Clinical experience in rehabilitation of spinal cord injury associated with schizophrenia

Liang, Huey-Wen; Wang, Yen-Ho; Wang, Tyng-Guey; Tang, Feng‐Yao; Lai, Jin-Sin; Lien, I-Nan

doi:10.1016/s0003-9993(96)90113-6

Cited by 4 publications

(5 citation statements)

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“…This was confirmed by the t-tests that showed significantly different discharge SCIMs between the cases and controls of those with schizophrenia or non-affective disorder and those with anxiety as a co-morbid psychiatric diagnosis. These findings support the small study small study of Liang et al 7 in a Japanese rehabilitation centre in 1996 that concluded that psychotic symptoms hindered rehabilitation in their schizophrenic population. Self-harm, which includes suicide attempts, has also previously been shown to predict poorer outcomes in rehabilitation.…”

Section: Discussionsupporting

confidence: 85%

“…Third, they have not used matched controls or compared outcomes with those empirically expected. [5][6][7][8] We investigated rehabilitation outcomes of those discharged from the London SCI Centre (LSCIC) from April 2007 to April 2013 with a pre-existing MHD and compared outcomes with matched controls. A retrospective matched case-control study design was used to compare the Spinal Cord Independence Measure III (SCIM III) between those with an SCI and pre-existing MHD and those without, and compared with published expected outcomes; the multicentre study by Aidinoff et al 1 found that there is a negative correlation between the SCI level and 'discharge functional-score'.…”

Section: Introductionmentioning

confidence: 99%

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Spinal cord injury rehabilitation and mental health, SCReaM

2016

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Section: Discussionsupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Spinal cord injury rehabilitation and mental health, SCReaM

2016

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“…This was further supported in the literature for which all the schizophrenic samples received psychological support on admission and exhibited good rehabilitation outcomes. 9 Please note that these suggestions would need to be investigated with the use of correlation analysis to examine a relationship between time of psychology intervention and outcome scores.…”

Section: Discussionmentioning

confidence: 99%

“…Positive outcomes were reported once psychiatric problems were managed. 9 It has also been suggested that the further research is needed to assess engagement of people with MHD in the rehabilitation process and possible problems; for example, because of selfneglect (secondary complications) or withdrawal from rehabilitation on account of the experience of symptoms. 4 For example, goals have been reported to be affected because of symptoms.…”

Section: Introductionmentioning

confidence: 99%

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Rehabilitation outcomes in people with pre-morbid mental health disorders following spinal cord injury

2008

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All patients were involved in a multidisciplinary Goal Planning and Needs Assessment Rehabilitation Programme. Rehabilitation outcomes were measured using the Needs Assessment Checklist (NAC), which has been specifically designed for use with people with SCI. It is a reliable and valid clinical assessment tool, which provides a means to assess and facilitate the delivery of an individually tailored rehabilitation programme. Results: No significant difference was found between the MHD and non-MHD groups for rehabilitation outcomes. The MHD group showed higher achieved independence scores in psychology for the first needs assessment. Overall, both groups were found to make significant improvements in their level of independence for all nine areas of need between the first and second NAC administration. Conclusion: Results suggest that rehabilitation can be tailored to meet the individual needs of patients with SCI having MHD; however, further research comparing these outcomes with other rehabilitation approaches is required. The function of timely psychological support for MHD patients on admission to the NSIC has been suggested as a potential explanation for rehabilitation performance. Most importantly, rehabilitation outcomes of patients with MHD have not been found to differ significantly compared with those without MHD.

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Clinical-evolutive particularities and the main rehabilitation difficulties in a patient with schizophrenia who suffered from a TSCI by falling from height (affirmative suicidal attempt)- a case report

Oprea

Constantin

Badiu

et al. 2020

BALNEO

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Introduction. Schizophrenia is a surprisingly common chronic psychiatric illness in the general population affecting 1 in 100 people worldwide. Although the symptoms widely differ from one case to another, schizophrenia is quite difficult to recognize because the patient can behave normally and appropriately in different social situations. Studies in the literature highlight that the majority of the patients with SCI and pre-existing schizophrenia have suffered accidents as a result of voluntary height adjustments. Also, 37.5% of the suicide attempts with SCI are caused by schizophrenia and depression. The main difficulties encountered in the recovery of these patients are the psychiatric manifestations. At the same time, the risk of suicide in patients with schizophrenia after suffering from SCI is higher than those with SCI without schizophrenia. Therefore, the recovery of the patients with SCI and schizophrenia is a complex process which requires the control of the psychiatric symptoms. A multidisciplinary team is required for such a purpose. Material and method. Having the patient's consent and approval of the Ethics Committee of “Bagdasar-Arseni” Clinical Emergency Hospital, N.O. 3159/30.01.2020, the paper presents the case of a 23-year-old female patient with AIS/ Frankel B flaccid paraplegia after TVML after falling from height (affirmative through window-suicide attempt) operated on, in a polytraumatic context. The patient is known with schizophrenia and she was being monitored by a psychiatrist at the time of the accident, but she voluntarily discontinued treatment during that period. The patient was clinically and functionally evaluated, according to the standardized protocols implemented in our clinic, through the assessment scales (ASIA, FIM, FAC, QoL, Ashworth and Penn) and also paraclinically, in order to evaluate her biological reserve and her bearing availability of the recovery program. Results and discussions. The patient presented a slowly favorable evolution (slowed down by her severe motor deficit, but also by her psychiatric symptoms such as affective ability with depressive, negative behavior, depersonalization). Conclusions. The main difficulties encountered in the recovery of these patients are the psychiatric manifestations. Therefore, the recovery of patients with SCI and schizophrenia is a complex process that first requires the control of psychiatric symptoms. A multidisciplinary team is required for such a purpose. Keywords: Schizophrenia, spinal cord injury, multidisciplinary, suicide attempt, rehabilitation,

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Clinical experience in rehabilitation of spinal cord injury associated with schizophrenia

Cited by 4 publications

References 16 publications

Spinal cord injury rehabilitation and mental health, SCReaM

Spinal cord injury rehabilitation and mental health, SCReaM

Rehabilitation outcomes in people with pre-morbid mental health disorders following spinal cord injury

Clinical-evolutive particularities and the main rehabilitation difficulties in a patient with schizophrenia who suffered from a TSCI by falling from height (affirmative suicidal attempt)- a case report

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