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Functional independence in quadriplegia: critical levels.

R D Welch, S J Lobley, S B O'Sullivan

    Archives of Physical Medicine and Rehabilitation
    |April 1, 1986
    PubMed
    Summary

    Individuals with quadriplegia and triceps function demonstrate greater self-care independence. Community living impacts abilities, with triceps function being key for independence in daily tasks.

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    Area of Science:

    • Rehabilitation Medicine
    • Neuroscience
    • Occupational Therapy

    Background:

    • Quadriplegia significantly impacts self-care abilities.
    • Assessing functional independence post-discharge is crucial for rehabilitation outcomes.

    Purpose of the Study:

    • To evaluate self-care abilities in individuals with quadriplegia at two functional levels after returning to community living.
    • To identify factors influencing self-care independence and changes in ability over time.

    Main Methods:

    • A survey was conducted with 29 individuals with quadriplegia (17 with wrist extensors, 12 with triceps function).
    • Data collected included self-care independence, changes in ability, personal care assistance, equipment use, and living situation.
    • Follow-up occurred three months to four years post-discharge.

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    Main Results:

    • Individuals with triceps function showed significantly higher self-care independence than those with wrist extensors.
    • Both groups experienced changes in self-care, particularly in bowel/bladder management, dressing, and mobility.
    • Most participants lived at home with family support and utilized personal care assistance.

    Conclusions:

    • Triceps muscle function is a critical determinant of functional independence in self-care for individuals with quadriplegia.
    • Community reintegration can lead to changes in self-care abilities and equipment use.
    • Personal care assistance is commonly used to support daily living activities.