Encyclopedia of Clinical Neuropsychology

2018 Edition
| Editors: Jeffrey S. Kreutzer, John DeLuca, Bruce Caplan

Reintegration to Normal Living Index

  • Tamara BushnikEmail author
Reference work entry
DOI: https://doi.org/10.1007/978-3-319-57111-9_1962

Synonyms

RNL Index

Definition

The Reintegration to Normal Living (RNL) index assesses global function in individuals after incapacitating illness or severe trauma (Wood-Dauphinee et al. 1988). It consists of 11 questions with a Visual Analogue Scale (VAS) response 10 cm line with anchor points ranging from “does not describe my situation” to “fully describes my situation.” Scoring for each item ranges from one to ten with higher scores corresponding to better reintegration. The scores for each item are summed, yielding a maximum score of 110, and are then proportionally converted to a 100-point scale. Two subscales can be derived: Daily Living and Perception of Self.

The RNL Index was developed in English and French. Alternate versions are available for individuals who use adaptive devices as well as for responses from significant others/caregivers and health-care providers. It was initially designed to be administered by a trained interviewer; however, a mailed version has been...

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References and Readings

  1. Daneski, K., Coshall, C., Tilling, K., & Wolfe, C. D. A. (2003). Reliability and validity of a postal version of the reintegration to normal living index, modified for use with stroke patients. Clinical Rehabilitation, 17, 835–839.PubMedCrossRefPubMedCentralGoogle Scholar
  2. Hitzig, S. L., Romero Escobar, E. M., Noreau, L., & Craven, B. C. (2012). Validation of the reintegration to normal living index for community-dwelling persons with chronic spinal cord injury. Archives of Physical Medicine and Rehabilitation, 93, 108–114.PubMedCrossRefPubMedCentralGoogle Scholar
  3. Pang, M. Y., Lau, R. W., Yeung, P. K., Liao, L. R., & Chung, R. C. (2011). Development and validation of the Chinese version of the reintegration to normal living index for use with stroke patients. Journal of Rehabilitation Medicine, 43, 243–250.PubMedCrossRefPubMedCentralGoogle Scholar
  4. Stark, S. L., Edwards, D. F., Hollingsworth, H., & Gray, D. B. (2005). Validation of the reintegration to normal living index in a population of community-dwelling people with mobility limitations. Archives of Physical Medicine and Rehabilitation, 86, 344–345.PubMedCrossRefPubMedCentralGoogle Scholar
  5. Tooth, L. R., McKenna, K. T., Smith, M., & O’Rourke, P. K. (2003). Reliability of scores between stroke patients and significant others on the reintegration to normal living (RNL) index. Disability and Rehabilitation, 25, 433–440.PubMedCrossRefPubMedCentralGoogle Scholar
  6. Wood-Dauphinee, S. L., Opzoomer, M. A., Williams, J. I., Marchand, B., & Spitzer, W. O. (1988). Assess of global function: The reintegration to normal living index. Archives of Physical Medicine and Rehabilitation, 69, 583–590.PubMedPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Inter-Hospital Research and Knowledge TranslationRusk RehabilitationNew YorkUSA