Global maps of non-traumatic spinal cord injury epidemiology: towards a living data repository

New, Peter W; Cripps, Raymond; Lee, Bonsan Bonne

doi:10.1038/sc.2012.165

Cited by 168 publications

(151 citation statements)

References 45 publications

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“…It is important to emphasize that our results are probably not generalizable to other settings because the occurrence of infections as a cause of SCM globally varies between countries and regions, most notably, and not unexpectedly, between developed and developing countries. 20 Differences between the aetiological pathogens (i.e. bacterial, viral, or parasitic) would be expected to be greatly influenced by geographical and environmental factors.…”

Section: Discussionmentioning

confidence: 99%

Rehabilitation outcomes following infections causing spinal cord myelopathy

New

Astrakhantseva

2014

Spinal Cord

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Study design:Retrospective, open-cohort, consecutive case series. Objective: To describe the demographic characteristics, clinical features and outcomes in patients undergoing initial in-patient rehabilitation after an infectious cause of spinal cord myelopathy. Setting: Spinal Rehabilitation Unit, Melbourne, Victoria, Australia. Admissions between 1 January 1995 and 31 December 2010. Methods: The following data were recorded: aetiology of spinal cord infection, risk factors, rehabilitation length of stay (LOS), level of injury (paraplegia vs tetraplegia), complications related to spinal cord damage and discharge destination. The American Spinal Injury Association (ASIA) Impairment Scale (AIS) and functional independence measure (FIM) were assessed at admission and at discharge. Results: Fifty-one patients were admitted (men ¼ 32, 62.7%) with a median age of 65 years (interquartile range (IQR) 52-72, range 22-89). On admission, 37 (73%) had paraplegic level of injury and most patients (n ¼ 46, 90%) had an incomplete grade of spinal damage. Infections were most commonly bacterial (n ¼ 47, 92%); the other causes were viral (n ¼ 3, 6%) and tuberculosis (n ¼ 1, 2%). The median LOS was 106 days . The most common complications were pain (n ¼ 47, 92%), urinary tract infection (n ¼ 27, 53%), spasticity (n ¼ 25, 49%) and pressure ulcer during acute hospital admission (n ¼ 19, 37%). By the time of discharge from rehabilitation, patients typically showed a significant change in their AIS grade of spinal damage (Po0.001). They also showed significant improvement (Po0.001) in their FIM motor score (at admission: median ¼ 27, IQR 20-34; at discharge: median ¼ 66, IQR 41-75). Conclusion: Most patients returned home with a good level of functioning with respect to mobility, bladder and bowel status, and their disability improved significantly.

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Section: Discussionmentioning

confidence: 99%

Rehabilitation outcomes following infections causing spinal cord myelopathy

New

Astrakhantseva

2014

Spinal Cord

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“…2 Owing to the extensive lifelong consequences for the individual and the economic cost associated with SCI, 1 resulting from both traumatic and nontraumatic aetiologies, research into the rehabilitation outcomes of these patients is essential. The demographic characteristics and rehabilitation outcomes of patients with T-SCI have been extensively studied, 3,4 whereas research into patients with NT-SCI has been noticeably limited until more recently, 5,6 despite some studies suggesting the incidence of NT-SCI to be even greater than that of T-SCI. 3,7 Previous research comparing T-SCI and NT-SCI patients has demonstrated clear differences in demographic characteristics, 8 together with similarities and differences in rehabilitation outcomes.…”

Section: Introductionmentioning

confidence: 99%

Traumatic versus non-traumatic spinal cord injuries: are there differential rehabilitation outcomes?

Kennedy

Chessell

2013

Spinal Cord

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Study design: Retrospective case review. Objectives: To compare the rehabilitation outcomes between patients with traumatic spinal cord injuries and patients with nontraumatic spinal cord injuries, using The Needs Assessment Checklist (NAC), to observe if both the groups benefit from the same rehabilitation programme. Setting: Tertiary care, spinal cord injury rehabilitation unit (National Spinal Injuries Centre), Stoke Mandeville Hospital, UK. Methods: Information obtained with the NAC at two time points during patients' rehabilitation was examined. Statistical analysis investigated the rehabilitation outcomes both between and within groups. Results: Initial differences were observed on admission between patients with traumatic and non-traumatic spinal cord injuries in five of the ten rehabilitation domains measured, with patients with non-traumatic injuries presenting with better outcomes. At a later stage in patients' rehabilitation, however, differences between the groups had lessened. Furthermore, the results demonstrated that the whole cohort made significant improvements in all the ten rehabilitation domains, with the same finding evident for both patients with traumatic and patients with non-traumatic spinal cord injuries. Conclusion: Patients with traumatic spinal cord injuries and patients with non-traumatic spinal cord injuries benefitted from the same rehabilitation programme in a spinal injury centre, making significant improvements in all ten rehabilitation domains measured, suggesting that it is effective to admit and rehabilitate patients with injuries resulting from both traumatic and non-traumatic aetiologies in the same specialised setting.

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“…This predominance of individuals with paraplegia caused by trauma contrasts with what is indicated by the statistics for both Brazil and other countries. 10,[29][30][31] From the second application, the form of application of the ESES-Brazil differed from that of the Dutch version for some of the participants. In the Dutch study, the ESES was applied personally by the researchers, Table 3 -Reliability test ICC and Bland-Altman (n = 20)…”

Section: Discussionmentioning

confidence: 99%

Cross-Cultural and Psychometric Properties Assessment of the Exercise Self-Efficacy Scale in Individuals with Spinal Cord Injury

et al. 2017

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Material and Methods:The Exercise Self-Efficacy scale was applied to 76 subjects, with three-month intervals (three applications in total). The reliability was appraised using the intra-class correlation coefficient and Bland-Altman methods, and the internal consistency was evaluated using Cronbach´s alpha. The Exercise Self-Efficacy scale was correlated with the domains of the Quality of life Questionnaire SF-36 and Functional Independence Measure and tested using the Spearman rho coefficient.Results: The Exercise Self-Efficacy scale-Brazil presented good internal consistency (alpha 1 = 0.856; alpha 2 = 0.855; alpha 3 = 0.822) and high reliability in the test-retest (intra-class correlation coefficient = 0.97). There was a strong correlation between the Exercise Self-Efficacy scale-Brazil and the SF-36 only in the functional capacity domain (rho = 0.708). There were no changes in Exercise Self-Efficacy scale-Brazil scores between the three applications (p = 0.796). Discussion: The validation of the Exercise Self-Efficacy scale questionnaire permits the assessor to use it reliably in Portuguese speaking countries, since it is the first instrument measuring self-efficacy specifically during exercises in individuals with spinal cord injury. Furthermore, the questionnaire can be used as an instrument to verify the effectiveness of interventions that use exercise as an outcome. Conclusion:The results of the Brazilian version of the Exercise Self-Efficacy scale support its use as a reliable and valid measurement of exercise self-efficacy for this population. Keywords: Motor Activity; Self Efficacy; Spinal Cord Injuries/rehabilitation; Validation Studies INTRODUCTIONThe spinal cord acts as a bidirectional conduction pathway between the brain and the motor, sensory and autonomic regions of the human body. As the functions of the spinal cord differ in regard to the segment and structure,

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Global maps of non-traumatic spinal cord injury epidemiology: towards a living data repository

Cited by 168 publications

References 45 publications

Rehabilitation outcomes following infections causing spinal cord myelopathy

Rehabilitation outcomes following infections causing spinal cord myelopathy

Traumatic versus non-traumatic spinal cord injuries: are there differential rehabilitation outcomes?

Cross-Cultural and Psychometric Properties Assessment of the Exercise Self-Efficacy Scale in Individuals with Spinal Cord Injury

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