Spinal Cord Injury Assessment Guiding Principles
Original Editor - User Name
Top Contributors - Ewa Jaraczewska, Kim Jackson and Jess Bell
Introduction[edit | edit source]
Physiotherapy assessment of spinal cord injury is "the vision of the possibilities patient could attain in the perfect situation, and adapt it to the specific person's world".[1]
The description of health can be found in the International Classification of Functioning, Disability and Health (ICF). It offers a standard language to be used among health providers to describe healths-related state.[2] The use of ICF facilitates communication and understanding of team roles within a spinal cord injury multidisciplinary team. It challenges clinicians to think holistically. [3][4]The following components of health condition are included in the ICF: body functions and structures, activities, participation, environmental factors, personal factors.
The goal of the assessment is to collect information about disordered movement patterns, underlying impairments, activity restrictions, and societal participation and to identify the structural or functional mechanisms influencing the improvement for the purpose of intervention planning. [5][6][2]The assessment should be ongoing to tailor-make treatment plan based on observed changes in patient's function and behaviour.
Subjective Assessment[edit | edit source]
Body functions and structures[edit | edit source]
In this section physiotherapist asks questions and review medical record seeking information on current medical history, including:
- mechanism of injury: traumatic or non-traumatic
- other injuries related to the primary reason for assessment
- medical management and current precautions
- progression of the condition
- pre morbid medical history
- presence of complications related to the spinal cord injury, including myocitis ossificans, syringomyelia, spasticity, pressure sores, autonomic dysreflexia, infections, postural hypotension
Activities[edit | edit source]
Participation[edit | edit source]
multidisciplinary team members involved in person's care: nutritionist, wound care nurse, speech language pathologist, psychologist, etc
Their goals and envisaged outcome
Environmental factors[edit | edit source]
Personal factors[edit | edit source]
Objective Assessment[edit | edit source]
Outcome Measures[edit | edit source]
Team Communication/Team Roles[edit | edit source]
Goal Setting[edit | edit source]
Resources[edit | edit source]
- bulleted list
- x
or
- numbered list
- x
References[edit | edit source]
- ↑ Harding M. Spinal Cord Injury Physiotherapy Assessment, Prognosis, and Goal Setting Course. Physioplus 2022.
- ↑ 2.0 2.1 Bolliger M, Blight AR, Field-Fote EC, Musselman K, Rossignol S, Barthélemy D, Bouyer L, Popovic MR, Schwab JM, Boninger ML, Tansey KE. Lower extremity outcome measures: considerations for clinical trials in spinal cord injury. Spinal cord. 2018 Jul;56(7):628-42.
- ↑ Sykes C. Health Classifications 1 - An Introduction to the ICF. WCPT Keynotes. World Confederation for Physical Therapy. 2006.
- ↑ Rauch A, Cieza A, Stucki G. How to Apply the International Classification of Functioning, Disability and Health (ICF) for Rehabilitation Management in Clinical Practice. Eur J Phys Rehabil. 2008;44(3):329-42.
- ↑ Ryerson S. Neurological Assessment: The Basis of Clinical Decision Making. In: Lennon S, Stokes M, editors. Pocketbook of Neurological Physiotherapy. Elsevier Health Sciences; 2008 Oct 10.
- ↑ Bernhardt J, Hill K. We Only Treat What It Occurs to us to Assess: The Importance of Knowledge-based Assessment. Science-based Rehabilitation: Theories into Practice. 2005:15-48.
