Adults With Pediatric-Onset Spinal Cord Injury: Part 2: Musculoskeletal And Neurological Complications

Vogel, Lawrence C.; Krajci, Katherine A; Anderson, Caroline

doi:10.1080/10790268.2002.11753611

Cited by 49 publications

(20 citation statements)

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“…8,11,21,22 This high degree of stability in pain across time might be considered good news for patients with SCI who have not developed a chronic pain problem in the first years following the SCI, but might be considered bad news for those who do experience pain; especially those who experience severe pain. On the other hand, the current findings replicate those of others 6,20 indicating an increase in the incidence of shoulder pain in persons with SCI. Our replication of the stability of pain in general, and the increase of shoulder pain specifically, provides even greater support for the need to identify and develop effective pain treatments for pain in persons with SCIs.…”

Section: Discussionsupporting

confidence: 91%

“…Another study found that time since injury predicted the prevalence of shoulder pain in a sample of men with SCI, with greater time since injury associated with a greater frequency of shoulder pain, 6 and one study found that time since injury was associated with a higher prevalence of elbow and shoulder pain, but not with ankle pain or pain in general. 20 However, Dalyan et al 7 did not find an association between time since injury and the prevalence of upper extremity pain. A number of other retrospective survey studies have found no significant associations between time since SCI and the prevalence or severity of pain, in general, 8,11,21,22 although the findings from one study suggested that different types of pain problems may have different onset times.…”

Section: Introductionmentioning

confidence: 96%

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Chronic pain in individuals with spinal cord injury: a survey and longitudinal study

2005

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Study design: Cross-sectional and longitudinal postal survey. Objectives: To (1) compare the severity of pain in persons with spinal cord injury (SCI) to national norms, (2) examine the association between pain and measures of (a) psychological functioning, (b) community integration and (c) pain interference with daily activities, and (3) examine the change in the prevalence and intensity of pain over time. Setting: Community. Methods: A total of 147 adults with SCI were surveyed twice, 2-6 years apart. Main outcome measures included presence/absence of pain in general and at specific body sites, 0-10 numerical rating scale of average pain intensity, modified Brief Pain Inventory Pain Interference scale, SF-36 Bodily Pain scale, SF-36 Mental Health scale, Community Integration Questionnaire. Results: Pain was more severe, on average, in this sample of patients with SCI than it is in normative samples. The presence of pain was associated with trends towards poorer psychological functioning and social integration, and the intensity of pain was associated with interference with a number of important basic activities of daily living. Little systematic change was found in pain over a 2-6-year-period, although there was evidence that the prevalence of shoulder pain increases over time. Conclusion: The current findings underscore the serious nature of pain in persons with SCI and provide additional support for the need to identify effective treatments for SCI-related pain.Spinal Cord (2005) 43, 704-712.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 96%

Chronic pain in individuals with spinal cord injury: a survey and longitudinal study

2005

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“…The greater number of lifetime medical complications and overuse injuries, such as upper extremity pain, may significantly impact key adult outcomes such as employment, independent living, participation, and quality of life. [3][4][5] The prevalence of pressure ulcers in all four impairment groups was significant, ranging from 53% in those in the high tetraplegia group to 18% in those with AIS D lesions. These prevalence figures generally exceed those reported for adult SCI populations.…”

Section: Discussionmentioning

confidence: 97%

Long-term outcomes of adults with pediatric-onset spinal cord injuries as a function of neurological impairment

Chlan

Zebracki

Anderson

2011

The Journal of Spinal Cord Medicine

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Objective: To identify outcomes of participation, life satisfaction, and medical complications as a function of impairment in adults with pediatric-onset spinal cord injury (SCI). Methods: Study participants were adults who sustained SCI at age 18 years or younger and were interviewed at age 24 years or older (M = 26.9, SD = 3.5). The telephone interview included a questionnaire and several standardized measures: Craig Handicap Assessment and Reporting Technique (CHART), SF-12® Health Survey, and Satisfaction with Life Scale. Using the International Standards for Neurological Classification of Spinal Cord Injury and the American Spinal Injury Association (ASIA) Impairment Scale (AIS), subjects were grouped into four impairment categories: C1-C4 ABC, C5-C8 ABC, T1-L4 ABC, and AIS D. Results: Of the 410 participants, 62% were male, 54% had tetraplegia, 70% had AIS A lesions, and average age at injury was 14 years (SD = 4.3). Of the 407 subjects who had complete neurological information, 59 had C1-C4 ABC, 140 had C5-C8 ABC, 168 had T1-L4 ABC, and 40 had AIS D lesions. The outcomes were delineated for education, employment, independent living and driving, marriage, participation, medical complications, healthrelated quality of life, and global life satisfaction, in addition to the ASIA motor score and FIM ® motor scores, for each of the four impairment groups. Conclusions: This information should help focus interventions that facilitate positive outcomes in relationship to the severity of impairment. In addition, these data can provide a level of expectation about long-term outcomes for newly injured children and their parents.

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“…A systematic review by Fergusson and colleagues, 3 published in 2007, identified three cross-sectional studies [4][5][6] which examined prevalence of contracture after spinal cord injury. Krause 5 used self-reports to measure prevalence of contracture in people with chronic spinal cord injury attending hospital outpatient clinics, Vogel et al 6 used self-reports to measure prevalence of contractures at the elbow, hip and ankle in people who presented with pediatric-onset spinal cord injury to one of two hospitals and Bryden et al 4 used goniometry to measure the prevalence of elbow flexion contracture in people with motorcomplete C5 or C6 spinal cord injury who self-referred for neuroprosthetic and/or tendon-transfer interventions. These studies reported prevalence of contracture of between 15 and 50%.…”

Section: Introductionmentioning

confidence: 99%

Incidence and predictors of contracture after spinal cord injury—a prospective cohort study

et al. 2012

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Adults With Pediatric-Onset Spinal Cord Injury: Part 2: Musculoskeletal And Neurological Complications

Cited by 49 publications

References 0 publications

Chronic pain in individuals with spinal cord injury: a survey and longitudinal study

Chronic pain in individuals with spinal cord injury: a survey and longitudinal study

Long-term outcomes of adults with pediatric-onset spinal cord injuries as a function of neurological impairment

Incidence and predictors of contracture after spinal cord injury—a prospective cohort study

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