Pain Catastrophizing and Negative Mood States After Spinal Cord Injury: Transitioning From Inpatient Rehabilitation Into the Community

2017 ◽  
Vol 18 (7) ◽  
pp. 800-810 ◽  
Author(s):  
Ashley Craig ◽  
Rebecca Guest ◽  
Yvonne Tran ◽  
Kathryn Nicholson Perry ◽  
James Middleton
2013 ◽  
Vol 2 (2) ◽  
pp. 113-119 ◽  
Author(s):  
Dianah Rodrigues ◽  
Yvonne Tran ◽  
Nirupama Wijesuriya ◽  
Rebecca Guest ◽  
James Middleton ◽  
...  

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Ashley Craig ◽  
Nirupama Wijesuriya ◽  
Yvonne Tran

Objective. Negative mood is prevalent in people with a neurological injury such as spinal cord injury (SCI). However, research is needed for determining those people with SCI who are vulnerable to negative mood states, as well as establishing the influence of self-efficacy, that is, expectations of their control over their lives. The objective of this research was to investigate the protective role that self-efficacy may play in adult people with SCI compared to able-bodied controls. Methods. Participants included 41 adults with SCI living in the community and 41 able-bodied controls similar in age, sex ratio, and education. All participants completed a psychological assessment regimen in a relaxed environment. Measures consisted of validated measures of self-efficacy and negative mood states. Results. The SCI group was found to have significantly elevated levels of depressive mood, anxiety, stress, and poor self-efficacy. SCI participants with low levels of self-efficacy were shown to have significantly elevated levels of depressive mood and anxiety in comparison to those SCI participants with high levels of self-efficacy and able-bodied controls. Conclusions. People with a neurological injury such as SCI are vulnerable to experiencing clinically elevated negative mood states if they have poor expectations of control over their lives. Implications for SCI rehabilitation are discussed.


Author(s):  
Andrew C. Smith ◽  
Denise R. O’Dell ◽  
Wesley A. Thornton ◽  
David Dungan ◽  
Eli Robinson ◽  
...  

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 < 0.001, N = 136) and wider dorsal tissue bridges were significantly correlated with light touch scores (r = 0.31, p < 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.


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

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Malene Kolstad Sterling ◽  
Matthijs Ferdinand Wouda ◽  
Andreas Falck Lahelle

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.


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