Barriers for individuals with spinal cord injury returning to the community: A preliminary classification

Silver, Jonathan; Ljungberg, Inger; Libin, Alexander; Groah, Suzanne L.

doi:10.1016/j.dhjo.2012.03.005

Cited by 48 publications

(67 citation statements)

References 11 publications

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“…20 A study from the USA on barriers to community integration for patients with SCI found that the most common barriers were equipment issues and lack of environmental and home assistance. 21 Our findings provide substantiation of the survey results of perceptions from SRUs in 10 countries regarding problems with admission and discharge barriers, which found that the most common barriers matched those identified in this project. 14 In a study of barriers to discharge from two rehabilitation units in a separate network to the SRU elsewhere in Melbourne, Australia, I found that 16.4% of patients had a barrier to discharge that accounted for 21.0% of all bed-days.…”

Section: Discussionsupporting

confidence: 73%

Prospective study of barriers to discharge from a spinal cord injury rehabilitation unit

New

2014

Spinal Cord

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Prospective study of barriers to discharge from a spinal cord injury rehabilitation unit PW New 1,2Study design: Prospective open cohort case series of consecutive patients admitted with spinal cord damage to a spinal rehabilitation unit (SRU) between 1 January 2008 and 31 July 2013. Objectives: Measure the prevalence of barriers to discharge, their reasons and resulting additional unnecessary days in hospital. Setting: SRU, Victoria, Australia. Methods: Consecutive SRU admissions had prospective documentation of key clinical and demographic characteristics, the occurrence of any discharge barrier, the cause(s) and duration of unnecessary hospitalisation. Results: There were 235 patients in the study; 138 (58.7%) were male and the median age was 63 years. Eighty-six (36.6%) patients had a discharge barrier. The most common reasons for a discharge barrier were: waiting for approval for long-term and supported care or services, residential care, home modifications, family deliberations regarding discharge planning and the provision of equipment necessary for discharge. The reasons accounting for the greatest number of additional hospital days were: home modifications, residential care, equipment necessary for discharge, waiting for approval for long-term and supported care or services and accommodation for people unable to return to their previous residence without readily available alternatives. Over the study period 17.5% (3176/18 184) of all bed-days were occupied by patients deemed to be clinically ready for discharge from the SRU but who had a discharge barrier. Conclusions: Barriers to discharge from rehabilitation for patients with spinal cord damage are common, substantial, and represent an important opportunity for health systems improvement.

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Section: Discussionsupporting

confidence: 73%

Prospective study of barriers to discharge from a spinal cord injury rehabilitation unit

New

2014

Spinal Cord

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“…Primary outcome: GPGQ-pain-related disability Secondary outcomes: UAL: participation in activities; and LiSat-9 life satisfaction UAL: significant differences between the two groups were found after intervention (P = 0.034) and at follow-up (P = 0.008) LiSat-9 scores remained stable over time 37 have identified barriers to community reintegration encountered by individuals with SCI during the first year after discharge from inpatient rehabilitation. The major categories of self-reported barriers were mobility issues (e.g.…”

Section: Gómara-toldrà Et Al Physical Therapy After Spinal Cord Injurymentioning

confidence: 96%

Physical therapy after spinal cord injury: A systematic review of treatments focused on participation

Gómara-Toldrà

Sliwinski

Dijkers

2014

The Journal of Spinal Cord Medicine

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Context: Over the last four decades, the focus of spinal cord injury (SCI) rehabilitation has shifted from medical management to issues that affect quality of life and community participation. Physical therapists (PTs) need to design and implement interventions that result in maximal participation to provide an individual with SCI an effective rehabilitation program. Objective: The aim of this review is to assess the extent, content, and outcomes of physical therapy (PT) interventions focused on improving the participation of individuals with SCI. Methods: A search was conducted in Medline, Embase, CENTRAL, CINAHL, PEDro, and PsycINFO. We included studies, of all designs, focused on improving the participation of individuals with SCI using PT interventions.The primary author and a reviewer independently selected articles for inclusion, assessed articles quality, and extracted the data. Results: Five studies met the inclusion criteria. The interventions applied were 9-and 12-month body weightsupported treadmill training in two studies, a supervised 9-month exercise program, a 12-week home exercise program, and a 10-week multidisciplinary cognitive behavioral program for coping with chronic neuropathic pain. Four of five PT interventions positively impacted the individual's perceived participation and satisfaction with participation. Conclusion: The body of research by PTs on interventions to improve participation is limited. PTs must document the effects of interventions with a valid outcome tool to enable more research that examines participation. Expanding participation research will allow PTs to meet the needs of individuals with SCI and identify what interventions best facilitate integration into the community.

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“…Other authors [16,17] discuss about associations between functioning in daily life of this population and social interactions as well as relationships with loved ones (friends, family, acquaintances), community support by ensuring training of independent living skills and adjustment to a new life, continuity and integration of selfrealization in the community [18]. It should be noted that depending on successfully solved problems, favorable social conditions, social support, and state policy during the primary rehabilitation program Abstract Background: Spinal cord injury (SCI) causes the loss of biopsychosocial functions, body dysfunctions, decreased functional independence level, limitations in activities, and participation restriction.…”

Section: Introductionmentioning

confidence: 99%

“…However, during this period, psychological and social problems and obstacles emerge as people with SCI often distance themselves from society [13]. In the long-term period, physical strength, endurance, and functional skills of people with SCI slightly improve, and functioning and socialization processes improving each year after SCI by naturally engaging and participating in everyday life show capabilities to adapt to the environment, greater involvement in different activities and better outcomes although it often depends on the surrounding environment [14,15].Other authors [16,17] discuss about associations between functioning in daily life of this population and social interactions as well as relationships with loved ones (friends, family, acquaintances), community support by ensuring training of independent living skills and adjustment to a new life, continuity and integration of selfrealization in the community [18]. It should be noted that depending on successfully solved problems, favorable social conditions, social support, and state policy during the primary rehabilitation program Abstract Background: Spinal cord injury (SCI) causes the loss of biopsychosocial functions, body dysfunctions, decreased functional independence level, limitations in activities, and participation restriction.…”

mentioning

confidence: 99%

Recovery of Biopsychosocial Functions Following 15 Years after Spinal Cord Injury

Adomavičienė¹,

Šidlauskienė²,

Raistenskis³

2017

Occup Med Health Aff

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BackgroundDuring recent years, intensively changing people's living habits, associated with changes in the country's social, economic, and demographic situation, are increasing the risk of traumatism; therefore, spinal cord injury (SCI) are more common especially among young people. The incidence of SCI in developed European countries is increasing: an average of 25.5 new SCI cases per million population per year (95% CI: 21.7 to 29.4), with frequency in different countries ranging from 2.1 to 130.7 new SCI cases each year [1,2]. The incidence of SCI in Lithuania is 24 new SCI cases per million per year [3][4][5]. Many studies [6][7][8] have confirmed that SCI more often occurs among young and physically active men aged from 29.7 to 35.2 years on average (from 72.1% to 85.3%). In Lithuania, two-thirds of people with SCI are younger than 30 years, and the ratio of men to women is 3.2:1.0 [9]. The prevalence of traumatic SCI ranges from 74.4% to 82.0% of all SCI cases, and of them, 49.4% to 62.1% are caused by motor transport accidents; 26.7% to 43.1%, by falls or jumps into water; and 16.8% to 22.3%, sports injuries [10].SCI causes a loss of biopsychosocial functions: altered body functions, decreased physical capacity and disrupted mobility, functional independence in daily life and social activities [1]. After SCI for recovery of biopsychosocial functions, comprehensive multidisciplinary rehabilitation as a biopsychosocial model is necessary, which is more focused on improving the physical status and physical capacity as well as developing functional independence and mobility skills. During re-rehabilitation inpatient programs (1-3 years after SCI), efforts are made to maintain the existing skills and to improve functioning, physical activity, participation in daily living activities, and successful social integration [11,12]. However, during this period, psychological and social problems and obstacles emerge as people with SCI often distance themselves from society [13]. In the long-term period, physical strength, endurance, and functional skills of people with SCI slightly improve, and functioning and socialization processes improving each year after SCI by naturally engaging and participating in everyday life show capabilities to adapt to the environment, greater involvement in different activities and better outcomes although it often depends on the surrounding environment [14,15].Other authors [16,17] discuss about associations between functioning in daily life of this population and social interactions as well as relationships with loved ones (friends, family, acquaintances), community support by ensuring training of independent living skills and adjustment to a new life, continuity and integration of selfrealization in the community [18]. It should be noted that depending on successfully solved problems, favorable social conditions, social support, and state policy during the primary rehabilitation program Abstract Background: Spinal cord injury (SCI) causes the loss of biopsychosocial functions, body dy...

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Barriers for individuals with spinal cord injury returning to the community: A preliminary classification

Cited by 48 publications

References 11 publications

Prospective study of barriers to discharge from a spinal cord injury rehabilitation unit

Prospective study of barriers to discharge from a spinal cord injury rehabilitation unit

Physical therapy after spinal cord injury: A systematic review of treatments focused on participation

Recovery of Biopsychosocial Functions Following 15 Years after Spinal Cord Injury

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