Therapeutic education in persons with spinal cord injury: A review of the literature

Gélis, Anthony; Stefan, A.; Colin, D.; Albert, T.; Gault, D.; Goossens, D.; Perrouin-Verbe, B.; Fattal, Charles; Pélissier, J.; Coudeyre, Emmanuel

doi:10.1016/j.rehab.2011.03.004

Cited by 30 publications

(19 citation statements)

References 67 publications

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“…6 The cause of PrUs is multi-factorial, including biological, behavioral, and social components. Studies of medical therapies 9 and non-modifiable risk factors 10 far exceed those of behavioral treatments and modifiable risk factors. With the exception of daily skin checks and smoking, 11,12 evidence linking behavior to PrU outcomes is limited.…”

Section: Introductionmentioning

confidence: 99%

Potentially modifiable risk factors among veterans with spinal cord injury hospitalized for severe pressure ulcers: a descriptive study

Guihan

Bombardier

2012

The Journal of Spinal Cord Medicine

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Section: Introductionmentioning

confidence: 99%

Potentially modifiable risk factors among veterans with spinal cord injury hospitalized for severe pressure ulcers: a descriptive study

Guihan

Bombardier

2012

The Journal of Spinal Cord Medicine

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“…Previous reviews have mainly focused on educational interventions [34–36]. In addition to identifying self-management studies that include a focus on skin care and aim to prevent pressure ulcers in people with a SCI, the proposed systematic review aims to describe these interventions with regard to the active ingredients they include and their effectiveness.…”

Section: Discussionmentioning

confidence: 99%

“…Whilst the focus has primarily been on interventions of an educational nature (i.e. provision of information) [34–36] (e.g. SCI University Online, Spinal Cord Essentials) [37, 38], recent years have seen a growing number of self-management interventions addressing skin care using other strategies.…”

Section: Introductionmentioning

confidence: 99%

Self-management interventions to improve skin care for pressure ulcer prevention in people with spinal cord injuries: a systematic review protocol

et al. 2016

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BackgroundPressure ulcers are a serious, common, lifelong, and costly secondary complication of spinal cord injury (SCI). Community-dwelling people with a SCI can prevent them with appropriate skin care (i.e. pressure relieving activities, skin checks). Adherence to skin care remains suboptimal however, and self-management interventions that focus on improving this have been designed. Little is known on their content, effectiveness, or theoretical basis. The aim of the proposed systematic review is to synthesize the literature on self-management interventions to improve skin care in people with a SCI. Specific objectives are to describe these interventions in relation to their content, effectiveness, theory base, and adherence to reporting guidelines for intervention description.MethodsThe search strategy will combine an electronic search of nine bibliographic databases (MEDLINE, Embase, PsycInfo, CENTRAL, CINAHL, Rehabdata, CIRRIE, PEDro, ERIC) and two trial registers with a manual search of relevant reference lists. Predefined eligibility criteria will be applied in a two-phase selection process involving title and abstract screening, followed by full-text screening. A data extraction spreadsheet will be applied to included papers. Intervention content will be coded using two taxonomies (behaviour change taxonomy; PRISMS self-management support taxonomy). A validated tool (Theory Coding Scheme) and the Template for Intervention Description and Replication (TIDieR) will be used to examine theoretical basis and assess adherence to reporting guidelines for intervention description. A small number of heterogeneous studies are likely to be included in this review therefore a narrative synthesis is planned.DiscussionThis systematic review will help identify the gaps and priorities to guide future research activities in this area.Systematic review registrationPROSPERO CRD42016033191Electronic supplementary materialThe online version of this article (doi:10.1186/s13643-016-0323-4) contains supplementary material, which is available to authorized users.

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“…Our data showed that even though statistical significance could not be reached, there was an obvious trend toward better overall survival in DLBCL-associated spinal cord compression patients who completely abrogated their neurological deficit. From this result, we suggested that decreases in comorbidities associated with spinal cord compression, such as cardiopulmonary dysfunction [18], poor infection control [19], and psychological problems [20], could play an important role in the superior overall survival observed in patients with DLBCL-associated spinal cord compression who received surgical decompression.…”

Section: Discussionmentioning

confidence: 99%

Surgical decompression improves recovery from neurological deficit and may provide a survival benefit in patients with diffuse large B-cell lymphoma-associated spinal cord compression: a case-series study

et al. 2013

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BackgroundMalignancy-associated spinal cord compression is generally treated by surgical decompression, radiotherapy or a combination of both. Since diffuse large B-cell lymphoma (DLBCL) is highly sensitive to both chemotherapy and radiotherapy, the role of surgical decompression in the treatment of DLBCL-associated spinal cord compression remains unclear. We therefore conducted a retrospective review to investigate the impact of surgical decompression on recovery from neurological deficit caused by DLBCL-associated spinal cord compression and patients’ overall survival.MethodsBetween March 2001 and September 2011, 497 newly diagnosed DLBCL patients were reviewed, and 11 cases had DLBCL-associated spinal cord compression. Six cases were treated surgically and five cases nonsurgically.ResultsThe rates of complete recovery from neurological deficit were 100% (6/6) and 20% (1/5) for patients in the surgical and nonsurgical groups, respectively (P = 0.015), while the median survival for patients in the surgical and nonsurgical groups was 48.6 months and 17.8 months, respectively (P = 0.177).ConclusionsWe conclude that surgical decompression can improve recovery from neurological deficit in patients with DLBCL-associated spinal cord compression, possibly providing these patients a survival benefit.

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Therapeutic education in persons with spinal cord injury: A review of the literature

Cited by 30 publications

References 67 publications

Potentially modifiable risk factors among veterans with spinal cord injury hospitalized for severe pressure ulcers: a descriptive study

Potentially modifiable risk factors among veterans with spinal cord injury hospitalized for severe pressure ulcers: a descriptive study

Self-management interventions to improve skin care for pressure ulcer prevention in people with spinal cord injuries: a systematic review protocol

Surgical decompression improves recovery from neurological deficit and may provide a survival benefit in patients with diffuse large B-cell lymphoma-associated spinal cord compression: a case-series study

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