Document Detail


Activity performance and upper extremity function in cervical spinal cord injury patients according to the Klein-Bell ADL Scale.
MedLine Citation:
PMID:  17117173     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: Cross-sectional study.
OBJECTIVES: (1) To examine whether the Klein-Bell ADL Scale (K-B Scale) discriminates cervical spinal cord injury (SCI) patients in daily activities and to explore its applicability in this group of patients. (2) To examine the association between basic ADL and upper extremity function. (3) To investigate if grip ability can be discerned in the scale.
SETTING: Spinal Cord Injury Unit, Sahlgrenska University Hospital, Göteborg, Sweden.
METHODS: Fifty-five patients with cervical SCI with no prior reconstructive hand surgery were included in the study. Analyses of the patient's independence were made according to the K-B Scale. Three additional analyses were carried out, the first examined whether the use of assistive devices and house and car adaptations influenced independence. The last two used different approaches to investigate whether arm and grip function could be detected in the K-B scale.
RESULTS: Raw score in the K-B Scale can discriminate for independence in daily activities but the scale's weight scheme does not function for cervical SCI patients. Assistive devices and car and house adaptations can compensate for dependence in daily activities. Lack of grip function decreases the patient's ability to become independent. Diagnosis-related activities cannot be assessed in all items.
CONCLUSION: The K-B Scale's raw score was useful assessing daily activities in cervical SCI patients. Its reliability in conjunction with arm and grip function in patients with cervical SCI has yet to be proven.
Authors:
A Dahlgren; A-K Karlsson; A Lundgren-Nilsson; J Fridén; L Claesson
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2006-11-21
Journal Detail:
Title:  Spinal cord     Volume:  45     ISSN:  1362-4393     ISO Abbreviation:  Spinal Cord     Publication Date:  2007 Jul 
Date Detail:
Created Date:  2007-07-05     Completed Date:  2007-08-31     Revised Date:  2011-06-06    
Medline Journal Info:
Nlm Unique ID:  9609749     Medline TA:  Spinal Cord     Country:  England    
Other Details:
Languages:  eng     Pagination:  475-84     Citation Subset:  IM    
Affiliation:
Department of Clinical Neuro Science and Rehabilitation, The Sahlgrenska Academy at Göteborg University, Institute of Neuro Science and Physiology, Göteborg University, Goteborg, Sweden.
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living*
Adolescent
Adult
Aged
Cross-Sectional Studies
Disability Evaluation
Female
Humans
Male
Middle Aged
Motor Activity / physiology*
Pain Measurement
Psychomotor Performance / physiology*
Retrospective Studies
Sacrococcygeal Region
Severity of Illness Index
Spinal Cord Injuries / pathology*,  physiopathology,  psychology
Upper Extremity / physiopathology*
Comments/Corrections
Erratum In:
Spinal Cord. 2007 Jul;45(7):531

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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