Optimizing medical care to facilitate and sustain employment after spinal cord injury

Thomas, Florian P.; Goetz, Lance L.; Dixon, Thomas M.; Ho, Chester; Sandford, Paul; Smith, Sheila; Ottomanelli, Lisa; Holmes, Sally Ann

doi:10.1682/jrrd.2014.05.0119

Cited by 7 publications

(5 citation statements)

References 54 publications

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“…This could be explained by the generally older age of the study sample and longer time since injury (mean 22 years). As previous research has shown, work abilities tend to decrease earlier in persons with SCI because of secondary health conditions and a premature decline in physical performance due to aging [17,19].…”

Section: Discussionmentioning

confidence: 76%

“…However, adjustment to the post-injury life situation for a person with SCI may take long beyond the initial RTW [16]. In addition, SCI-associated secondary health conditions, such as recurrent urinary tract infections, pressure ulcers and pulmonary problems, with a premature decline in physical performance due to aging, may increasingly affect their ability to work [17][18][19]. Person-and work-related characteristics as well as the social environment may determine whether a person with an SCI remains in employment in the long term or leaves the labour market prematurely.…”

Section: Introductionmentioning

confidence: 99%

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Factors associated with sustaining work with chronic spinal cord injury: a scoping review

Karcz

Trezzini

Escorpizo

et al. 2021

Disability and Rehabilitation

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Work participation remains challenging for people with spinal cord injury (SCI), as reflected in lower employment rates compared to the general population. To promote work participation for people with SCI, practitioners and policymakers need a better understanding of the factors associated with sustaining work in the long term. This study aimed to identify such factors. Materials and methods: Scoping review synthesizing quantitative and qualitative research published between 2000 and 2021. The databases searched were PubMed, CINAHL Complete, PsycINFO, Scopus, and Web of Science. Results: Initially, 1221 articles were identified. Three quantitative studies investigating socio-demographic and injury-related factors and eight qualitative studies exploring mainly personal and environmental facilitators and barriers to working in the long term were retained. The results of the quantitative studies showed the importance of time since injury, age and education. The qualitative findings emphasized the positive influence of self-advocacy, managing health behaviours and a supportive work environment. Main barriers were time organization and societal attitudes.

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Section: Discussionmentioning

confidence: 76%

Section: Introductionmentioning

confidence: 99%

Factors associated with sustaining work with chronic spinal cord injury: a scoping review

Karcz

Trezzini

Escorpizo

et al. 2021

Disability and Rehabilitation

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“…However, the spectrum of possible new professional activities can be influenced by professional training measures. Further, frequent consequences of SCI such as depression, bladder dysfunction, spasticity and other similar physical factors which are also important both in rehabilitation and workability can also be positively influenced [21]. For example, returning to work was positively correlated to wheelchair capacity at discharge from the rehabilitation department [22].…”

Section: Discussionmentioning

confidence: 99%

Promoting factors and barriers to participation in working life for people with spinal cord injury

Sturm

Bökel

Korallus

et al. 2020

J Occup Med Toxicol

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Background It is still difficult for people with physical impairments to be and remain equally integrated into the labour market. For this reason, the question of occupational activity has explicitly been examined by the German Spinal Cord Injury Survey (GerSCI) in order to identify barriers and facilitators for labour market participation. Methods Cross-sectional explorative observational study. The GerSCI survey is the German part of the International Spinal Cord Injury Survey (InSCI). Using survey data from persons recruited at eight specialised SCI-centres in Germany. Participants: 1.479 persons with Spinal Cord Injury (SCI) aged 18 years and older. Results In a self-disclosure questionnaire, persons with SCI show themselves as a professionally well-educated and highly motivated group with most of them aiming at gainful employment and considering themselves fit for work. Many changeable and non-changeable factors have been found, which showed a high correlation with the return to work after acquired SCI. Conclusion Education and pain belong to the most critical factors and thereby possible approaches to increase the level of employment, which is essential and highly relevant not only for earning money but also for self-confidence and social integration. SCI has many dimensions in itself; support also should be multidimensional. Study results might help to improve participation.

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“…Return to employment is positively associated with adjustment to disability, life satisfaction, and mental and physical health [3,4]. Despite this, the rate of employment after injury is reported to be 35-45% in the developed world, and it takes an average of 3.8 years to return to gainful employment [5][6][7][8][9][10][11]. It remains important to identify the barriers to employment in different health systems due to variations in lifestyle, socioeconomic factors, cultural attributes, and norms of the society.…”

Section: Introductionmentioning

confidence: 99%

“…Generally, these barriers include level of education, type of employment, disability severity, age, time since injury, gender, marital status, social support, psychological problems, level of injury, severity of injury, vocational counseling, medical problems related to the SCI, employer role, environment, professional interests, motor FIM score and Barthel index [5,9,12,13]. One of the most frequently reported reasons for not working after SCI is the inability to fulfill the physical demands of the job (60%) [11,13]. SCI has a unique impact on bodily functions.…”

Section: Introductionmentioning

confidence: 99%

Perceived Clinical Barriers to Employment for Males with Spinal Cord Injury in Saudi Arabia

Alwashmi

Qureshi

Ullah

et al. 2022

IJERPH

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Return to work is a challenging aspect of community integration for individuals with disabilities. The reintegration of individuals with spinal cord injury (SCI) is multifactorial; hence, regional challenges need to be investigated in the context of their clinical attributes and perceptions. A total of 121 male participants above 18 years of age with diagnosis of SCI and living at home were included in this cross-sectional survey. The study was conducted at a tertiary care rehabilitation facility in Saudi Arabia. The most common reported clinical barriers to employment were mobility, bladder incontinence, spasticity, musculoskeletal pain, and neuropathic pain. Bladder incontinence and musculoskeletal pain were the most common perceived clinical barriers for individuals with paraplegia and tetraplegia, respectively. A significant difference was observed for bowel incontinence as a reported barrier (p = 0.024) among adults less than thirty years of age in comparison with those older than thirty years. Spasticity as a barrier was reported more among patients who were older than thirty years (54.0%) compared to those younger than thirty years of age (37.9%) (p = 0.077). Twenty-two (23.7%) participants with paraplegia reported transfers as a perceived barrier to employment, which was significant (p = 0.014), and it was also reported as a significant barrier (p = 0.001) in individuals with tetraplegia (56%). This study shows that clinical conditions associated with SCI are considered potential barriers to employment by individuals with SCI. In terms of priority, the perceived barriers between individuals with tetraplegia and paraplegia were mostly different. This shows the need to consider relevant secondary health care conditions in goal setting while planning for employment in individuals with SCI.

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Optimizing medical care to facilitate and sustain employment after spinal cord injury

Cited by 7 publications

References 54 publications

Factors associated with sustaining work with chronic spinal cord injury: a scoping review

Factors associated with sustaining work with chronic spinal cord injury: a scoping review

Promoting factors and barriers to participation in working life for people with spinal cord injury

Perceived Clinical Barriers to Employment for Males with Spinal Cord Injury in Saudi Arabia

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