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1. Citation: AlHuthaifi, F., Krzak, J., Hanke, T., & Vogel, L. C. (2017). Predictors of functional outcomes in adults with traumatic spinal cord injury following inpatient rehabilitation: A systematic review.  Journal of Spinal Cord Medicine, 40(3), 282-294.
Keywords: Classification systems, daily living, follow up, functional status, literature reviews, motor skills, outcomes, prediction, rehabilitation, spinal cord injuries
Abstract: This literature review was conducted to identify, categorize, and rank predictors of the motor Functional Independence Measure (mFIM) score for patients with spinal cord injury (SCI) following inpatient rehabilitation, both at the time of discharge and at one-year follow-up. CINAHL, PubMed, ERIC, Google Scholar, and Medline databases were searched for relevant literature published from February 2000 to February 2015. Quality and risk of bias assessment of the included studies was performed using the Risk of Bias Assessment Instrument for Prognostic Factor Studies. Significant predictors of the mFIM score were categorized using the domains of the International Classification of Function and Disability (ICF) and ranked based on how frequently they were significant predictors of mFIM score. Twenty-seven predictors of mFIM score spanning the ICF domains were identified among seven studies. At discharge, variables in the Body Structure and Function domain were the most consistent predictors of mFIM score. At one-year follow-up, variables in the Activity and Participation domain were the most consistent predictors of mFIM score. Contextual factors were the least frequent predictors at both discharge and one-year follow-up. The findings from this systematic review can assist clinicians in setting realistic goals that maximize functional independence at the time of discharge and after reintegrating to society.
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Record Updated:2018-10-22

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