Secondary Health Conditions, Activity Limitations, and Life Satisfaction in Older Adults With Long‐Term Spinal Cord Injury

Jörgensen, Sophie; Iwarsson, Susanne; Lexell, Jan

doi:10.1016/j.pmrj.2016.09.004

Cited by 72 publications

(75 citation statements)

References 55 publications

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“…The SASCIS is a population‐based, longitudinal cohort study assessing persons 50 years of age or older and at least 10 years after a traumatic or nontraumatic SCI. The results from our previous studies are overall positive, showing that older adults with long‐term SCI in Sweden have some strategies and characteristics that may support healthy aging .…”

Section: Introductionmentioning

confidence: 73%

“…The overall aim is to contribute to the knowledge base of factors associated with healthy aging in individuals with long‐term SCI. We have previously described the methodology of the SASCIS , secondary health conditions, activity limitations and life satisfaction , participation in leisure time physical activity , participation restrictions and housing accessibility , and depressive symptoms and psychological resources in this population. In the present study, cross‐sectional data on the following CVD risk factors were included in the analyses: (1) BMI, (2) WC, (3) BP, (4) tobacco use, (5) FPG, and (6) lipid profiles.…”

Section: Methodsmentioning

confidence: 99%

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Cardiovascular Risk Factors Among Older Adults With Long‐Term Spinal Cord Injury

Jörgensen

Hill

Lexell

2019

PM&R

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Section: Introductionmentioning

confidence: 73%

Section: Methodsmentioning

confidence: 99%

Cardiovascular Risk Factors Among Older Adults With Long‐Term Spinal Cord Injury

Jörgensen

Hill

Lexell

2019

PM&R

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“…In various patient groups with lower limb spasticity (e.g. stroke, spinal cord injury and multiple sclerosis), spasticity appears to be a significant contributor to experienced complaints, activity limitations, and loss of motor capacities [6][7][8]. Recently, an international survey in patients living with spasticity was conducted that emphasized the large impact of spasticity on daily life and the need for better collaboration, communication and sharing of information between patients and their healthcare providers to fulfill individual needs [9].…”

Section: Introductionmentioning

confidence: 99%

Experienced complaints, activity limitations and loss of motor capacities in patients with pure hereditary spastic paraplegia: a web-based survey in the Netherlands

Lith

Kerstens

Bemd

et al. 2020

Orphanet J Rare Dis

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Background: Hereditary spastic paraplegia (HSP) is a group of inherited disorders characterized by progressive spastic paresis of the lower limbs. Treatment is often focused on reducing spasticity and its physical consequences. To better address individual patients' needs, we investigated a broad range of experienced complaints, activity limitations, and loss of motor capacities in pure HSP. In addition, we aimed to identify patient characteristics that are associated with increased fall risk and/or reduced walking capacity. Methods: We developed and distributed an HSP-specific online questionnaire in the Netherlands. A total of 109 out of 166 questionnaires returned by participants with pure HSP were analyzed. Results: Participants experienced the greatest burden from muscle stiffness and limited standing and walking activities, while 72% reported leg and/or back pain. Thirty-five and 46% reported to use walking aids (e.g. crutches) indoors and outdoors, respectively; 57% reported a fall incidence of at least twice a year ('fallers'); in 51% a fall had led to an injury at least once; and 73% reported fear of falling. Duration of spasticity and incapacity to rise from the floor were positively associated with being a 'faller', whereas non-neurological comorbidity and wheelchair use were negatively associated. Higher age, experienced gait problems, not being able to stand for 10 min, and incapacity to open a heavy door showed a negative association with being a 'walker without aids' (> 500 m). Conclusions: Our results emphasize the large impact of spastic paraparesis on the lives of people with pure HSP and contribute to a better understanding of possible targets for rehabilitation.

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“…Spasticity is a motor disorder caused by an imbalance between inhibitory and excitatory supraspinal inputs controlling the segmental network (Trompetto et al, 2014). Spasticity is present in about 65% of patients with a traumatic spinal cord injury (SCI) at the time of rehabilitation discharge (Holtz et al, 2017) and increasing over time to 85% (Jorgensen et al, 2017;DiPiro et al, 2018). About 35-55% of SCI patients take some antispasticity medication (Holtz et al, 2017;DiPiro et al, 2018) and the majority report that the spasticity negatively affects daily functioning (van Cooten et al, 2015) and quality of life (Adams and Hicks, 2005).…”

Section: Introductionmentioning

confidence: 99%

Does galvanic vestibular stimulation decrease spasticity in clinically complete spinal cord injury?

Cobeljic¹,

Ribarič-Jankes

Aleksić

et al. 2018

International Journal of Rehabilitation Research

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The aim of this study was to determine changes in clinical and biomechanical measures of spasticity after administering galvanic vestibular stimulation in patients with a complete spinal cord injury (SCI). The spasticity in the lower limbs was assessed using the Modified Ashworth Scale and the pendulum test in seven SCI patients (grade A on the ASIA Impairment Scale) before (0), immediately after (0), and at 5 and 30 min after the real versus sham galvanic vestibular stimulation (15 s each, anode over the right mastoid). Overall, the changes in spasticity were not significantly different between the real and sham galvanic vestibular stimulation. However, the Modified Ashworth Scale and the pendulum test indicated a reduction in spasticity in two out of seven patients. The results suggest that galvanic vestibular stimulation may modify spasticity in some patients with complete SCI, presumably through the residual vestibulospinal influences. Future studies should determine clinical and neurophysiological profiles of responders versus nonresponders and optimize parameters of galvanic vestibular stimulation.

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Secondary Health Conditions, Activity Limitations, and Life Satisfaction in Older Adults With Long‐Term Spinal Cord Injury

Abstract: III.

Cited by 72 publications

References 55 publications

Cardiovascular Risk Factors Among Older Adults With Long‐Term Spinal Cord Injury

Cardiovascular Risk Factors Among Older Adults With Long‐Term Spinal Cord Injury

Experienced complaints, activity limitations and loss of motor capacities in patients with pure hereditary spastic paraplegia: a web-based survey in the Netherlands

Does galvanic vestibular stimulation decrease spasticity in clinically complete spinal cord injury?

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