical Medicine and Rehabilitation·Jamile VivasJavier Cudeiro
Jun 14, 2014·Journal of Physical Therapy Science·JaeHyun JungJiYeun Lee
Nov 15, 2014·Clinical Rehabilitation·Andresa R Marinho-BuzelliMary C Verrier
Jul 15, 2016·The Journal of Spinal Cord Medicine·Solomon RojhaniAlbert C Recio
Jun 1, 2018·African Journal of Disability·Terry J EllapenGert L Strydom

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