| Life Care Planning Projections for Individuals With Motor Incomplete Spinal Cord Injury Before and After Locomotor Training Intervention: A Case Series. | |
| | |
MedLine Citation:
|
PMID: 22850334 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
BACKGROUND/PURPOSE:: We present a retrospective case series of 2 individuals with motor-incomplete spinal cord injury (SCI) to examine differences in lifetime cost estimates before and after participation in an intensive locomotor training (LT) program. Sections of a life care plan (LCP) were used to determine the financial implications associated with equipment, home renovations, and transportation for patients who receive LT. An LCP is a viable method of quantifying outcomes following any therapeutic intervention. CASE DESCRIPTION:: The LCP cases analyzed were a 61-year-old woman and a 4½-year-old boy with motor-incomplete SCI and impairments classified by the American Spinal Injury Association Impairment Scale (AIS) as AIS D and AIS C, respectively. INTERVENTIONS:: Each patient received an intensive outpatient LT program 3 to 5 days per week. The 61-year-old woman received 198 sessions over 57 weeks and the 4½-year-old boy received 76 sessions over 16 weeks. OUTCOMES:: The equipment, home renovation, and transportation costs of an LCP were calculated before and after LT. Prior to the implementation of LT, the 61-year-old woman had estimated lifetime costs between $150 247.00 and $199 654.00. Following LT, the estimated costs decreased to between $2010.00 and $2446.00 (a decrease of $148 237.00 and $197 208.00). Similarly, the 4-year-old boy had estimated lifetime costs for equipment, home renovation, and transportation between $535 050.00 and $771 665.00 prior to LT. However, the estimated costs decreased to between $97 260.00 and $200 047.00 (a decrease of $437 790.00 and $571 618.00) following LT. DISCUSSION:: The lifetime financial costs associated with equipment, home renovations, and transportation following a motor-incomplete SCI were decreased following an intensive LT program for the 2 cases presented in this article. The LCP, including costs of rehabilitation and long-term medical and personal care costs, may be an effective tool to discern cost benefit of rehabilitation interventions. |
| | |
Authors:
|
Sarah A Morrison; Jamie L Pomeranz; Nami Yu; Mary Schmidt Read; Sue Ann Sisto; Andrea L Behrman |
Related Documents
:
|
16734354 - The mental and written arithmetic abilities of adults with dyslexia. 22854804 - Robot-aided gait training in an individual with chronic spinal cord injury: a case study. 22345324 - Can lightweight rescuers adequately perform cpr according to 2010 resuscitation guideli... 22643794 - Developing a culturally based cardiac rehabilitation program: the hela study. 2128314 - Three-dimensional analysis of facial morphology using moiré stripes. part ii. analysis... 17674594 - Evaluating and managing constipation in the elderly. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-7-27 |
Journal Detail:
|
Title: Journal of neurologic physical therapy : JNPT Volume: - ISSN: 1557-0584 ISO Abbreviation: J Neurol Phys Ther Publication Date: 2012 Jul |
Date Detail:
|
Created Date: 2012-8-1 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101193365 Medline TA: J Neurol Phys Ther Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Shepherd Center, Atlanta, GA (S.A.M.); Department of Behavioral Science and Community Health (J.L.P., N.Y.), the University of Florida, Gainesville; Magee Rehabilitation (M.S.R.), Philadelphia, PA; Kessler Institute for Rehabilitation (C.W.), West Orange, NJ; Stony Brook University (S.A.S.), Stony Brook, NY; and Department of Physical Therapy (A.L.B.), University of Florida, Gainesville. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: A Group Kickboxing Program for Improving Balance, Mobility, and Quality of Life in Individuals With ...
Next Document: Relationship between perceived and measured changes in walking after stroke.