The numbers of people with spinal cord injuries (SCI) in Thailand are increasing. Thai rehabilitation care focuses treatment on acute care with little attention to the lives of clients after discharge from institutions. To date, there has been no research on rehabilitation outcomes and factors relevant to these issues for people with SCI at home and in the community in Thailand. The purpose of this study was to identify and compare the outcomes of functional status, depression, anxiety and stress, and health status of people with SCI, both at discharge and at three months post-discharge from hospital. One hundred twenty-one participants with SCI were recruited from ten major hospitals in Thailand. Data was collected at 48 hours pre-discharge and again at three months post-discharge using the Functional Independence Measure (FIM), the Depression, Anxiety, and Stress Scale (DASS), and the SF-36 Health Survey. The results demonstrated that mean scores of functional status at discharge were significantly higher than at three months post-discharge. Depression and anxiety scores at discharge were significantly lower than depression and anxiety scores at three months postdischarge. Stress score had not significantly changed from discharge to post-discharge. Health status scores at discharge were also higher than at three months post-discharge on eight subscales. Factors relevant to or predicting functional status were marital status, attendant care, number of architectural barriers, fulfilled occupational therapy (OT) needs, and number of different services required but not received. Factors predicting depression, anxiety and stress were marital and economic status, age at onset, education level, duration of disability, fulfilled OT needs, number of different services received, and numbers of different service required but not received. / Factors predicting health status were marital status, economic status, age at onset, education level, duration of disability, attendant care, number of architectural barriers, fulfilled OT needs, number of different services received, and number of different services required but not received. Some predictive factors are culture-specific, but on others, rehabilitation professionals could ease the transition from hospital to home for people with SCI.

Orientador: Antonio Guilherme Borges Neto / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas / Made available in DSpace on 2018-08-10T13:43:01Z (GMT). No. of bitstreams: 1 Loureiro_AndersonBarbosa_M.pdf: 1654963 bytes, checksum: d49b2312387926f779b4d3c3fec27cfe (MD5) Previous issue date: 2007 / Resumo: A hemorragia subaracnóide (HSA) aneurismática é causada mais comumente pela ruptura de aneurismas saculares, o que leva a um déficit motor e cognitivo importante afetando as atividades funcionais dos pacientes. A mensuração da função é importante na otimização do tratamento fisioterapêutico e alta hospitalar destes pacientes. Este estudo teve como objetivo descrever os resultados da reabilitação em pacientes submetidos a tratamento cirúrgico de clipagem aneurismática admitidos no Hospital das Clínicas da Universidade Estadual de Campinas. Os pacientes foram avaliados por meio dos seguintes instrumentos: escala clínica de Hunt ¿ Hess (na internação hospitalar), que avalia o estado clínico do paciente; a escala neurorradiográfica de Fisher (na internação hospitalar), que avalia a quantidade de sangue no espaço subaracnóide; medida de independência funcional (MIF) (no pós-operatório e alta hospitalar) e escala de prognóstico de Glasgow (na alta hospitalar). Os pacientes foram submetidos ao tratamento fisioterapêutico durante todo o período de internação (dois atendimentos diários). Para comparar os valores da MIF entre admissão e alta foi realizado o teste de Wilcoxon, para verificar a correlação entre os instrumentos de avaliação foi utilizado o coeficiente de correlação de Spearman. Foram avaliados 13 pacientes, 12 (92.31%) mulheres e um homem, com predomínio de aneurismas na artéria cerebral média (53.85%). A idade média foi de 51.62 (DP 13.04) anos. Ocorreu diferença estatística significativa entre as avaliações da MIF (admissão 56.92 ± 23.42; alta 91.77 ± 20.32; p < 0.001). Não foi encontrada correlação significativa entre a MIF e a escala clínica de Hunt-Hess (r = - 0.16282; p = 0.5951), escala neurorradiografica de Fisher (r = 0.06935; p = 0.8219) e a escala de prognóstico de Glasgow (r = 0.24972; p = 0.4106). Os pacientes apresentaram melhoras funcionais após o procedimento cirúrgico e tratamento fisioterapêutico demonstradas de forma quantitativa por meio da MIF e não foi encontrada relação das medidas clínicas com os resultados funcionais / Abstract: Subarachnoid hemorrhage results in critical motor and cognitive impairment which leads to dysfunctions causing a negative impact in quality of life. The functional independence measure (FIM) scale is the most widely accepted functional assessment measure in use in the rehabilitation community. The aim of this study was to describe the rehabilitation outcome after a surgical aneurysm occlusion realized in patients admitted in the Clinical Hospital of Campinas State University ¿ UNICAMP. Patients were submitted to the Hunt-Hess and Fisher assessment scales after admission in to the hospital; to the FIM after surgery; and to FIM and Glasgow Outcome Scale (GOS) after hospital discharge. The days in the hospital were counted, patients had physical therapy twice a day and the injured arteries were identified. Thirteen patients, 12 woman¿s (92,31%) with aneurysm predominant in middle cerebral artery (53,85%) were evaluated. The mean age was 51, 62 (DP 13,04) years old. The mean FIM rate, between the admission and the discharge period, was 34,85 (DP 20,85), with average of 5-69 points (p<0,001). There was non significant correlation between the FIM, Hunt-Hess, Fisher and GOS. The subarachnoid hemorrhage is a catastrophic neurologic event that results in motor and cognitive impairment. The FIM could have an important role in predict the neurorehabilitation outcome in acute aneurysmal subarachnoid hemorrhage / Mestrado / Ciencias Biomedicas / Mestre em Ciências Médicas

OF MASTER THESIS Author: Bc. Anna Stiborová Supervisor: Mgr. Kateřina Svěcená, Ph.D. Title of master thesis: Utilization of Functional Independence Measure and Functional Assessment Measure on acute inpatient rehabilitation unit with brain damage patients Abstract: This master thesis focuses on the utilization of Functional Independence Measure and Functional Assessment Measure (FIM+FAMUK ). The subject of interest is the use of FIM+FAMUK in an acute phase of rehabilitation in brain damaged patients. The aim of the thesis is to demonstrate the usefulness of FIM+FAMUK as an assessment of functional status on an acute inpatient rehabilitation unit. Theoretical part provides basic information on the system of cerebrovascular care in Czech republic, on the importance of assessing functional status in neurorehabilitation and on some other assessments of disability in neurorehabilitation besides FIM+FAMUK . It also brings insight into FIM+FAMUK , its items, evaluation process and its utilization. Practical part presents the results of a clinical application of FIM+FAMUK on a stroke unit. Fifteen people were assessed with FIM+FAMUK as input and output assessment. Statistical data analysis has confirmed the utilization of FIM+FAMUK as an assessment of functional status on acute inpatient rehabilitation...

OF MASTER THESIS Author: Bc. Kateřina Králová Supervisor: MUDr. Tereza Gueye Title of master thesis: Evaluation of Occupational Therapy Intervention in Acute Inpatient Rehabilitation of Cerebrovascular Units Abstract This diploma thesis deals with the evaluation of occupational interventions on the specific separation of beds of early rehabilitation of the cerebrovascular center of the General University Hospital in Prague. The subject of interest is primarily the results of the assessment obtained through the Functional Independence Measure (FIM) and the Montreal Cognitive Assessment. The thesis has two main objectives, namely mapping and analyzing the tools used to assess self-sufficiency and cognitive functions in the department. You can find the description of the evaluation tools in the theoretical part of the thesis. It is also an overview of the topic of the selected topic and a brief description of the system of cerebrovascular care in the Czech Republic. The second objective was to evaluate variables such as length of hospitalization and cognitive status in relation to patient self-sufficiency at the end of hospitalization. Three hypotheses have been identified to meet this goal. The practical part describes the results of the used tools for a particular department. The research group...

OF MASTER THESIS Author: Bc. Kateřina Králová Supervisor: MUDr. Tereza Gueye Title of master thesis: Evaluation of Occupational Therapy Intervention in Acute Inpatient Rehabilitation of Cerebrovascular Units Abstract This diploma thesis deals with the evaluation of occupational interventions on the specific separation of beds of early rehabilitation of the cerebrovascular center of the General University Hospital in Prague. The subject of interest is primarily the results of the assessment obtained through the Functional Independence Measure (FIM) and the Montreal Cognitive Assessment. The thesis has two main objectives, namely mapping and analyzing the tools used to assess self-sufficiency and cognitive functions in the department. You can find the description of the evaluation tools in the theoretical part of the thesis. It is also an overview of the topic of the selected topic and a brief description of the system of cerebrovascular care in the Czech Republic. The second objective was to evaluate variables such as length of hospitalization and cognitive status in relation to patient self-sufficiency at the end of hospitalization. Three hypotheses have been identified to meet this goal. The practical part describes the results of the used tools for a particular department. The research group...