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Rehabilitation status in multiple handicap.

P G Mattison1, R C Aitken, R J Prescott

  • 1Rehabilitation Studies Unit, University of Edinburgh.

Archives of Physical Medicine and Rehabilitation
|October 1, 1992
PubMed
Summary

The Edinburgh Rehabilitation Status Scale (ERSS) effectively differentiates functional levels in individuals with neurological impairments. It highlights the combined impact of mental handicap and physical disability, unlike other scales.

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Area of Science:

  • Rehabilitation Medicine
  • Neurology
  • Disability Studies

Background:

  • Individuals with congenital or early-onset neurological impairment often present with complex disabilities.
  • Assessing the functional impact of combined physical and mental disabilities is crucial for effective rehabilitation.

Purpose of the Study:

  • To evaluate the sensitivity of the Edinburgh Rehabilitation Status Scale (ERSS) in assessing functional differences.
  • To compare ERSS with the Barthel Index and PULSES profile in a population with neurological impairment.

Main Methods:

  • The ERSS was administered to 129 day center attendees with neurological impairment.
  • ERSS scores were compared with Barthel Index scores (n=129) and PULSES profile (n=50).
  • Subjects were categorized based on the presence of physical disability alone versus combined physical and mental handicap.

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Main Results:

  • ERSS scores showed significant differences in all subscales and total scores between groups with physical disability alone and combined disabilities.
  • The Barthel Index indicated differences in self-care, total scores, and mobility.
  • The PULSES profile failed to differentiate the groups except in one subscale.

Conclusions:

  • The ERSS is a sensitive tool for assessing overall function in individuals with neurological impairment.
  • ERSS effectively identifies the additive impact of mental handicap on physical disability, which may be missed by other scales.