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PMID- 29252406
DCOM- 20171227
LR  - 20171227
IS  - 1537-7385 (Electronic)
IS  - 0894-9115 (Linking)
VI  - 97
IP  - 1
DP  - 2018 Jan
TI  - Mobility Functional Outcomes of Neurofibromatosis Patients: A Preliminary Report.
PG  - 41-49
LID - 10.1097/PHM.0000000000000842 [doi]
AB  - OBJECTIVE: The aim of the study was to describe the mobility outcomes of
      neurofibromatosis (NF) patients who received acute inpatient rehabilitation.
      DESIGN: This is a retrospective study of 62 consecutive neurofibromatosis
      patients of any age who received physical medicine and rehabilitation
      consultations at a comprehensive cancer center. Postoperative, inpatient
      rehabilitation admission and discharge functional independence measures (FIM
      scores) of transfers and gait and length of hospital stay were obtained from 37
      patients who were transferred to inpatient rehabilitation (acute rehabilitation) 
      and 25 who had an alternative disposition (consultation only). RESULTS: Mean age 
      was 34 yrs. Both groups had similar postoperative FIM transfer and gait scores;
      however, at approximately postoperative day 10, the consultation only group was
      discharged with median FIM of 5 (supervision level) as compared with the acute
      rehabilitation group FIM of 4 (P = 0.000). The acute rehabilitation group had
      improved mobility FIM scores from postoperative to rehabilitation admission and
      again from rehabilitation admission to discharge (P < 0.0001). At discharge, the 
      acute rehabilitation group ambulated a significantly longer distance (500 f. vs. 
      300 ft) (P = 0.04). The median length of hospital stay for the acute
      rehabilitation and consultation only groups was 20 and 10 days, respectively (P =
      0.004). CONCLUSIONS: Acute inpatient rehabilitation leads to improvement in
      mobility-associated FIM scores for neurofibromatosis patients minimizing
      caregiver needs at home.
FAU - Ngo-Huang, An
AU  - Ngo-Huang A
AD  - From the Department of Palliative, Rehabilitation, and Integrative Medicine, The 
      University of Texas MD Anderson Cancer Center, Houston, Texas (AN-H, RY, JBF,
      JLW, EB, YG); and Department of Biostatistics, The University of Texas MD
      Anderson Cancer Center, Houston, Texas (DL).
FAU - Yadav, Rajesh
AU  - Yadav R
FAU - Fu, Jack B
AU  - Fu JB
FAU - Liu, Diane
AU  - Liu D
FAU - Williams, Janet L
AU  - Williams JL
FAU - Bruera, Eduardo
AU  - Bruera E
FAU - Guo, Ying
AU  - Guo Y
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am J Phys Med Rehabil
JT  - American journal of physical medicine & rehabilitation
JID - 8803677
SB  - IM
MH  - *Activities of Daily Living
MH  - Adult
MH  - *Disability Evaluation
MH  - Female
MH  - Humans
MH  - Length of Stay
MH  - Male
MH  - Neurofibromatoses/*physiopathology/*rehabilitation
MH  - Recovery of Function
MH  - Retrospective Studies
EDAT- 2017/12/19 06:00
MHDA- 2017/12/28 06:00
CRDT- 2017/12/19 06:00
PHST- 2017/12/19 06:00 [entrez]
PHST- 2017/12/19 06:00 [pubmed]
PHST- 2017/12/28 06:00 [medline]
AID - 10.1097/PHM.0000000000000842 [doi]
AID - 00002060-201801000-00006 [pii]
PST - ppublish
SO  - Am J Phys Med Rehabil. 2018 Jan;97(1):41-49. doi: 10.1097/PHM.0000000000000842.