Linda Lovell

Shirley Ryan AbilityLab

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Elliot J. Roth

Northwestern University

Allen W. Heinemann

Shirley Ryan AbilityLab

Gary M. Yarkony

Schwab Rehabilitation Hospital

Richard L. Harvey

Shirley Ryan AbilityLab

T. George Hornby

Rehabilitation Hospital of Indiana

Rita Bode

Trent University

Jennifer L. Moore

Sunnaas sykehus

John R. McGuire

Medical College of Wisconsin

Christopher E. Henderson

Rehabilitation Hospital of Indiana

John F. Butzer

Mary Free Bed Rehabilitation Hospital

Cooperative Institutions

Northwestern University

Shirley Ryan AbilityLab

Indiana University – Purdue University Indianapolis

Washington University in St. Louis

Pain and Rehabilitation Medicine

University of Illinois Chicago

Foundation for Physical Medicine and Rehabilitation

University of Chicago

Marquette University

Anna Needs Neuroblastoma Answers

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Rehabilitation Outcomes in Patients with Complete Thoracic Spinal Cord Injury

American Journal of Physical Medicine & Rehabilitation (1990)

Gary M. Yarkony Elliot J. Roth Paul R. Meyer Linda Lovell Allen W. Heinemann

This paper describes the functional outcomes and lengths of stay of 184 patients discharged from comprehensive rehabilitation with complete thoracic traumatic spinal cord injuries. The 100-point modified Barthel Index (MBI) was used to assess functional abilities. There were statistically significant improvements in the mean total MBI score for the entire sample from 35.2 at rehabilitation admission to 71.0 at discharge. The mean lengths of stay were 46 days in acute care and 84 days in the rehabilitation facility. There were 79 patients with lesions between Tl and T6 ("high paraplegics") and 105 patients with lesions between T7 and T12 ("low paraplegics"). There were no significant differences in the mean MBI scores, self-care subscores, mobility subscores, acute lengths of stay or rehabilitation lengths of stay between high and low paraplegic patients. However, low paraplegic patients were more likely to walk than were the high paraplegic patients. Surgical stabilization was performed on 36% of the sample; total MBI scores were similar for surgically stabilized and nonsurgically stabilized patients. High and low thoracic paraplegic patients achieved significant functional gains during rehabilitation. These functional gains occurred in a setting which provided for the vocational, psychosocial and recreational needs of the individual, and which fostered independence, community participation and a return to a healthy and active lifestyle.

Paraplegia

Barthel index

Tetraplegia

10.1097/00002060-199002000-00006

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Citations (29)

Gait and Balance Outcome Measures Are Responsive in Severely Impaired Individuals Undergoing Inpatient Stroke Rehabilitation

Archives of Physical Medicine and Rehabilitation (2022)

Christopher E. Henderson Roberta Virva Lauren Lenca John F. Butzer Linda Lovell

Berg Balance Scale

Stroke

10.1016/j.apmr.2022.01.140

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Citations (7)

Enhancing quality of life in stroke survivors: Foreword

Elliot J. Roth Linda Lovell

Stroke

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Citations (0)

Estimating the user population of a simple electrical stimulation system for standing

Spinal Cord (1990)

R.J. Jaeger Gary M. Yarkony Eva Roth Linda Lovell

Paraplegia

Functional electrical stimulation

10.1038/sc.1990.67

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Citations (20)

Executive Summary

Topics in Stroke Rehabilitation (2008)

Elliot J. Roth Linda Lovell

10.1310/tsr1502-143

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THE VALUE OF ROUTINE CHEST ROENTGENOGRAMS ON ADMISSION FOR REHABILITATION AFTER TRAUMATIC SPINAL CORD INJURY

American Journal of Physical Medicine & Rehabilitation (1994)

James A. Sliwa Kristin D. Mason Gary M. Yarkony Joel M. Press Linda Lovell

The value of routine chest roentgenograms has come under increasing scrutiny in the medical literature. In this retrospective study we investigated the value of routine chest radiographs obtained on admission to a rehabilitation unit after an acute spinal cord injury. The charts of all patients admitted for rehabilitation after a traumatic spinal cord injury during a 1-year period were reviewed and 79 patients fulfilled criteria for inclusion into the study. Of the 79 patients, 12 had findings on routine admission films, 9 of which were felt to be significant (11.4%). All 9 patients with abnormal admission films had experienced cardiopulmonary complications during their acute hospitalization (P < 0.001). Fourteen patients with normal chest roentgenograms on admission had repeat films performed during their rehabilitation stay, 4 of which were abnormal. All 4 had experienced cardiopulmonary complications during their acute hospitalizations (P < 0.01). Our findings would support the selective use of admission chest roentgenograms in spinal cord-injured patients with clinical indications or a history of cardiopulmonary complications during their acute care stay.

10.1097/00002060-199404000-00003

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Citations (4)

Measurement Properties of the NIH Stroke Scale During Acute Rehabilitation

Stroke (1997)

Allen W. Heinemann Richard L. Harvey John R. McGuire Dinora Ingberman Linda Lovell

Background and Purpose The scale of stroke impairment characteristics by Brott and associates, the National Institutes of Health (NIH) Stroke Scale, has been used widely in various studies of stroke outcome; however, the measurement properties of the items applied to patients during medical rehabilitation have not been evaluated thoroughly. This study evaluated the extent to which scale items cohere to define a unidimensional construct and have a useful range for application to patients during medical rehabilitation. Methods Rating scale (or Rasch) analysis of the 15 NIH Stroke Scale items was conducted using the BIGSTEPS computer program to evaluate (1) the range of impairment assessed by the items, (2) the items’ coherence with an underlying construct of impairment, and (3) range of impairment measured in rehabilitation patients. We sought to maximize the range of impairment measured by conducting analyses recursively; at each subsequent step, the worst fitting item was deleted or rescored. The sample comprised 1291 admission and discharge records from 693 rehabilitation inpatients with stroke. Results Thirteen items arrayed the sample across a sufficient range of impairment. The limb ataxia item fit poorly and was deleted; lower ratings for this item were associated with higher scores on the total scale. Pupillary response was also deleted because ratings reflected poor congruence with the total score. Best language was rescored because intermediate ratings were inconsistently related to the total score. Patients with hemorrhagic strokes had poorer fitting measures than did patients with ischemic strokes. Conclusions The items in a revised NIH Stroke Scale worked well together to define the severity of impairment resulting from stroke that is observed during medical rehabilitation. Directions regarding limb ataxia should be modified to indicate untestability due to hemiplegia.

Stroke

Acute stroke

10.1161/01.str.28.6.1174

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Citations (48)

Perspectives on factors influencing quality of life in persons with long-term spinal cord injury: a qualitative study

Spinal Cord (2024)

Elliot J. Roth Linda Lovell Alexander Barry

10.1038/s41393-024-00991-w

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Re: Length of Stay in Rehabilitation Is Associated With Admission Neurologic Deficits and Discharge Destination