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

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11130%2F20%3A10410873" target="_blank" >RIV/00216208:11130/20:10410873 - isvavai.cz</a>

Výsledek na webu

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=I5HCxjMzH0" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=I5HCxjMzH0</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1097/PHM.0000000000001278" target="_blank" >10.1097/PHM.0000000000001278</a>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

Objective Our primary objectives of this initial &quot;proof-of-principle&quot; 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. Design This is a retrospective chart review of patients with chronic spinal cord injuries using invasive appliances who had also undergone skilled aquatic therapy. Results 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 &lt;= 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 &lt;= 0.002) and nine patients with traumatic spinal cord injuries walked longer distances in 6-min walk test (P &lt;= 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 successfully completed a sequence of aquatic therapy. Conclusions Spinal cord injury patients with various invasive appliances can safely participate in specialized aquatic therapy without complications and seem to achieve clinically significant benefits. We recommend that spinal cord injury rehabilitation centers seek out and connect with opportunities for aquatic therapy within their institutions and communities.

Název v anglickém jazyce

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

Popis výsledku anglicky

Objective Our primary objectives of this initial &quot;proof-of-principle&quot; 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. Design This is a retrospective chart review of patients with chronic spinal cord injuries using invasive appliances who had also undergone skilled aquatic therapy. Results 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 &lt;= 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 &lt;= 0.002) and nine patients with traumatic spinal cord injuries walked longer distances in 6-min walk test (P &lt;= 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 successfully completed a sequence of aquatic therapy. Conclusions Spinal cord injury patients with various invasive appliances can safely participate in specialized aquatic therapy without complications and seem to achieve clinically significant benefits. We recommend that spinal cord injury rehabilitation centers seek out and connect with opportunities for aquatic therapy within their institutions and communities.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30300 - Health sciences

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2020

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

American Journal of Physical Medicine &amp; Rehabilitation

ISSN

0894-9115

e-ISSN

—

Svazek periodika

99

Číslo periodika v rámci svazku

2

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

7

Strana od-do

109-115

Kód UT WoS článku

000507925800008

EID výsledku v databázi Scopus

2-s2.0-85078290641