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Objectives: To evaluate the impact of directed physical exercise in patients with spinal cord injury (SCI) and to measure functional independence before and after an exercise program.
To assess the psychometric quality of an instrument designed to measure functional independence (Functional Independence Scale [FIS]) in several activities of daily living domains and to be applied by trained non-health-related interviewers.
Primary outcome measures will be the Nottingham Extended Activities of Daily Living Scale (NEADL) and the Late Life Disability Index (LLDI) which will measure functional independence, and participation and limitation in daily life activities.
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Main Outcome Measures: Functional Independence Measure™ (FIM), Mattis Dementia Rating Scale, Neurobehavioral Cognitive Status Examination.
The newer EADL item module provides added value, measuring functional independence for community-based activities.
The Barthel index is a 10-item instrument measuring functional independence in personal activities of daily living.
Cost effectiveness measures: Functional independence will be valued using the NEADL scale [ 36], whereas health outcomes will be valued as quality adjusted life years (QALYs) [ 20].
Primary outcome measures: Functional independence will be assessed using the Nottingham Extended Activities Daily Living scale (NEADL) [ 36] while participation and limitation in activities of daily living will be assessed using the Late Life Disability Index (LLDI) [ 37].
Primary outcome measures: Functional Independence Measure (FIM™), Modified Rankin scale (Rankin), and Glasgow Outcome Scale (GOS Subjects were evaluated at admission, discharge, and 6 months after discharge. Results: Improvement in motor FIM™, Rankin and GOS was observed in all groups. Cognitive FIM™ increase was less evident in TBI patients.
Analysis of the NEADL scores [ 42- 44] for each participant revealed that irrespective of the number of attempts to use the SMART system or the number of sets and repetitions, the participants did not improve their measured functional independence over the period they had the technology in their home.
There was no significant difference between groups in the change from admission to discharge for the secondary outcome measures of functional independence measure, timed 10 metre walk test, timed up and go, and the modified motor assessment scale.
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