Secondary health conditions in persons with spinal cord injury: A longitudinal study from one to five years post-discharge

Abstract

Secondary health conditions are common in the first years post-discharge following spinal cord injury, and their course seems to be relatively stable. These results emphasize the number of health issues that must be considered during post-injury care of persons with spinal cord injury living in the community, and the importance of a well-coordinated interdisciplinary approach from specialized rehabilitation centres.

Functional hindrance due to spasticity in individuals with spinal cord injury during inpatient rehabilitation and 1 year thereafter

“…4,5 In a sample of SCI survivors, the prevalence of problematic spasticity at 1, 3 and 5 years following SCI was 35%, 31% and 27%, respectively. 5 These findings agree with the observations of Levi et al 6 and Sköld et al 3 Adriaansen et al 7 reported problematic spasticity in 28-34% of individuals with SCI 1-5 years after discharge from inpatient rehabilitation. However, these studies do not describe how hindrance due to spasticity develops in the early phase after SCI.…”

“…The percentages of individuals who experienced a lot of hindrance during activities of daily living were relatively low. In other studies 3,[5][6][7] hindrance due to spasticity in general was measured. Our study gives more detailed information about the occurrence of hindrance due to spasticity in daily living and goals for therapy.…”

“…Available studies that describe hindrance due to spasticity include individuals 1 year after SCI and later. 3,5,7 Spasticity develops during inpatient rehabilitation after the spinal shock period and then decisions have to be made about treatment for spasticity. Adriaansen et al 7 reported problematic hindrance due to spasticity in 34% of individuals 1 year after discharge from rehabilitation in the same study group.…”

“…3,5,7 Spasticity develops during inpatient rehabilitation after the spinal shock period and then decisions have to be made about treatment for spasticity. Adriaansen et al 7 reported problematic hindrance due to spasticity in 34% of individuals 1 year after discharge from rehabilitation in the same study group. Problematic hindrance due to spasticity was registered when an individual scored a lot of hindrance due to spasticity for at least one activity.…”

Psychological and socioeconomic status, complications and quality of life in people with spinal cord injuries after discharge from hospital in Bangladesh: a cohort study

“…Many studies have investigated QOL and incidence or prevalence of complications after SCI in high income countries. [1][2][3] Some studies have also examined these issues in LMICs. [4][5][6][7] However, few studies sample in a representative way-most, instead, rely on samples of convenience.…”