Return to Work After Spinal Cord Injury

Velzen, J.M. van; Groot, Sonja de; Post, Marcel W M; Slootman, Johannes Hans R; Bennekom, Coen van; Woude, Lucas H V van der

doi:10.1097/phm.0b013e31818e6140

Cited by 50 publications

(7 citation statements)

References 29 publications

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“…However, from the clinical perspective, it might be considered irrelevant whether better exercise capacity contributes to better wheelchair skills, better wheelchair skills contribute to better exercise capacity, both or neither. Clinicians need not prioritize one form of intervention over the other, because both are known to be beneficial [1][2][3][4][5][6][7][8][9][10]. Presumably the two interventions complement one another and can be utilized as related elements in a multimodal rehabilitation strategy, as Gant et al have suggested [54].…”

Section: Study Limitationsmentioning

confidence: 99%

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Relationship between wheelchair skills scores and peak aerobic exercise capacity of manual wheelchair users with spinal cord injury: a cross-sectional study

Kirby

Groot

Cowan

2018

Disability and Rehabilitation

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Significant relationships exist between the wheelchair skills capacity, confidence, and performance scores and the peak exercise capacity of community-dwelling manual wheelchair users with spinal cord injury. These findings suggest that both wheelchair skills training and exercise training may be useful during the rehabilitation of people with spinal cord injury. Implications for rehabilitation Moderate positive relationships exist between wheelchair skills capacity and the peak exercise capacity of community-dwelling manual wheelchair users with spinal cord injury. Moderate positive relationships exist between wheelchair skills confidence and the peak exercise capacity of community-dwelling manual wheelchair users with spinal cord injury. Although further research is needed, these findings suggest that clinicians should address both wheelchair skills training and exercise training during the rehabilitation of people with spinal cord injury and not assume that either alone is sufficient.

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Section: Study Limitationsmentioning

confidence: 99%

“…Improving wheelchair users' wheelchair handling skills not only improves their mobility but can also enhance their participation [1][2][3][4][5][6]. Improving wheelchair users' exercise capacity can enhance their health [7,8] and quality of life [9,10].…”

Section: Introductionmentioning

confidence: 99%

Relationship between wheelchair skills scores and peak aerobic exercise capacity of manual wheelchair users with spinal cord injury: a cross-sectional study

Kirby

Groot

Cowan

2018

Disability and Rehabilitation

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“…Despite these advances in the conceptualisation of return to work, most studies continue to employ single metrics as the primary indicator of success in returning to work. Metrics commonly reported in the literature include duration of work disability (Blonk et al 2006), the number of hours of paid work per week (van Velzen et al 2009a), return to full duty work (Marras et al 2007;Holtslag et al 2007) or simply whether the individual has returned to work at a predetermined time period (Casso et al 2004;Gabbe et al 2007). Such uni-dimensional evaluations of return to work do not provide a comprehensive evaluation of an individual's vocational status.…”

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confidence: 99%

What is return to work? An investigation into the quantification of return to work

Vogel

Barker

Young

et al. 2011

Int Arch Occup Environ Health

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A multi-layered approach to measuring RTW that includes data on reasons for not working, length of continuous employment, hours and duties performed after injury provides greater insight into the vocational status of injured individuals compared to single metrics or outcomes that fail to capture key detail on motives and participation. This information can assist clinicians to more accurately monitor the progress of rehabilitation following injury and compensation schemes to more effectively monitor their performance.

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“…Similarly, Foreman et al, 22 in a study of the demographic and psychological factors that may influence sport participation, found no association between sports and employment status; however, the study did show that those with higher income were more likely to participate. Although several studies have linked fitness-related parameters to employment such as wheelchair mobility, body composition, power output, functional independence (as measured by the Functional Independence Measure), number of medical complications, and perceived exertion, 23–25 few have directly investigated the association between organized sports and employment.…”

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confidence: 99%

Participation in Organized Sports Is Positively Associated with Employment in Adults with Spinal Cord Injury

Blauwet

Sudhakar

Doherty

et al. 2013

American Journal of Physical Medicine &Amp; Rehabilitation

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Objective The aim of this study was to determine the association between participation in organized sports programs and employment in adults with chronic spinal cord injury. Design This is a cross-sectional study of 149 adults with chronic spinal cord injury. Motor level and completeness of injury were confirmed by physical examination. Information related to demographics, employment, level of education, body mass index, duration of injury, participation in individually planned exercise, and participation in organized sports was obtained using a standardized questionnaire. Multivariable logistic regression analyses were used to assess factors associated with employment. Results In univariate analyses, employment was associated with younger age (P = 0.001) and a higher level of education (P = 0.01), whereas obesity decreased the likelihood of employment (P = 0.04). Participation in organized sports approached significance (P = 0.06). In the multivariable analysis and after adjusting for age, education, and body mass index, participation in organized sports was significantly associated with employment (odds ratio, 2.4; P = 0.04). Sex, duration of injury, wheelchair use, and participation in individually planned exercise were not significantly associated with employment (P = 0.16–0.94). Conclusions In the adults with chronic spinal cord injury, participation in organized sports was positively associated with employment. Further studies are necessary to determine the causative nature of this association and how various factors related to sports participation may contribute.

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Return to Work After Spinal Cord Injury

Abstract: RTW was successful in 33% of the subjects. Wheelchair capacity was independently related to RTW. Therefore, it is recommended to train wheelchair capacity in the context of RTW.

Cited by 50 publications

References 29 publications

Relationship between wheelchair skills scores and peak aerobic exercise capacity of manual wheelchair users with spinal cord injury: a cross-sectional study

Relationship between wheelchair skills scores and peak aerobic exercise capacity of manual wheelchair users with spinal cord injury: a cross-sectional study

What is return to work? An investigation into the quantification of return to work

Participation in Organized Sports Is Positively Associated with Employment in Adults with Spinal Cord Injury

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