Profiles of Psychological Adaptation Outcomes at Discharge From Spinal Cord Injury Inpatient Rehabilitation

Aparício, Mayra Juliana Galvis; Carrard, Valérie; Morselli, Davide; Post, Marcel W M; Peter, Claudio; Jordan, Xavier; Léger, Bertrand; Baumberger, Michael; Gmünder, Hans Peter; Curt, Armin; Schubert, Martin; Hund-Georgiadis, Margret; Hug, Kerstin; Troger, Thomas; Joggi, Daniel; Landolt, Hardy; Münzel, Nadja; Brach, Mirjam; Stucki, Gerold; Fekete, Christine

doi:10.1016/j.apmr.2019.08.481

Cited by 12 publications

(14 citation statements)

References 80 publications

(112 reference statements)

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“…It was speculated that the continuous nursing mode could better implement the rehabilitation measures by strengthening the nursing management of stroke patients in the rehabilitation period and urging the patients to carry out rehabilitation treatment every day, and with the help of CIMT, patients' cortical activity was triggered and enhanced by repeated training, thus stimulating the hemiplegia limbs and promoting the excitability and reactivity of the nerve system of the affected side, as well as improving the hemiplegia limb movement. APARICIO and others [ 23 ] pointed out in the literature that “after performing CIMT combined with acupuncture in stages to patients with paralytic limbs after intracranial aneurysm surgery, the MBI was 75.43 ± 5.34, which was significantly higher than those given conventional rehabilitation treatment (68.37 ± 5.41),” indicating that CIMT could largely promote the recovery of limb function for hemiplegic patients.…”

Section: Discussionmentioning

confidence: 99%

Effect of Continuous Care Combined with Constraint-Induced Movement Therapy Based on a Continuing Care Health Platform on MBI and FMA Scores of Acute Stroke Patients

Pan

Zang

Wang

et al. 2022

Journal of Healthcare Engineering

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Background and Objective. The study was carried out under the background that out-of-hospital rehabilitation of acute stroke patients is of great importance for the recovery of nerve and limb functions. We aimed to investigate the effects of continuous nursing combined with CIMT by a health platform on the limb motor function and quality of life in acute stroke patients. Methods. 68 acute stroke patients admitted to our hospital from July 2018 to July 2019 were selected as the study participants and divided into group A and group B based on the odd and even numbers of their admission numbers, with 34 cases in each group. Patients in group B accepted the routine rehabilitation exercise, while patients in group A accepted the continuous care combined with constraint-induced movement therapy (CIMT) under a health platform, so as to compare their upper limb function recovery by the Fugl–Meyer assessment (FMA) and improved median Barthel index (MBI). Results. The general information of the two groups were not obviously different ( P > 0.05) but comparable; after intervention, the FMA scores (38.42 ± 7.62 vs 31.22 ± 7.25) and MBI scores (78.63 ± 6.52 vs 70.24 ± 6.48) of patients in group A were significantly higher than those of group B ( P < 0.001); the activities of daily living (ADL) and trunk control test (TCT) scores at T1, T2, and T3 of group A were significantly higher than those of group B ( P < 0.05); at 6 months after discharge, the self-concept, self-care skills, self-care, self-responsibility, health knowledge level, and total ability scores of patients in group A were significantly higher than those in group B ( P < 0.05); the Generic Quality of Life Inventory-74 (GQOL-74) scores after intervention of the two groups were significantly higher than those before intervention ( P < 0.05) and those of group A were significantly higher than those of group B (72.13 ± 4.69 vs 63.19 ± 4.72; P < 0.05); when comparing with group B, group A presented significantly higher walking speed and gait period and lower support phase ( P < 0.05). Conclusion. The combination of continuous care and CIMT under a health platform can effectively promote the rehabilitation of upper limb functions and improve the activities of daily living and trunk control for acute stroke patients, with an effect better than conventional rehabilitation exercises, which is worthy of promotion.

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Section: Discussionmentioning

confidence: 99%

Effect of Continuous Care Combined with Constraint-Induced Movement Therapy Based on a Continuing Care Health Platform on MBI and FMA Scores of Acute Stroke Patients

Pan

Zang

Wang

et al. 2022

Journal of Healthcare Engineering

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“…Diener's tripartite SWB model includes a positive cognitive evaluation of life overall (i.e., global life satisfaction) or specific life domains (e.g., health satisfaction), the presence of positive affect (e.g., feelings of joy), and the absence of negative affect (e.g., feelings of sadness; Diener, 1984). Studies using multidimensional indicators of psychological adaptation following physical CHC identified different patterns of mental health or well-being following myocardial infarction (Martens et al, 2007), rheumatoid arthritis (Morris et al, 2011), or spinal cord injury (Aparicio et al, 2020). These studies used cluster or profile analyses to identify subgroups of individuals sharing similar patterns across different indicators.…”

Section: The Longitudinal Impact Of a Chronic Physical Health Condition On Subjective Well-beingmentioning

confidence: 99%

“…These studies used cluster or profile analyses to identify subgroups of individuals sharing similar patterns across different indicators. Their results indicate three to four different patterns of psychological adaptation, such as "Non-depressed" (Morris et al, 2011), "low positive affect" (Martens et al, 2007), or "minimal impact" (Aparicio et al, 2020). Nevertheless, these profile studies are limited by their cross-sectional design.…”

Section: The Longitudinal Impact Of a Chronic Physical Health Condition On Subjective Well-beingmentioning

confidence: 99%

“…The first aim was to identify the number and type of psychological adaptation profiles one year before, one year after, and four years after the onset of a physical non-congenital CHC. Studies exploring psychological adaption identified three to four heterogeneous profiles with varying levels of mental health or well-being following the onset of a CHC (Aparicio et al, 2020;Martens et al, 2007;Morris et al, 2011). For instance, (Martens et al, 2007) reported three profiles of SWB following myocardial infarction.…”

Section: The Longitudinal Impact Of a Chronic Physical Health Condition On Subjective Well-beingmentioning

confidence: 99%

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The longitudinal impact of a chronic physical health condition on subjective well-being.

Debnar¹,

Carrard²,

Morselli³

et al. 2021

Health Psychology

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Objective: Chronic health conditions (CHC) can have severe impacts on an individual's life, affecting well-being and mental health. Nonetheless, individuals can show different response patterns of psychological adaptation following a CHC onset. This study aimed to identify profiles of subjective well-being (SWB) at one year before (T-1), one year after (T+1), and four years after (T+4) the onset of a physical CHC using seven indicators (health satisfaction, life satisfaction, energy, joy, worry, sadness, anger), examine transitions between the identified profiles, and determine predicting factors of these transitions. Method: Latent profile analysis and latent transition analysis was conducted using a sample of 357 participants reporting a physical CHC drawn from the Swiss Household Panel dataset. Results: Three profiles were identified at T-1: low, high, and very high SWB. At T+1 and T+4, a fourth vulnerable profile emerged. Transition analysis showed that, overall, the most probable transition was to stay in similar profiles across time.However, recovery towards higher SWB profiles and delayed reaction towards lower SWB profiles appeared between one and four years following the CHC onset. Factors predicting recovery patterns from low to high SWB are better health status, fewer negative life events, and financial scarcity, whereas lower emotional stability was related to a delayed reaction from high to low SWB. Conclusion:This study underlines the importance of personal factors in the adaptation following CHC onset. Routine assessment of personality traits would enable to identify individuals at greater risk of lower SWB following the onset of a CHC.

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“…Given that SCI is a life-altering condition with a sudden onset, which requires specialized inpatient rehabilitation, the sensitive phase early after injury and the related first rehabilitation often has a critical impact on the long-term development of health conditions, functioning and well-being ( 7 – 9 ). The sudden onset of an SCI also requires substantial psychological adaptation and puts newly injured persons at increased risk of reduced mental health, including depression and anxiety disorders ( 10 , 11 ). Insights into the trajectories of health, functioning, and well-being during inpatient rehabilitation and early after reintegration into community, as well as prognosis for health-related outcomes after SCI may help to guide intervention planning and decision-making in health professionals, service providers and patients to optimize the situation of persons with SCI in the long-term ( 12 ).…”

mentioning

confidence: 99%

Inception cohort of the swiss spinal cohort injury study: Design, participant characteristics, response rates and non-response

Fekete

Gurtner²,

Kunz³

et al. 2021

J Rehabil Med

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Objectives To provide a methodological reference paper for the inception cohort of the Swiss Spinal Cord Injury Cohort Study (SwiSCI), by detailing its methodological features and reporting on participant characteristics, response rates and non-response bias. Design Prospective cohort study starting in 2013 in all 4 specialized rehabilitation centres in Switzerland. Subjects Included are 655 newly diagnosed first rehabilitation patients aged ≥16 years with traumatic or non-traumatic spinal cord injury (TSCI, NTSCI). Methods Descriptive statistics were used to depict participant characteristics and to compare characteristics of responders and non-responders. Logistic regressions were conducted to estimate non-response bias. RESULTS The sample consisted of 69% males, with mean age 53.5 years, 57.9% TSCI, 60.7% paraplegia and 78.8% incomplete SCI. Males and younger persons more often sustained TSCI and more severe SCI, resulting in longer duration of rehabilitation. Complete lesions were more prevalent in TSCI compared to NTSCI. The response rate was 47.5% and study participation was less likely in females, older persons, persons with lower functional independence and those with NTSCI. Conclusion SwiSCI inception cohort data enable the estimation of epidemiological figures of SCI in Switzerland, and prognostic and trajectory modelling of outcomes after SCI to guide policy, service provision and clinical practice. LAY ABSTRACT The inception cohort of the Swiss Spinal Cord Injury Cohort Study (SwiSCI) is a prospective study including newly diagnosed first rehabilitation patients aged over 16 years with traumatic or non-traumatic spinal cord injury (SCI) who received first rehabilitation in a specialized center in Switzerland. This paper describes the methods and the design of the SwiSCI inception cohort and reports on participant characteristics, response rates and differences between respondents and non-respondents. The response rate was 47.5% and 655 patients participated in the study. Of participants, 69.0% were male, mean age was 53.5 years, 57.9% had traumatic SCI, 60.7% paraplegia and 78.8% incomplete SCI. Male subjects and younger persons more often sustained traumatic SCI and more severe SCI, resulting in longer duration of rehabilitation. Complete lesions were more prevalent in traumatic SCI compared with non-traumatic SCI. Females, older persons, persons with lower functional independence and those with non-traumatic SCI were less likely to participate in the study.

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Profiles of Psychological Adaptation Outcomes at Discharge From Spinal Cord Injury Inpatient Rehabilitation

Cited by 12 publications

References 80 publications

Effect of Continuous Care Combined with Constraint-Induced Movement Therapy Based on a Continuing Care Health Platform on MBI and FMA Scores of Acute Stroke Patients

Effect of Continuous Care Combined with Constraint-Induced Movement Therapy Based on a Continuing Care Health Platform on MBI and FMA Scores of Acute Stroke Patients

The longitudinal impact of a chronic physical health condition on subjective well-being.

Inception cohort of the swiss spinal cohort injury study: Design, participant characteristics, response rates and non-response

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