Spinal injury rehabilitation in Singapore

Yen, H L; Chua, Karen Sui Geok; Chan, William K.

doi:10.1097/00004356-199812000-00004

Cited by 8 publications

(3 citation statements)

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“…The majority of the injured people were males (n=427, 70.2%). In the study by Yen et al in Singapore, the age range of patients was 14-82 years and the majority of them (73.6%) were younger than 50 (16). In a systematic review including 64 studies from 28 Asian countries, the highest SCI rate was observed in men (82.8%) with an average age of 32.4 years (14).…”

Section: Discussionmentioning

confidence: 99%

Relationship between demographic characteristics, spinal impairment, and interventional strategies in the clinical outcome of spinal cord injury patients

Dayani

Safdarian

Rostamzadeh

2021

J Shahrekord Univ Med Sci

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Background and aims: The aim of the present study was to investigate the main causes of traumatic spinal cord injury (TSCI), along with the relationship between SCI patients’ demographic characteristics and related treatments. Methods: In general, 608 patients suffering from TSCI and referring to Ayatollah Kashani hospital, Shahrekord in 2016-2017 were enrolled in this cross-sectional study. Patients’ demographic characteristics, level of injury, the severity of the injury, injury cause, and duration of hospitalization (DOH) were obtained according to their files and medical records. Several months after discharge, the patients were examined by a neurosurgeon, and the treatment outcome was recorded in specific checklists. Results: The mean age of the injured individuals was 34.2±16.9 years and the majority of the injured (70.2%) were males. ASIA grades E and D were also reported in 50.3% and 25% of the injured at admission, respectively. Further, grade E injury was observed in 77.1% of the injured at discharge. Medicinal, non-surgical, and surgical treatments were used for 53.8%, 25.8%, and 20.4% of patients, respectively. The levels of injury, treatment strategy, and clinical outcomes were significantly different based on the ASIA grades at admission (P<0.001, for all items). There was a significant difference among DOH (day) in terms of the level of injury, ASIA grades during admission, treatment strategy, and treatment outcomes in different individuals (P<0.001, for all items). Conclusion: Regarding the relationship between the treatment strategy, the ASIA grade, and the outcome of the treatment, it seems necessary to perform surgical or rehabilitative interventions for each person in accordance with demographic characteristics.

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Section: Discussionmentioning

confidence: 99%

Relationship between demographic characteristics, spinal impairment, and interventional strategies in the clinical outcome of spinal cord injury patients

Dayani

Safdarian

Rostamzadeh

2021

J Shahrekord Univ Med Sci

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“…A study performed in 1987 provides the only estimate of the incidence of SCI, 27 per million per year [3]. In contrast to that reported in the North American and European literature, the evidence for the outcomes of SCI rehabilitation in Singapore is limited to three studies [3][4][5] that focus on impairments and activity limitations in the immediate post-rehabilitation phase. Health, regardless of the theory used to define it, is more than the presence or absence of disease or certain abilities [6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Health of people with spinal cord injury in Singapore: implications for rehabilitation planning and implementation

Teo

Sew

Forwell

et al. 2011

Disability and Rehabilitation

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“…5 A subsequent study on patients admitted to the same centre between 1990 to 1995 showed that of the 86.3% gainfully employed before injury, only 21.6% returned to some form of vocation within 1 year. 6 The actual cost of care for a patient with SCI in Singapore is unknown, although the US MSCIS have estimated lifetime costs for a 25 year-old high-tetraplegia patient as much as US$2.9 million. 3 Significant cost-structure differences here include those for inpatient services, outpatient services, and nursing homes, with assistive devices, equipment, and home modifications usually paid for out-of-pocket.…”

Section: Introductionmentioning

confidence: 99%

Recovery and Regeneration after Spinal Cord Injury: A Review and Summary of Recent Literature

Lim

Tow²

2007

Ann Acad Med Singap

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Introduction: Spinal cord injury (SCI) often results in significant neurologic dysfunction and disability. An annual incidence of 15 to 40 traumatic SCI cases per million population has been reported worldwide, and a conservative estimate for Singapore would be 23 cases per million. With continued improvements in medical care, an increasing prevalence of SCI patients is expected, with corresponding need for comprehensive rehabilitation services led by specialist rehabilitation physicians. Methods: A literature search, review, and summary of findings of recent studies relating to factors associated with recovery, as well as interventions for rehabilitation and promotion of healing of the injured spinal cord was performed. Conclusions: Many SCI patients show improvements in motoric and neurologic level, but those with complete injuries have poor chance of improving American Spinal Injury Association (ASIA) scores. SCI of violent aetiology tends to be more neurologic complete, and those without sacral sparing less likely to improve. Older patients generally do well in activities of daily living. Women have better motor score improvement, although men have better Functional Independence Measure (FIM) scores generally. Electrodiagnostic tests such as somatosensory evoked potentials (SSEPs) and motor evoked potentials (MEPs) can help with prognostication, as can imaging techniques such as magnetic resonance imaging (MRI). Immediate surgery for spinal decompression may improve recovery, but whether routine surgery after SCI improves function remains unclear, as does the timing. Methylprednisolone and similar agents appear to help limit secondary injury processes. Rehabilitation interventions such as functional electrical stimulation (FES) and body-weight supported treadmill ambulation training may be effective, as may neural-controlled prostheses and devices. Substances that promote repair and regeneration of the injured spinal cord such as GM-1, 4-AP, BDNG, GDNF, Nogo and MAG-inhibitors, have been studied. Transplanted tissues and cells, such as blood macrophages, bone marrow transplant with GM-CSF, olfactory ensheathing cells, fetal tissues, stem or progenitor cells, have been reported to produce neurological improvements. Key words: Prognosis, Regeneration, Rehabilitation, Spinal cord injuries

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Spinal injury rehabilitation in Singapore

Cited by 8 publications

References 0 publications

Relationship between demographic characteristics, spinal impairment, and interventional strategies in the clinical outcome of spinal cord injury patients

Relationship between demographic characteristics, spinal impairment, and interventional strategies in the clinical outcome of spinal cord injury patients

Health of people with spinal cord injury in Singapore: implications for rehabilitation planning and implementation

Recovery and Regeneration after Spinal Cord Injury: A Review and Summary of Recent Literature

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