Accession Number:

AD1046994

Title:

Fitness and Independence after SCI: Defining Meaningful Change and Thresholds

Personal Author(s):

Corporate Author:

University of Miami School of Medicine Miami United States

Report Date:

2017-10-01

Abstract:

Quality of life after SCID is depends more on participation, mobility, and personal care independence than injury levelseverity. Fitness is a major determinant of transfer and general ADL independence in persons with SCID. Fitness can prevent or delay further aging related independence losses. We propose fitness represents an underappreciated approach to meaningfully improve independence and thus QOL of people living with SCID, no matter their injury level, age, or injury duration. In Phase 1 we interview SCID clinicians and consumers to determine if the candidate variables for the clinical risk calculator could be collected clinically identify clinical techniques to assess patients fitness and document factors clinicians and consumers identify as fitness-function relationship confounds. In Phase 2 we collect data on 300 persons with SCID describing personal characteristics, criterion fitness, clinical fitness predictors, neurological impairment, balance, and functional independence. In Phase 3 we analyze Phase 2 data and develop the CRC, a tool that clinicians and consumers to determine if low fitness is limiting transfer ability.

Descriptive Note:

Technical Report,29 Sep 2016,28 Sep 2017

Pages:

0122

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Modernization Areas:

Distribution Statement:

Approved For Public Release;

File Size:

1.07MB