A multicentre follow-up of clinical aspects of traumatic spinal cord injury

Pagliacci, Maria Cristina; Franceschini, Marco; Clemente, B Di; Agosti, Maurizio; Spizzichino, Lorenzo

doi:10.1038/sj.sc.3101991

Cited by 43 publications

(42 citation statements)

References 18 publications

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“…[15][16] Subjects with spinal cord lesions due to multiple sclerosis, spinal cord metastasis, degenerative central nervous system diseases and hereditary or congenital diseases were excluded from recruitment.…”

Section: Methodsmentioning

confidence: 99%

Sport, free time and hobbies in people with spinal cord injury

et al. 2012

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Study design: Prospective, multicenter follow-up (F-U) observational study. Objectives: To investigate the changes in participation and sports practice of people after spinal cord injury (SCI) and their impact on perceived quality of life (QoL). Methods: The questionnaire investigated the health status and management of clinical conditions and attendance of social integration, occupation, autonomy, car driving, sentimental relationships and perceived QoL in a SCI population 4 years after the first rehabilitation hospitalization. Results: Respondents were 403, 83.4% male; 39% was tetraplegic. At F-U, 42.1% worked and studied, 42.2% still held their jobs or studies, and 69% drove the car. In all, 77.2% had bowel continence and 40.4% urinary continence. The results showed that for the 68.2% of respondents, the attendance of friends, relatives and colleagues during their free time was the same or increased compared with the time before the injury, whereas 31.8% showed a decrease. The amount of time the 52.1% of respondents left home was the same or increased compared with before the trauma, whereas 50.6% of the respondents said that the time they were engaged in hobbies was either the same or increased. Conclusion: SCI people who perceived their QoL as being higher, and whose attendance, autonomy and time was increased in respect to hobbies, were mainly men with an age range between 36 and 40 years, unmarried, paraplegic and with A-B Asia Score. Regarding the amount of time dedicated to practicing sports, the only difference was the most of that respondents, who indicated a decrease, were women.

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Section: Methodsmentioning

confidence: 99%

Sport, free time and hobbies in people with spinal cord injury

et al. 2012

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“…[8][9][10][11][12][13][14][15][16][17] Studies researching the social reintegration mainly focus on occupational situation, living conditions and quality of life. [18][19][20][21][22][23][24] A multi-dimensionally measuring test device, internationally usable and applicable for inpatients as well as outpatients is thereby currently lacking. It is the main aim of this study to develop such a test device, the working name in the following paper is 'Boberg Quality Score' or BobScore.…”

Section: Introductionmentioning

confidence: 99%

Parameters for positive outcome of the in-hospital rehabilitation of spinal cord lesion patients: the Boberg Quality Score

et al. 2010

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Study design: Monocentric Cohort Study. Objective: Development of a multi-dimensional outcome score of the rehabilitation of spinal cord injury (SCI) patients. Setting: Level 1 Trauma centre with large spinal unit. Methods: During the rehabilitation of 161 patients with SCI between 2005 and 2007 following outcome parameters were assessed at different time points: functional status, pain, emotion, energy, sleep, social isolation, knowledge and self-management attitude. The results for these parameters were statistically evaluated with regard to different grades of paralysis and analyzed for socio-demographic influence factors. Correlation and factor analysis were then applied to evaluate the dependencies of the parameters and the dimensional structure of the applied score. Results: For all factors a positive trend was found during the course of rehabilitation. Only the functional status is caused by spinal cord lesion. Age, sex and social isolation have no direct influence on the result with regard to functional status. For interactive dependencies of the parameters a threedimensional structure was found: Success in the parameters, emotion, energy or social status, is independent of success in the parameter functional status. The result of the functional status is, next to the type of spinal injury, mainly influenced by the self-management attitude. The level of knowledge gained during rehabilitation is independent of the success in the other parameters. Conclusion: By the combination of functional, psychological and cognitive parameters into a result score it is possible to determine the quality of a rehabilitation process in its multiple dimensions and for different levels and grades of palsy. By this it is possible to analyze and compare the effectiveness and efficiency of rehabilitation on a national and international level. Longitudinal comparison of the long-term effects of rehabilitation after SCI is also possible, for example, in the course of follow-up examinations. Sponsorship: Deutsche Gesetzliche Unfallversicherung (German Statutory Occupational Accident Insurance).

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“…3,4 In order to improve the physiological and psychological well-being of such patients, they are encouraged to resume their ability to stand or walk in some way. 5 Physiologically, standing and walking can prevent joint contractures, improve urinary and bowel function, reduce spasticity, and decrease the incidence of pressure sores.…”

Section: Introductionmentioning

confidence: 99%

The Physiological Cost Index of Walking with an Isocentric Reciprocating Gait Orthosis Among Patients with T12–L1 Spinal Cord Injury

Leung

Wong²,

Wong

et al. 2009

Prosthetics &Amp; Orthotics International

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Objective: The objective of this study was to compare the Physiological Cost Index of walking with a reciprocating gait orthosis to that of walking with bilateral knee-ankle-foot orthoses (KAFOs) by subjects with paraplegia resulting from T 12 -L 1 spinal cord lesions. Methodology: Six chronic paraplegic subjects who had T 12 -L 1 spinal cord lesions and who previously wore bilateral KAFOs were recruited. Each subject was fitted with an isocentric reciprocating gait orthosis (IRGO) and received a standardized training program. Subjects were then asked to walk using the two orthotic devices along a 40 m rectangular pathway at a speed that was comfortable for them. The walking speed was measured using a stop watch, and a Polar Heart Rate Monitor was used to measure the heart rate of the subjects. The Physiological Cost Index (PCI) was calculated for comparison. Results: Ambulation using the IRGO (10.46 þ/7 2.00 m/min) was significantly faster (p ¼ 0.009) than ambulation using the bilateral KAFOs (5.51 þ/7 4.30 m/min). The PCI demonstrated when walking with the IRGO (2.85 þ/7 0.77 beats/m) was significantly lower (p ¼ 0.0306) than that of the bilateral KAFOs (6.77 þ/7 3.28 beats/m). Conclusion: Paraplegic patients with T 12 -L 1 spinal cord lesions walk faster and more efficiently using the isocentric reciprocating gait orthosis as compared to using the bilateral KAFOs.

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A multicentre follow-up of clinical aspects of traumatic spinal cord injury

Cited by 43 publications

References 18 publications

Sport, free time and hobbies in people with spinal cord injury

Sport, free time and hobbies in people with spinal cord injury

Parameters for positive outcome of the in-hospital rehabilitation of spinal cord lesion patients: the Boberg Quality Score

The Physiological Cost Index of Walking with an Isocentric Reciprocating Gait Orthosis Among Patients with T12–L1 Spinal Cord Injury

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