Life Care Planning Projections for Individuals With Motor Incomplete Spinal Cord Injury Before and After Locomotor Training Intervention: A Case Series

被引:5
作者
Morrison, Sarah A. [1 ]
Pomeranz, Jamie L. [2 ]
Yu, Nami [2 ]
Read, Mary Schmidt [3 ]
Sisto, Sue Ann [4 ]
Behrman, Andrea L. [5 ]
机构
[1] Shepherd Ctr, Atlanta, GA 30309 USA
[2] Univ Florida, Dept Behav Sci & Community Hlth, Gainesville, FL USA
[3] Magee Rehabil, Philadelphia, PA USA
[4] SUNY Stony Brook, Stony Brook, NY 11794 USA
[5] Univ Florida, Dept Phys Therapy, Gainesville, FL USA
来源
JOURNAL OF NEUROLOGIC PHYSICAL THERAPY | 2012年 / 36卷 / 03期
关键词
body weight-supported treadmill; life care plan; locomotor training; motor incomplete spinal cord injury; WALKING; RELIABILITY; CHILDREN; COSTS; REHABILITATION; VALIDITY;
D O I
10.1097/NPT.0b013e318262e5ab
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background/Purpose: We present a retrospective case series of 2 individuals with motor-incomplete spinal cord injury (SO) 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 41/2-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 41/2-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.
引用
收藏
页码:144 / 153
页数:10
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