The journal of spinal cord medicine · 2026
Bridging clinical capacity and functional performance: Clinical predictors of independence in advanced wheelchair skills after spinal cord injury.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Kim Eunhye, Kim Hyun-Jin, Jeong Areum, Kweon Hyosun, Kim Jung Hwan
Аннотация
CONTEXT: Advanced wheelchair skills (ramp, railing, curb, wheelie) are essential for mobility after spinal cord injury (SCI), but predictors of discharge independence remain unclear.
OBJECTIVE: To identify admission predictors of improvement and discharge independence in advanced wheelchair skills after SCI.
METHODS: We retrospectively analyzed 150 inpatients with SCI (2016-2023) at a single rehabilitation hospital with admission and discharge assessments for four advanced wheelchair skills. For each skill, participants were classified as Group 1 (no improvement or decline and remained dependent), Group 2 (improved but remained dependent), or Group 3 (achieved or maintained independence). Admission variables were compared across groups, and multinomial logistic regression used Group 3 as the reference.
RESULTS: In adjusted models, older age increased the odds of Group 1 and Group 2 classifications compared with Group 3; for wheelie, ORs were 1.08 and 1.09 per year, respectively (both P < 0.001). Greater upper-extremity strength was associated with reduced odds of Group 1 classification for wheelie (OR 0.43, 95% CI 0.21-0.87) and ramp (OR 0.44, 95% CI 0.25-0.78), but not for railing or curb. Longer post-injury duration was associated with lower odds of a dependent outcome for curb (OR 0.998 per day, P < 0.05). In unadjusted comparisons, outcome-group distributions differed by age group, neurological level, and AIS grade.
CONCLUSIONS: Older age was associated with dependent outcomes across skills, whereas upper-extremity strength favored independence in wheelie and ramp only. These findings support incorporating age and task-relevant upper-limb capacity into goal setting and training prioritization; prospective studies should quantify training exposure and goal priorities.
OBJECTIVE: To identify admission predictors of improvement and discharge independence in advanced wheelchair skills after SCI.
METHODS: We retrospectively analyzed 150 inpatients with SCI (2016-2023) at a single rehabilitation hospital with admission and discharge assessments for four advanced wheelchair skills. For each skill, participants were classified as Group 1 (no improvement or decline and remained dependent), Group 2 (improved but remained dependent), or Group 3 (achieved or maintained independence). Admission variables were compared across groups, and multinomial logistic regression used Group 3 as the reference.
RESULTS: In adjusted models, older age increased the odds of Group 1 and Group 2 classifications compared with Group 3; for wheelie, ORs were 1.08 and 1.09 per year, respectively (both P < 0.001). Greater upper-extremity strength was associated with reduced odds of Group 1 classification for wheelie (OR 0.43, 95% CI 0.21-0.87) and ramp (OR 0.44, 95% CI 0.25-0.78), but not for railing or curb. Longer post-injury duration was associated with lower odds of a dependent outcome for curb (OR 0.998 per day, P < 0.05). In unadjusted comparisons, outcome-group distributions differed by age group, neurological level, and AIS grade.
CONCLUSIONS: Older age was associated with dependent outcomes across skills, whereas upper-extremity strength favored independence in wheelie and ramp only. These findings support incorporating age and task-relevant upper-limb capacity into goal setting and training prioritization; prospective studies should quantify training exposure and goal priorities.