Evaluating Outcome After Spinal Cord Injury: What Determines Success?

The purpose of this study was to determine factors associated with community integration of adults who sustained spinal cord injuries as children or adolescents. Outcome measures included the Craig Handicap Assessment and Reporting Technique and measures of independent living. Independent variables include demographic factors, level of injury, functional independence as measured by the Functional Independence Measure, and perceived health as measured by Short Form-12 physical and mental component scores. Data were analyzed by multiple regression analyses for each of the outcome measures. Two-hundred and sixteen adults (150 males and 66 females) were interviewed. Mean age at interview was 29 years (range 24 to 27 years) and mean age at injury was 14 years (range 0 to 18 years). Results showed that the five factors most strongly associated with community integration were education level, employment, income, functional independence, and health status. Factors that were not associated with community integration included sex, age at injury, duration, and level of injury.Preparing young people with spinal cord injury (SCI) to make the transition to full community participation as adults is one of the most challenging goals of pediatric rehabilitation. Determining how successfully these adults are achieving that goal is key to improving the care of future patients with pediatric-onset SCI.

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Quality of life in spinal cord injured individuals and their caregivers during the initial 6 months following rehabilitation

Lucke

Coccia

Goode

et al. 2004

Qual Life Res

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Addressing quality of life (QOL) issues in the spinal cord injured (SCI) population is imperative as the majority survive their initial injury and longevity now approaches that of the general population. The purpose of this mixed method, descriptive, longitudinal feasibility study was to describe and compare QOL in 10 adult SCI individuals and their family caregivers (FCs) during the initial 6 months following rehabilitation. Instruments used were the SF-36 and two horizontal visual analog scales, one for pain and one for QOL. Participants completed the instruments and a face-to-face in-depth interview at 1-, 3-, and 6-months following inpatient rehabilitation. SCI individuals reported low physical function, role physical (RP), and role emotional (RE) scores on the SF-36, while reporting high general health (GH), mental health and social functioning on the SF-36. FCs reported lower RP, GH and vitality scores, while reporting higher physical functioning and RE scores. On the visual analog scales, persons with SCI reported lower QOL while FCs reported more pain at 3 and 6 months. This study suggests that more work is needed to identify interventions which could enhance QOL during the transition from rehabilitation to home for SCI individuals and their FCs.

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Evaluating Outcome After Spinal Cord Injury: What Determines Success?

Cited by 17 publications

References 4 publications

Long-term outcomes and life satisfaction of adults who had pediatric spinal cord injuries

Long-term outcomes and life satisfaction of adults who had pediatric spinal cord injuries

Community integration among adults with spinal cord injuries sustained as children or adolescents

Quality of life in spinal cord injured individuals and their caregivers during the initial 6 months following rehabilitation

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