| Abstract [eng] |
The World Health Organisation acknowledge the importance of decreasing the social burden related to the health disturbances. Authors evaluate patients’ functional independence as the base of social integration. Barthel Index and Functional Independence Measure are the most common tests for functional independence evaluation in persons after the spinal cord injury. However, these tests are not sensitive about minimal changes in functional independence. Moreover, they do not evaluate cognitive functions, social environment, and participation in family and social life. The application of ICF creates possibilities to perform a complex objective person’s evaluation. The ICF include both medical and functional state and social factors (social relations and environment, possibilities to perform independently in everyday life), which make an impact on the activities and participation. Traumatic spinal cord injuries are more common among young working age people, most of them are young men (average 34.2±13.16), the men and women ratio being 3.6:1. During primary rehabilitation the functional independence increased significantly. Injury localisation made the greatest influence on the functional independence. During the primary rehabilitation course, improvement to all of the evaluated categories from the ICF core set for spinal cord injury were found. During repeated rehabilitation more reliable changes in activities and participation were found. After applying our developed linear regression models, the estimates of the functional independence, activities and participation of the patients with post-traumatic spinal cord injury, as set by the International Functioning, Disability and Health Classification, did not differ from the estimates set out in the functional independence tests: the Barthel Index and the Functional Independence Measure(p =0.551). The results of the Barthel Index and the Functional Independence Measure strongly correlated with the functioning of the International Disability and Health Classification of mobility, selfcare and psycho-emotional state of the result areas (r=0.976-r =0.944). |
