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Logo for the Journal of Rehab R&D
Supplement Number 1
Volume 42 Number 3, May/June 2005
Pages 75 — 86


Abstract - Duration and functional outcome of spinal cord injury rehabilitation in the Netherlands

Marcel W. M. Post, PhD;1-2* Annet J. Dallmeijer, PhD;3 Edmond L. D. Angenot, MD;4 Floris W. A.
van Asbeck, MD, PhD;2 Lucas H. V. van der Woude, PhD3

1IRV, Institute for Rehabilitation Research, Hoensbroek; 2Rehabilitation Center De Hoogstraat, Utrecht; 3Institute
for Fundamental and Clinical Human Movement Sciences, Faculty of Human Movement Sciences, Vrije Universiteit, Amsterdam; 4Rehabilitation Center Amsterdam, Amsterdam, the Netherlands
Abstract-This study describes the length of stay (LOS) and functional outcome of spinal cord injury (SCI) in the Netherlands and its determinants. Data of 157 patients from eight rehabilitation centers were available. Mean age was 40.0 years and 76.4% were traumatic injuries, 39.8% had tetraplegia, and 69.9% had a motor complete SCI. Median LOS was 240 days (interquartile range 164-322). Median motor Functional Independence Measure (FIM) scores at discharge were 37.3 for persons with complete tetraplegia and 69.7 for persons with complete paraplegia. Level and completeness of injury, bed rest because of pressure sores, and LOS were predictors of motor FIM scores. Duration of SCI rehabilitation in the Netherlands is long compared with the literature. Functional outcome appears slightly better in persons with complete tetraplegia, but not in persons with complete paraplegia when compared with data from the United States. International studies are necessary to reveal strengths and weaknesses of SCI rehabilitation systems in different countries.
Key words: activity limitation, bed rest, clinical rehabilitation, FIM, length of stay, paraplegia, rehabilitation outcome, secondary complications, tetraplegia, wheelchair-dependent.

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