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Related Concept Videos

Spinal Cord Injury ll: Pathophysiology01:14

Spinal Cord Injury ll: Pathophysiology

Spinal cord injury progresses through two interconnected phases: primary injury and secondary injury.Primary InjuryPrimary injury happens at the moment of trauma and involves immediate mechanical damage to the spinal cord.Compression happens when broken vertebrae, herniated discs, or accumulating blood (such as a hematoma) press directly against the spinal cord, distorting its normal shape and function. In cases of contusion, the cord is bruised by a blunt force (like penetrating injuries or...
Secondary Spinal Cord Injury llI: Pathophysiology01:25

Secondary Spinal Cord Injury llI: Pathophysiology

Early Ischemia and Ionic ImbalanceWithin minutes of spinal cord injury, a secondary cascade begins, progressing over hours to weeks. Vascular damage reduces blood flow, causing ischemia and mitochondrial dysfunction. ATP depletion leads to ion pump failure, membrane depolarization, sodium influx, potassium efflux, and water accumulation, resulting in cellular swelling. Increased intracellular calcium further disrupts mitochondria and accelerates cellular injury.Excitotoxicity and Neuronal...

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ICF Based Comprehensive Evaluation for Post-Acute Spinal Cord Injury.

Hyung Seok Nam1, Kwang Dong Kim, Hyung Ik Shin

  • 1Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul 110-744, Korea.

Annals of Rehabilitation Medicine
|January 24, 2013
PubMed
Summary

The International Classification of Functioning, Disability and Health (ICF) provides a framework for evaluating early spinal cord injury (SCI) patients. Incorporating a checklist for personal factors and the ICF core set improves comprehensive assessments.

Keywords:
Comprehensive evaluationFrameworkICFPost-acute rehabilitationSpinal cord injury

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Evaluation of Respiratory Muscle Activation Using Respiratory Motor Control Assessment (RMCA) in Individuals with Chronic Spinal Cord Injury

Published on: July 19, 2013

Area of Science:

  • Rehabilitation Medicine
  • Disability Studies
  • Health Informatics

Background:

  • Early post-acute spinal cord injury (SCI) requires comprehensive evaluation for effective rehabilitation planning.
  • The International Classification of Functioning, Disability and Health (ICF) offers a standardized framework for describing health and disability.
  • Assessing the feasibility of the ICF for initial SCI evaluations is crucial for optimizing patient care.

Purpose of the Study:

  • To determine the applicability and feasibility of using the ICF framework for the initial comprehensive evaluation of patients with early post-acute spinal cord injury.
  • To assess the extent to which ICF first and second level categories cover the evaluation content for early post-acute SCI.
  • To compare the comprehensive evaluation data with the established brief ICF core set for early post-acute SCI.

Main Methods:

  • A comprehensive evaluation was performed on 62 early post-acute SCI patients by a multidisciplinary rehabilitation team.
  • Evaluations were recorded using the ICF first level classification, with contents retrospectively linked to ICF second level categories.
  • Descriptive analysis of linked ICF codes was conducted, alongside a comparison with the brief ICF core set for early post-acute SCI.

Main Results:

  • The ICF first level categories effectively structured evaluations, with significant links to body functions (19 items), body structures (15 items), activities and participation (11 items), and environmental factors (9 items).
  • A high percentage (82.4%) of evaluation content was successfully linked to the brief ICF core set for early post-acute SCI.
  • Personal factors, such as prognosis insight (mentioned in 29.0% of patients), were frequently noted but not directly linkable to ICF codes.

Conclusions:

  • The first level of the ICF provides a valuable structural foundation for comprehensive evaluations in early post-acute SCI.
  • The brief ICF core set effectively captures a majority of relevant evaluation content for this patient population.
  • A supplementary checklist is recommended to ensure the inclusion of significant personal factors and frequently linked items, preventing omissions in comprehensive SCI assessments.