Long-term spinal cord injury: Functional changes over time

Gerhart, Kenneth A.; Bergström, Ebba; Charlifue, Susan; Menter, Robert R.; Whiteneck, Gale G.

doi:10.1016/0003-9993(93)90057-h

Cited by 204 publications

(109 citation statements)

References 2 publications

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“…20 Researchers commonly note relationships between pain and fatigue following SCI yet rarely acknowledge that although pharmacological attempts to relieve pain after SCI are not demonstrably effective, 23 they may significantly increase fatigue. 7 Moreover, by considering the impact of fatigue solely on self-care activities, for example 3,24 researchers have often overlooked its impact on those activities most closely associated with quality of life: engagement in family, social, recreational and productive activities. 18 It is evident that fatigue can have serious adverse implications for quality of life following SCI, 1,4,5,9 especially when combined with pain and depression; 25 a situation frequently shared by the partners and families of people with SCI.…”

Section: Discussionmentioning

confidence: 99%

Fatigue and spinal cord injury: a qualitative analysis

et al. 2008

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Objectives: To explore experiences of fatigue among people with spinal cord injuries (SCIs) and factors perceived to contribute to fatigue. Setting: Kelowna, Prince George, Vancouver and Victoria, British Columbia, Canada. Study design: Collaborative, qualitative methodology. Methods: Four focus groups were undertaken simultaneously with a total of 29 participants, comprising a purposive sample of men and women: 21 people with complete and incomplete SCI of high and low tetraplegia and paraplegia, 2 family members, 2 assistants and 4 occupational therapists. Interpretive analysis was grounded in the themes identified in the data. Results: Fatigue was perceived to have cognitive, emotional and physical dimensions and to exert a profound effect on the lives of many people with SCI, such that pleasurable activities were often eschewed to enable the accomplishment of more mundane tasks. Factors most consistently associated with fatigue were pain, depression and hopelessness, side effects of medications, poor quality sleep, spasticity, poor posture, diet, and the effort required to accomplish routine and self-care tasks. Conclusions: Fatigue is a complex phenomenon, interlinked with pain, depression and hopelessness that significantly diminishes the quality of life following SCI. Further research is required to provide greater understanding of this issue and to determine appropriate and comprehensive forms of intervention.

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Section: Discussionmentioning

confidence: 99%

Fatigue and spinal cord injury: a qualitative analysis

et al. 2008

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“…So far, the results show that, in spite of a rise in medical and functional problems, reported quality of life and life satisfaction remain relatively good and stable in patients ageing with SCI. [62][63][64][65][66][67][68][69] The same collaborators are conducting a parallel study on longterm survival following spinal cord injury. 70,71 The results of the first study show that life expectancy of persons with SCI, though shorter compared with the general population, has improved dramatically over the decades.…”

Section: Psychologymentioning

confidence: 99%

The Sir Ludwig Guttmann Lecture 2012: the contribution of Stoke Mandeville Hospital to spinal cord injuries

Frankel

2012

Spinal Cord

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“…[8][9][10][11][12][13][14][15] In their 1990 study, DeVivo et al 11 examined the influence of age at SCI on rehabilitation outcomes. It was found that individuals who were at least 61 years old at the time of injury were more likely to have developed pneumonia, experience a gastrointestinal hemorrhage, develop pulmonary emboli and have renal stones prior to their first discharge than individuals who were 16-30 years at the time of injury.…”

Section: Cross-sectional Studiesmentioning

confidence: 99%

A 25-year longitudinal study of the natural course of aging after spinal cord injury

Krause

Broderick

2005

Spinal Cord

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Study design: Longitudinal; Survey. Objective: The purpose of this study was to investigate the natural course of changes in activity patterns, health indicators, life satisfaction, and adjustment over 25-year period among people with spinal cord injury (SCI) in the USA. Setting: The preliminary data were collected from a Midwestern United States university hospital of the USA, whereas the follow-up data were collected at a large Southeastern United States rehabilitation hospital. Method: The Life Situation Questionnaire was used to identify changes in education/ employment, activities, medical treatments, adjustment, and life satisfaction. Results: Adjustment scores, satisfaction with employment, satisfaction with finances, years of education, and employment indicators significantly improved over time. In contrast, satisfaction with sex life, satisfaction with health, and then number of weekly visitors significantly decreased and the number of nonroutine medical visits and days hospitalized within 2 years prior to the study significantly increased over the 25-year period. Conclusion: Given the mixed pattern of favorable and unfavorable changes, the findings challenge the assumption that aging will inevitably be associated with the overall decline in outcomes and quality of life.

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Long-term spinal cord injury: Functional changes over time

Cited by 204 publications

References 2 publications

Fatigue and spinal cord injury: a qualitative analysis

Fatigue and spinal cord injury: a qualitative analysis

The Sir Ludwig Guttmann Lecture 2012: the contribution of Stoke Mandeville Hospital to spinal cord injuries

A 25-year longitudinal study of the natural course of aging after spinal cord injury

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