Quality of life in adults with spinal cord injury living in the community

Migliorini, Christine; New, Peter W; Tonge, Bruce John

doi:10.1038/sc.2010.102

Cited by 29 publications

(22 citation statements)

References 25 publications

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“…In fact, this feature of SCI alone is one of the major limitations of a person’s participation in life’s activities – the primary objective of any good rehabilitation program. 17 Restoration of normal bladder function requires regaining neurologic control over both storage and emptying functions. Historically, one of the most successful functional electrical stimulation (FES) treatments has been the Brindley Vocare sacral root stimulator.…”

Section: Discussionmentioning

confidence: 99%

Anatomical feasibility of performing a nerve transfer from the femoral branch to bilateral pelvic nerves in a cadaver: a potential method to restore bladder function following proximal spinal cord injury

Brown¹,

Barbe

Albo

et al. 2013

SPI

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Object Nerve transfers are an effective means of restoring control to paralyzed somatic muscle groups and have recently been shown to be effective in denervated detrusor muscle in a canine model. A cadaveric study was performed to examine the anatomical feasibility of transferring femoral muscular nerve branches to vesical branches of the pelvic nerve as a method of potentially restoring innervation to control the detrusor muscle in humans. Methods Twenty cadavers were dissected bilaterally to expose pelvic and femoral muscular nerve branches. Ease of access and ability to transfer the nerves were assessed, as were nerve cross-sectional areas. Results The pelvic nerve was accessed at the base of the bladder, inferior to the ureter, and accompanied by inferior vesical vessels. Muscular branches of the femoral nerve to the vastus medialis and intermedius muscles (L-3 and L-4 origins) were followed distally for 17.4 ± 0.8 cm. Two muscle branches were split from the femoral nerve trunk, and tunneled inferior to the inguinal ligament. One branch was moved medially toward the base of the bladder and linked to the ipsilateral pelvic nerve. The second branch was tunneled superior to the bladder and linked to the contralateral pelvic nerve. The cross-sectional area of the pelvic nerve vesical branch was 2.60 ± 0.169 mm2 (mean ± SEM), and the femoral nerve branch at the suggested transection site was 4.40 ± 0.41 mm2. Conclusions Use of femoral nerve muscular branches from the vastus medialis and intermedius muscles for heterotopic nerve transfer of bilateral pelvic nerves is surgically feasible, based on anatomical location and cross-sectional areas.

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Section: Discussionmentioning

confidence: 99%

Anatomical feasibility of performing a nerve transfer from the femoral branch to bilateral pelvic nerves in a cadaver: a potential method to restore bladder function following proximal spinal cord injury

Brown¹,

Barbe

Albo

et al. 2013

SPI

View full text Add to dashboard Cite

show abstract

“…Overall, research has found the aetiology of SCI to have little or no effect on individuals' psychological well-being, in relation to anxiety, depression, stress and quality of life, 16,17 and researchers have even suggested no apparent differences in post-traumatic stress disorder. 18 These results, therefore, suggest that a similar approach to aiding patients' psychological wellbeing in rehabilitation settings would be effective in both individuals with traumatic and non-traumatic injuries.…”

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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“…13 Poor subjective well-being for many individuals with chronic SCI has also been well documented. 11 Chronic defeat of the homeostatic set-point system has been linked with clinical depression. 14 Substantial levels of depression have also been reported in individuals living with chronic SCI.…”

mentioning

confidence: 99%

Preliminary investigation into subjective well-being, mental health, resilience, and spinal cord injury

Migliorini¹,

Callaway²,

New³

2013

The Journal of Spinal Cord Medicine

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Objectives: To undertake a pilot investigation into whether individuals whose subjective well-being had returned to the normal homeostatic range after a spinal cord injury (SCI) may be more resilient and therefore, at less risk of emotional distress over time. To consider the relative stability of subjective well-being in individuals with chronic SCI whose subjective well-being had previously returned to the normative homeostatic range. Results: Twenty-one adults participated at T1 and T2. Subjective well-being was stable for 57% of the cohort. However, 19% presented with symptoms of emotional distress by T2. There was no significant difference in age (P = 0.94) or time since injury (P = 0.51) between those reporting significant emotional symptoms and those without; nor was there any systematic change in health status. Conclusion: This study yielded two important findings. First, individuals with chronic SCI may be vulnerable to mental health issues even after they have previously exhibited good resilience. Second, subjective well-being after SCI may not be as stable as suggested by the general quality of life literature that have examined genetic and personality connections to subjective well-being.

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Quality of life in adults with spinal cord injury living in the community

Cited by 29 publications

References 25 publications

Anatomical feasibility of performing a nerve transfer from the femoral branch to bilateral pelvic nerves in a cadaver: a potential method to restore bladder function following proximal spinal cord injury

Anatomical feasibility of performing a nerve transfer from the femoral branch to bilateral pelvic nerves in a cadaver: a potential method to restore bladder function following proximal spinal cord injury

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

Preliminary investigation into subjective well-being, mental health, resilience, and spinal cord injury

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