Psychological distress following spinal cord injury

2017 ◽  
Vol 41 (S1) ◽  
pp. s495-s495
Author(s):  
R. Kinson ◽  
J. Tan ◽  
D. Hussain ◽  
P.S. Looi ◽  
L. Tan
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Average Length ◽  
Depression Scale ◽  
Inpatient Rehabilitation ◽  
Psychiatric History ◽  
Psychological Burden ◽  
Cord Injury ◽  
Asia Score ◽  
Competing Interest

IntroductionThere is limited data on psychological burden following spinal cord injury (SCI) in Singapore.Aims(1) To describe the prevalence of depression and anxiety at admission for inpatient rehabilitation and (2) describe the baseline characteristics that predict the development of anxiety or depression in patients following SCI.MethodologyWe retrospectively reviewed medical records of SCI patients at admission from 01-06-2013 to 31-12-2015. The Hospital Anxiety and Depression Scale (HADS), ASIA score and demographics were collated.ResultsA total of 157 subjects were included, 62.4% (n = 98) were male with a mean age of 56.7 years. 43.4% (n = 68) had a traumatic SCI with 73.9% (n = 116) having had spinal surgery. The average length of stay was 46.6 days with most discharged to their own homes. Ten subjects screened positive for anxiety (6.4%) and 16 for depression (10.2%). 13.4% (n = 21) screened positive for anxiety and/or depression. Two third (n = 95) had injuries at the cervical level and 14% (n = 22) scored ASIA A/B. 45.9% (n = 72) was referred to the psychologist. A significantly higher proportion of subjects (P < 0.05) who screened positive had a past psychiatric history, were prescribed antidepressants at admission and during rehabilitation. Significant differences were noted in primary caregiver (nursing home vs. others) following discharge when comparing those that screened positive vs. negative however there were no significant differences between baseline demographics, neurological level and ASIA score.ConclusionPsychological burden following SCI is significant. Standardized screening and psychological support is warranted with special attention to those with a past psychiatric history.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Spinal Cord Tissue Bridges Validation Study: Predictive Relationships With Sensory Scores Following Cervical Spinal Cord Injury

2021 ◽  
Author(s):  
Andrew C. Smith ◽  
Denise R. O’Dell ◽  
Wesley A. Thornton ◽  
David Dungan ◽  
Eli Robinson ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
External Validation ◽  
Inpatient Rehabilitation ◽  
Spinal Cord Tissue ◽  
Light Touch ◽  
Post Injury ◽  
Data Set ◽  
Cord Injury ◽  
Predictive Relationships

Background: Using magnetic resonance imaging (MRI), widths of ventral tissue bridges demonstrated significant predictive relationships with future pinprick sensory scores, and widths of dorsal tissue bridges demonstrated significant predictive relationships with future light touch sensory scores, following spinal cord injury (SCI). These studies involved smaller participant numbers, and external validation of their findings is warranted. Objectives: The purpose of this study was to validate these previous findings using a larger independent data set. Methods: Widths of ventral and dorsal tissue bridges were quantified using MRI in persons post cervical level SCI (average 3.7 weeks post injury), and pinprick and light touch sensory scores were acquired at discharge from inpatient rehabilitation (average 14.3 weeks post injury). Pearson product-moments were calculated and linear regression models were created from these data. Results: Wider ventral tissue bridges were significantly correlated with pinprick scores (r = 0.31, p &lt; 0.001, N = 136) and wider dorsal tissue bridges were significantly correlated with light touch scores (r = 0.31, p &lt; 0.001, N = 136) at discharge from inpatient rehabilitation. Conclusion: This retrospective study’s results provide external validation of previous findings, using a larger sample size. Following SCI, ventral tissue bridges hold significant predictive relationships with future pinprick sensory scores and dorsal tissue bridges hold significant predictive relationships with future light touch sensory scores.

Poster 305: Changes in Resiliency During Inpatient Rehabilitation Following a Spinal Cord Injury

2007 ◽  
Vol 88 (9) ◽  
pp. E99-E100
Author(s):  
Ann Marie Warren ◽  
Tanisha Toaston ◽  
Brian White ◽  
Simon Driver ◽  
R. Lance Bruce
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Inpatient Rehabilitation ◽  
Cord Injury

scholarly journals A qualitative interview study on how people with incomplete spinal cord injury experience high-intensity walking exercise

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Malene Kolstad Sterling ◽  
Matthijs Ferdinand Wouda ◽  
Andreas Falck Lahelle
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
High Intensity ◽  
Inpatient Rehabilitation ◽  
Interview Study ◽  
Natural Setting ◽  
Incomplete Spinal Cord Injury ◽  
Qualitative Interview Study ◽  
Cord Injury ◽  
Walking Exercise

Abstract Study design Qualitative, in-depth research interviews. Objective To provide new insight into how people with a recent incomplete spinal cord injury (SCI) experience high-intensity walking exercise after discharge from subacute inpatient rehabilitation. Setting Informants for this interview study participated in a previous randomized controlled trial (RCT) that was conducted at Sunnaas Rehabilitation Hospital, Norway. Methods Four individual face-to-face interviews were conducted with the participants in natural setting. The interviews were analyzed through systematic text condensation and discussed in the context of experiences of bodily changes. Results Four themes emerged that described positive but also challenging bodily experiences related to performing high-intensity walking exercise: “Expectations and motivation”—reasons for participating, “Challenging bodily changes”—impacts on walking ability, “Adaptation strategies”—achieving the high-intensity target level, and “Integrating exercise into a new daily life”—combining participation, new body and new life. Conclusions This study indicates the importance of participating in a specific exercise program at discharge from subacute inpatient rehabilitation for ambulant people with SCI. However, high-intensity walking exercise may be too demanding to perform during this time period. The insights from the study provide new knowledge that can contribute to improving clinical rehabilitation practice.

Relationship of Exercise and Hospital Readmission After Spinal Cord Injury: A Secondary Analysis

2021 ◽  
Vol 76 (1) ◽  
Author(s):  
Stephanie Kubiak ◽  
Elliot Sklar
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Hospital Readmission ◽  
Low Cost ◽  
Hospital Readmissions ◽  
Secondary Analysis ◽  
Inpatient Rehabilitation ◽  
The United States ◽  
Exercise Participation ◽  
Cord Injury

Importance: After spinal cord injury (SCI), as many as 45% of people experience at least one hospital readmission within 1 yr. Identification of feasible low-cost interventions to reduce hospital readmissions after SCI is needed. Objective: To explore whether a relationship exists between routine exercise and hospital readmission rates 1 yr after SCI. Design: We conducted a secondary analysis of data from the SCIRehab Project, a prospective cohort study. Setting: Five SCI inpatient rehabilitation facilities across the United States. Participants: Participants were people age 12 yr and older who had sustained an SCI, were admitted to a participating inpatient rehabilitation facility, completed the 12-mo postinjury interview, and reported exercising either monthly or not at all since discharge (N = 520). Outcomes and Measures: The SCIRehab Project conducted 12-mo post–inpatient rehabilitation discharge interviews. As part of the interviews, self-reported hospital readmissions and exercise frequencies since discharge (self-reported number of months, average days per week, and average minutes per day of exercise participation) were collected and analyzed. Results: A χ2 analysis determined that a significant correlation (φ = −.091, p = .038) exists between monthly exercise and hospital readmissions 1 yr postinjury. Compared with those who did not exercise, participants who exercised monthly had 8.4% fewer hospital readmissions. Conclusions and Relevance: A relationship exists between exercise and hospital readmission, but follow-up research is needed to determine whether regular exercise reduces hospital readmissions among this population. What This Article Adds: After discharge, 44% of the participants did not exercise during the first year after injury. Identifying or implementing accessible community exercise programs is an area of opportunity for occupational therapy practitioners and future researchers to explore.

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