Resilience and the rehabilitation of adult spinal cord injury survivors: A qualitative systematic review

Kornhaber, Rachel; McLean, Loyola; Betihavas, Vasiliki; Cleary, Michelle

doi:10.1111/jan.13396

Cited by 50 publications

(56 citation statements)

References 46 publications

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“…In line with prior research into people living with SCI and TBI [38,39,40], resilience supported effective coping and adaption in our study. Resilience is the ability to positively adapt in the face of a traumatic event and ongoing uncertainty [41].…”

Section: Discussionsupporting

confidence: 90%

“…It is also possible that a positive pre-injury predisposition, or particular beliefs and values, and supportive social networks including family, friends, employers, and service providers also influenced positive outlooks [39,42]. Psychologists can assist to strengthen these attitudes and actions post-injury, as well as personalise the process to develop other resilience behaviours such as problem solving, emotional management, and communication skills [38,40]. For people with a pre or co-existing psychological disorders, strengthen resilience needs to be incorporated with other interventions and strategies [41].…”

Section: Discussionmentioning

confidence: 99%

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Traumatic injury survivors’ perceptions of their future: a longitudinal qualitative study

Braaf

Ameratunga

Ponsford

et al. 2019

Disability and Rehabilitation

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Aim: Persistent disability following traumatic injuries can disrupt future plans and create uncertainty about how to mitigate future impacts. It is unknown how or whether perceptions of the future change in the years after injury. Therefore, the aim of this study was to explore trauma survivors' perceptions of their future over time. Methods: A longitudinal qualitative study, nested within a population-based longitudinal cohort study, was undertaken in Victoria, Australia with survivors of serious injury. Sixty-six seriously injured adults (≥16 years) without severe neurotrauma were interviewed at 3years post-injury (n=66), and re-interviewed at 4 (n=63) and 5-years (n=57) post-injury. A longitudinal thematic analysis was performed. Results: Many traumatically injured people had persistent physical and mental impacts. Participants reported being anxious about pain, mobility, work, housing and accommodation, social activities, and finances in their future. Others were hopeful and optimistic regarding their future and developed coping strategies and adopted new viewpoints. Conclusion: Over time, most seriously injured people's perceptions of the future remained consistent. Some had enduring anxiety and others sustained hopeful approaches. Personalised and targeted interventions that address specific concerns could reduce anxiety and support positive adjustment following traumatic injury.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Traumatic injury survivors’ perceptions of their future: a longitudinal qualitative study

Braaf

Ameratunga

Ponsford

et al. 2019

Disability and Rehabilitation

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“…Among these, locomotion treatment is the most relevant to the clinical trial we report here . Large analyses conclude that patient and injury driven factors (eg, injury severity and patient resilience) are overwhelmingly important in determining outcome . However, once patient groups with more homogeneous injury severity are evaluated, generating groups more analogous to the homogenous population of dogs examined in our trial, the effects of type and duration of locomotor training during physical treatment become apparent with longer duration and overground walking both highlighted as important for locomotor function .…”

Section: Discussionmentioning

confidence: 95%

“…36 Large analyses conclude that patient and injury driven factors (eg, injury severity and patient resilience) are overwhelmingly important in determining outcome. 37,38 However, once patient groups with more homogeneous injury severity are evaluated, generating groups more analogous to the homogenous population of E. coli (n 5 1) at admission E. coli (n 5 1)…”

Section: Discussionmentioning

confidence: 99%

A randomized, blinded, prospective clinical trial of postoperative rehabilitation in dogs after surgical decompression of acute thoracolumbar intervertebral disc herniation

Zidan

Sims

Fenn

et al. 2018

Veterinary Internal Medicne

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BackgroundExperimental evidence shows benefit of rehabilitation after spinal cord injury (SCI) but there are limited objective data on the effect of rehabilitation on recovery of dogs after surgery for acute thoracolumbar intervertebral disc herniations (TL‐IVDH).ObjectiveCompare the effect of basic and intensive post‐operative rehabilitation programs on recovery of locomotion in dogs with acute TL‐IVDH in a randomized, blinded, prospective clinical trial.AnimalsThirty non‐ambulatory paraparetic or paraplegic (with pain perception) dogs after decompressive surgery for TL‐IVDH.MethodsBlinded, prospective clinical trial. Dogs were randomized (1:1) to a basic or intensive 14‐day in‐house rehabilitation protocol. Fourteen‐day open field gait score (OFS) and coordination (regulatory index, RI) were primary outcomes. Secondary measures of gait, post‐operative pain, and weight were compared at 14 and 42 days.ResultsOf 50 dogs assessed, 32 met inclusion criteria and 30 completed the protocol. There were no adverse events associated with rehabilitation. Median time to walking was 7.5 (2 – 37) days. Mean change in OFS by day 14 was 6.13 (confidence intervals: 4.88, 7.39, basic) versus 5.73 (4.94, 6.53, intensive) representing a treatment effect of −0.4 (−1.82, 1.02) which was not significant, P=.57. RI on day 14 was 55.13 (36.88, 73.38, basic) versus 51.65 (30.98, 72.33, intensive), a non‐significant treatment effect of −3.47 (−29.81, 22.87), P = .79. There were no differences in secondary outcomes between groups.ConclusionsEarly postoperative rehabilitation after surgery for TL‐IVDH is safe but doesn't improve rate or level of recovery in dogs with incomplete SCI.

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“…Resilience in the rehabilitation process is strengthened through support from significant others, healthcare professionals, and peers (100). However, the support from healthcare professionals is gradually reduced (4).…”

Section: Spinal Cord Injurymentioning

confidence: 99%

Mapping Out One’s Own Paths Toward Work: Focus on Experiences of Return to Work After Spinal Cord Injury

2018

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Involving persons with spinal cord injury (SCI) as experts in their lives is important for research to design relevant health care interventions. The purpose of this study was to use photovoice methods to explore experiences of barriers and possibilities in return to work among working adults with SCI. The photovoice group consisted of six persons living with SCI that met weekly over 2 months to share and discuss photos related to return to work. Five themes were identified: (a) there is only one way, (b) welcome back-or not, (c) to be like anyone else-or to be perceived as someone else, (d) friction in the absence of clarity, and (e) finding integrated strategies for everyday life with work. Work was experienced as rewarding and viable, but due to lack of societal and workplace support, a need to map out one's own paths toward work was identified.

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Resilience and the rehabilitation of adult spinal cord injury survivors: A qualitative systematic review

Abstract: Aim: To synthesize the qualitative research evidence that explored how survivors of adult spinal cord injury experience and make sense of resilience.Background: Spinal cord injury is often a sudden and unexpected life-changing

Cited by 50 publications

References 46 publications

Traumatic injury survivors’ perceptions of their future: a longitudinal qualitative study

Traumatic injury survivors’ perceptions of their future: a longitudinal qualitative study

A randomized, blinded, prospective clinical trial of postoperative rehabilitation in dogs after surgical decompression of acute thoracolumbar intervertebral disc herniation

Mapping Out One’s Own Paths Toward Work: Focus on Experiences of Return to Work After Spinal Cord Injury

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