Rehabilitation Outcome Following Spinal Cord Injury

Woolsey, Robert M.

doi:10.1001/archneur.1985.04060020026008

Cited by 47 publications

(31 citation statements)

References 15 publications

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“…American studies in the eighties showed poor rates up to a maximum of 25% of persons being employed after the SCI. [8][9][10][11] In more recent American, Australian and European studies, the percentages of persons gainfully working at assessment improved and ranged from 31 to 48%. 3,[12][13][14][15] Success rates are determined by the social security system, economic circumstances and the willingness of employers to keep disabled people at work.…”

Section: Discussionmentioning

confidence: 99%

“…18 Most studies focused on demographic and injury-related factors. [1][2][3][8][9][10][11][12][13][14][15] Workrelated and environmental factors were studied such as preinjury employment status, vocational retraining, transportation and architectural barriers. [1][2][3][4][9][10][11][12][13]15,17 A predictive model for vocational outcome was developed in one study, in order to increase the cost-effectiveness of vocational rehabilitation by focusing efforts on the individuals with the greatest vocational potential.…”

Section: Discussionmentioning

confidence: 99%

“…3,[8][9][10][11][12][13][14] Factors related to the success of vocational reintegration include several personal and injury-related variables, such as age, type of lesion and Barthel score, and work-related variables, such as educational level, preinjury type of work and social security system. [1][2][3][8][9][10][11][12][13][14][15][16][17] Only few studies focused on the relation between vocational outcome and more subjective indicators such as work interests and values, educational and vocational plans and societal attitudes. 9,14 Nevertheless, the role of the individual patient seems very important in the process to successful job reintegration.…”

Section: Introductionmentioning

confidence: 99%

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Vocational reintegration following spinal cord injury: expectations, participation and interventions

Schönherr

Groothoff

Mulder³

et al. 2004

Spinal Cord

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Study design: Survey. Objectives: To explore the process of reintegration in paid work following a traumatic spinal cord injury (SCI), including the role of early expectations of individual patients regarding return to work, indicators of success of job reintegration and a description of reintegration interventions and barriers. Setting: Dutch rehabilitation centre with special department for patients with spinal cord injuries. Methods: Descriptive analysis of data gathered by a mailed questionnaire, which was returned by 57 persons (response 83%) with traumatic SCI, aged 18-60 years, and data of earlier expectations reported by the individual patients during the rehabilitation admission following SCI from 1990 to 1998. Results: Of 49 respondents who were employed at the moment of the SCI, 45% expected to be able to resume work. These positive expectations were associated with a higher educational level. In 67%, return to work was successful. The chance to reintegrate successfully was better if the patient expected to resume work. Logistic regression analysis did not reveal other significant indicators. About one-third of the 49 respondents working preinjury followed vocational retraining, which was successful for most of them so far. In the majority of work situations modifications have been made, such as job adaptations and reduction of working hours. Several unmet needs regarding reintegration interventions were also reported. Conclusions: Positive expectations regarding resumption of work after a SCI are an important indicator of successful reintegration in work. An active role of the rehabilitation team is recommended in drawing up a vocational reintegration plan to prepare the patient, the employer and professionals involved in the reintegration process.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Vocational reintegration following spinal cord injury: expectations, participation and interventions

Schönherr

Groothoff

Mulder³

et al. 2004

Spinal Cord

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“…Physiotherapists, however, have access to relatively accurate information about the likelihood of patients walking following SCI. 1,[8][9][10][11][12][13][14][15][16][17] For example, a recent large cohort study found that a combination of age, motor scores in the quadriceps and gastrocnemius muscles, and the presence of light touch sensation in the L3 and S2 dermatomes at 2 weeks post SCI could accurately discriminate between independent walkers and non-walkers at 1 year post SCI with the level of accuracy given by the area under the receiver-operator curve being 0.96 (95% confidence interval (CI) 0.94-0.98). 17 We were interested in obtaining a better understanding of the patients' and physiotherapists' expectations about walking after SCI.…”

Section: Introductionmentioning

confidence: 99%

A comparison of patients' and physiotherapists' expectations about walking post spinal cord injury: a longitudinal cohort study

et al. 2012

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Study design: A longitudinal cohort study. Objective: The primary objective of this study was to compare the expectations that patients with recent spinal cord injury (SCI) had about walking 1 year from injury with the expectations of their physiotherapists. Setting: Two Sydney SCI units. Methods: A consecutive series of 47 patients admitted to the metropolitan SCI units was recruited. Using the Mobility Scale, expectations of the patients and their physiotherapists about walking at 1 year from SCI were recorded at the time of admission to rehabilitation. Ability to walk was then assessed at 1 year from the SCI. Results: On admission to rehabilitation, 31 patients expected to walk about their homes at 1 year post SCI, but only 18 (58%) of these patients did so. In contrast, physiotherapists expected 21 patients to be able to walk about their homes at 1 year post SCI, with 17 (81%) of these patients doing so. Similarly, whereas 21 patients expected to walk about the community at 1 year post SCI, only 11 (52%) of these patients did so. Physiotherapists expected 8 patients to walk about the community at 1 year post SCI and 7 (88%) of these patients did so. The differences between patients' and physiotherapists' expectations about walking were statistically significant (Po0.001). Conclusion: There is a high degree of disagreement between patients' and physiotherapists' expectations about walking at 1 year post SCI. Differences between patients' and physiotherapists' expectations about walking are potentially problematic and requires research to identify appropriate management strategies.

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“…Training in dressing was found to benefit 88° 0 of patients and training in transfers 60° ' 0 of patients. Finally, the rehabilitation outcomes of 100 SCI patients were studied by Woolsey (1985), who found that most of the 19 C6 tetraplegic patients in his group required assistance for bowel management, bladder care, and transferring, but were otherwise independent. He noted that Long and Lawton's (1955) outline of functional activities was derived from a theoretical formulation of useful muscle power, rather than from actual patients experience.…”

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confidence: 99%

Rehabilitation outcomes in C6 tetraplegia

et al. 1988

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SUlll lll aryThis study reports on the rehabilitation outcome of 69 C6 tetraplegic patients admitted to the Rehabilitation Institute of Chicago during an 8 year period. All patients' last normal level was C6 bilaterally. A 100�point modified Barthel Index was used to obtain measures of functional independence in 15 self�care and mobility tasks. The population consisted of 54 males and 15 females with an average age of 29· 2 years. The average number of days from injury to admission to the rehabilita tion unit was 58·6 and the average length of rehabilitation stay was 108·4 days.The average Modified Barthel Index score increased from 16·6 on admission to 50·1 on discharge. The Self-Care Subscore increased from 12·8 to 32· 2 and the Mobility subscore from 3· 7 to 17· 9. There were statistically significant increases in the number of patients able to perform all tasks except ability to don an orthosis and ability to walk 50 yards. This study documents a significant increase in function of C6 spinal cord injured patients during rehabilitation.

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Rehabilitation Outcome Following Spinal Cord Injury

Cited by 47 publications

References 15 publications

Vocational reintegration following spinal cord injury: expectations, participation and interventions

Vocational reintegration following spinal cord injury: expectations, participation and interventions

A comparison of patients' and physiotherapists' expectations about walking post spinal cord injury: a longitudinal cohort study

Rehabilitation outcomes in C6 tetraplegia

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