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PAR-QoL Blog

Jan 11, 2013 at 3:46 PM

Handy Tool to Electronically Score and Classify a Spinal Cord Injury

A new website is on-line which provides a tool that uses the raw test scores determined by the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSI) to electronically score and classify a spinal cord injury (SCI).

The site has been developed by the Rick Hansen Institute in partnership with the American Spinal Injury Association (ASIA) and the International Spinal Cord Society (ISCOS).

Check it out at www.ISNCSCIalgorithm.com

Calculate

 

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Jan 16, 2013 at 11:52 AM

Rehabilitation Measures Database

The Rehabilitation Measures Database (www.rehabmeasures.org) was developed to help clinicians and researchers identify reliable and valid instruments used to assess patient outcomes during all phases of rehabilitation. The database provides evidence-based summaries that include:

  • Concise descriptions of each instrument’s psychometric properties
  • Instructions for administering/scoring each assessment (along with a bibliography with citations linked to PubMed abstracts).
  • Whenever possible, they have also included a copy of the instrument for visitors to the site to download or information on where to obtain the instrument.

This site has reviewed more than 70 instruments (including some for quality of life and social participation) for use with stroke patients and they are adding spinal cord injury (SCI) and traumatic brain injury (TBI) criteria to reviews, with reported plans to expand the database to include several other diagnoses over the next few years.

This is an excellent resource for clinicians/researchers working in the field of rehabilitation to help with selecting and identifying relevant outcome measures for their research/program evaluation and/or clinical practice.  Check out the site here.

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Jan 30, 2013 at 12:27 PM

A Unique Approach to Providing Care to People with SCI: The Kitchener Mobility Clinic

In the lastest issue of Neuromatters (Winter 2012, Issue 20 - downlable PDF available here), the newsletter put out by the Ontario Neurotrauma Foundation, there is a spotlight on the Kitchener Mobility Clinic.  The Mobility Clinic is an inter-professional clinic that involves a physician, nursing, chiropractic, Occupational Therapy, Social Work and Pharmacy.

For those living with a spinal cord injury (SCI), inadequate access and support to primary care is a major problem. 

There are a number of barriers to accessing primary care, including inaccessible physician offices, lack of understanding and experience by staff and physicians on the needs of those living with SCI, problematic settings (i.e., heightened examination tables, inadequate space in hallways/waiting rooms), and flexibility with scheduling appointments around transportation availability make accessing care a challenge.

The Kitchener Mobility Clinic is an inter-professional clinic that involves a physician, nursing, chiropractic, Occupational Therapy, Social Work and Pharmacy. The clinic serves to provide additional care to rostered patients of the Centre of Family Medicine in Kitechener Ontario (Canada) who have any sort of mobility issue.  Some features services provided include having a more accessible examination room equipped with an electronic lowering exam table, overhead ceiling lift or just more time for a detailed assessment.  The Mobility Clinic staff has also seen patients in their own homes/living environment for assessment.

Given that many people with SCI are using hospital emergency rooms for primary care, there is a need for more primary care delivery models, like the Kitchener Mobility Clinic, that can better meet the health needs of people with SCI.

Below are some recent articles that highlight some of the challenges to primary care for people with SCI:

Ramp

 

 

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