title: Observational study of the effectiveness of spinal cord injury rehabilitation using the Spinal Cord Injury-Ability Realization Measurement Index.
abstract: METHODS
  Retrospective observational study.
  
  
  OBJECTIVE
  The objective of this study was to determine the rehabilitation potential and the extent to which it is realized in a cohort of spinal cord injury patients using the Spinal Cord Injury-Ability Realization Measurement Index (SCI-ARMI) and to study the clinical factors that influence this realization.
  
  
  METHODS
  Two spinal units in Italy.
  
  
  METHODS
  Consecutive patients were assessed at the end of an in-patient rehabilitation program using the Spinal Cord Independence Measure and the International Standards for Neurological Classification of Spinal Cord Injury. On the basis of these data and of the age and gender of the patients, we calculated the SCI-ARMI score. Regression analyses were performed to study the relationship between clinical factors and the extent to which rehabilitation potential is realized.
  
  
  RESULTS
  We examined the data for 306 patients. Most patients were discharged without having reached their rehabilitation potential, with an SCI-ARMI score <80%. SCI-ARMI scores at discharge were positively influenced by etiology and the lesion level and correlated negatively with lesion severity and the presence of complications during rehabilitation.
  
  
  CONCLUSIONS
  The SCI-ARMI is an effective tool that can be used to measure the achievement of rehabilitation potential in SCI patients and to identify groups of patients who are at risk of not meeting their rehabilitative potential.
authors.affiliation: Spinal Unit, IRCCS Fondazione S Lucia, Rome, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Scivoletto
authors.affiliation: Spinal Unit, Montecatone Rehabilitation Institute, Imola, Italy.
authors.forename: J
authors.initials: J
authors.lastname: Bonavita
authors.affiliation: Spinal Unit, IRCCS Fondazione S Lucia, Rome, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Torre
authors.affiliation: Spinal Unit, Montecatone Rehabilitation Institute, Imola, Italy.
authors.forename: I
authors.initials: I
authors.lastname: Baroncini
authors.affiliation: Scuola di Specializzazione in Medicina Fisica e Riabilitazione, Università di Tor Vergata, Rome, Italy.
authors.forename: S
authors.initials: S
authors.lastname: Tiberti
authors.affiliation: Spinal Unit, Montecatone Rehabilitation Institute, Imola, Italy.
authors.forename: E
authors.initials: E
authors.lastname: Maietti
authors.affiliation: Spinal Unit, IRCCS Fondazione S Lucia, Rome, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Laurenza
authors.affiliation: Spinal Unit, Montecatone Rehabilitation Institute, Imola, Italy.
authors.forename: S
authors.initials: S
authors.lastname: China
authors.affiliation: Scuola di Specializzazione in Medicina Fisica e Riabilitazione, Università di Catania, Catania, Italy.
authors.forename: V
authors.initials: V
authors.lastname: Corallo
authors.affiliation: Spinal Unit, Montecatone Rehabilitation Institute, Imola, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Guerra
authors.affiliation: Spinal Unit, Montecatone Rehabilitation Institute, Imola, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Buscaroli
authors.affiliation: Scuola di Specializzazione in Medicina Fisica e Riabilitazione, Sapienza Università, Rome, Italy.
authors.forename: C
authors.initials: C
authors.lastname: Candeloro
authors.affiliation: Spinal Unit, Montecatone Rehabilitation Institute, Imola, Italy.
authors.forename: E
authors.initials: E
authors.lastname: Brunelli
authors.affiliation: Tel Aviv University, Tel Aviv, Israel.|Loewenstein Rehabilitation Hospital, Raanana, Israel.
authors.forename: A
authors.initials: A
authors.lastname: Catz
authors.affiliation: Spinal Unit, IRCCS Fondazione S Lucia, Rome, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Molinari
mesh_terms: D000293:Adolescent; D000328:Adult; D015331:Cohort Studies; D004185:Disability Evaluation; D006801:Humans; D007558:Italy; D007902:Length of Stay; D008875:Middle Aged; D010351:Patient Discharge; D012044:Regression Analysis; D012720:Severity of Illness Index; D013119:Spinal Cord Injuries / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation; D016896:Treatment Outcome; D055815:Young Adult